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Home » child_psychiatry

Articles Tagged with ''child_psychiatry''

Wilderness Therapy: Dangerous Waste of Money or an Effective Therapeutic Intervention?

January 1, 2019
Caroline Fisher, MD
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Caroline Fisher, MD Dr. Fisher has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Wilderness therapy programs, aka “outdoor behavioral health programs,” purport to offer structured outdoor experiences for adolescents or adults that lead to psychological shifts and better functioning. Programs vary in length from a few days to months, although 30–90 days is common.
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Note From the Editor-in-Chief

November 1, 2018
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Joshua Feder, MD Editor-in-Chief, The Carlat Child Psychiatry Report
In this issue we tackle a range of challenges, including differentiating ADHD from bipolar disorder, understanding suicide risk in college students, managing assertions about the safety of weed, and assessing and treating violent behavior in our patients.
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Evaluating and Treating Co-Occurring ADHD and Bipolar Disorder

November 1, 2018
Candace Good, MD
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Candace Good, MD Child & adolescent psychiatrist, SunPointe Health, State College, PA, and a contributing writer for the Carlat newsletters. Dr. Good has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity
Early into the evaluation of a 10-year-old boy, you note the following symptoms: inattention, hyperactivity, impulsivity, sleep problems, racing thoughts, and moodiness. The boy’s parents came to your office convinced that their son has ADHD, but thinking through the case, you recognize that the same symptoms could signal bipolar disorder (BD).
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Assessing and Treating Violence in Patients

November 1, 2018
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
School shootings keep happening in the US, and most of us have wondered at times whether one of our patients might carry out a violent act, shooting or otherwise. This article will help you assess and treat violent youth and advise families who are grappling with these issues.
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Antidepressant-Induced Suicidality: What It Is and What You Should Do

September 1, 2018
Candace Good, MD.
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Candace Good, MD. Child & adolescent psychiatrist, SunPointe Health, State College, PA. Dr. Good has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Do antidepressants actually cause children to be suicidal? If so, how do we detect it, and what should we do about it? In this article, we’ll give you a brief review of the most recent findings on antidepressant-induced suicidality (AIS) in children and adolescents, and then move on to some practical tips for how to evaluate and prevent this problem.
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Current Use of Antidepressant Medication in Children

September 1, 2018
Danella Hafeman, MD, PhD
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Danella Hafeman, MD, PhDDanella Hafeman, MD, PhD Assistant Professor of Psychiatry at the University of Pittsburgh School of Medicine Dr. Hafeman has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The issue of emergent suicidal thinking has weighed on us since the 2004 black box warning—amplified by the re-analysis of the now infamous study 329, which found the emergence of previously under-reported suicidal thinking. How do we offer hope for effective use of medication while balancing the potential risks? Dr. Danella Hafeman has made a close study of it all and sheds light on the problem.
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Depression in Transition to Adulthood: A Case Study

September 1, 2018
Calvin Colarusso, MD
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Calvin Colarusso, MDCalvin Colarusso, MD Clinical Professor of Psychiatry, volunteer faculty. Author of the book The Third Individuation: Psychoanalytic Study of the Child, Yale University Press, 1990. Dr. Colarusso has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Recently, CCPR presented the following hypothetical case to leading child and adolescent development authority Calvin Colarusso, MD, for his advice on how to help a young man presenting with a possible major depressive disorder (MDD).
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Resilience Networks in Adolescent Females at Risk for Major Depression

September 1, 2018
Rehan Aziz, MD.
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Rehan Aziz, MD. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
One of our biggest in-office challenges is how to enhance teen resilience, the process of adapting to and recovering from stressful life experiences. Some neuroscientists hypothesize that resilience is related to the limbic system, which plays a vital role in emotion processing, motivation, and learning.
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Adolescents With ADHD and Substance Use Disorders: A Primer

July 1, 2018
Candace Good, MD
From The Carlat Addiction Treatment Report
Issue Links: Learning Objectives | Editorial Information
Candace Good, MD Child and adolescent psychiatrist, SunPointe Health, State College, PA Dr. Good has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
You are evaluating a 16-year-old boy referred for mandated substance use treatment by his high school, where he was found drinking alcohol and smoking cannabis with a friend in the restroom.
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Talking to Parents and Adolescent Patients About Substance Use

July 1, 2018
Joanna Quigley, MD
From The Carlat Addiction Treatment Report
Issue Links: Learning Objectives | Editorial Information
Joanna Quigley, MDJoanna Quigley, MD Associate medical director for Child and Adolescent Ambulatory Services, University of Michigan, Ann Arbor, MI Dr. Quigley has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Since they already often seem two steps ahead of us, with adolescents it can be really helpful to use direct routes. Be very specific in your questions. For example, don’t just ask, “Do you smoke?” Ask, “Are you using any nicotine products? What are you using in your vape?”
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