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Home » Topics » Child Psychiatry

Child Psychiatry
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Learning Objectives

Learning Objectives, Young Adult Mental Health, CCPR, July/August/September 2026

July 1, 2026
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

After reading these articles, you should be able to… 


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Clinical Update

Medication Nonadherence in Children and Teens

July 1, 2026
Anthony Charuvastra, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Anthony Charuvastra, MD. Assistant Professor, Department of Child and Adolescent Psychiatry, NYU Langone, New York, NY.

Dr. Charuvastra has no financial relationships with companies related to this material.

Nonadherence affects roughly one-third of youth with severe mental illness—and those who need medication most are often least likely to take it. This update reviews the most common drivers of nonadherence, from forgetfulness and family dynamics to stigma and motivation, with practical strategies clinicians can apply at every visit.


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Mathilde Ross, MD (Photo by Marissa Fiorucci)
Expert Q&A

Psychiatry on College Campuses

July 1, 2026
Mathilde Ross, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Mathilde Ross, MD. Senior Staff Psychiatrist, Boston University Student Health Services, Boston, MA. Author of How to Thrive at College: A Guide to the Ups and Downs of Mental Health on Campus (Diversion Books; 2026).

Dr. Ross has no financial relationships with companies related to this material.

The transition to college is a mental health inflection point. Dr. Mathilde Ross discusses why crises peak in October, how to prepare students for independent healthcare, medication choices that fit chaotic schedules, and what home providers should do—before their patient steps on campus.


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Expert Q&A

A Developmental Framework for Teen Psychiatry

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua D. Feder, MD. Associate Clinical Professor, UCSD School of Medicine, San Diego, CA; Editor-in-Chief, The Carlat Child Psychiatry Report.

Dr. Feder has no financial relationships with companies related to this material.

Why do teenagers make impulsive decisions even when they know better? Dr. Joshua Feder maps the arc of prefrontal cortex maturation and explains how each developmental stage shapes clinical strategy—from parent coaching in early childhood to motivational interviewing with teens and medication tapering as reflective capacity matures.


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Clinical Update

Leveraging the Placebo Effect in Child Psychiatry

July 1, 2026
Circe Cooke, MD and Jacob Margulis-Kessel, MA
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Circe Cooke, MD. Child and adolescent psychiatrist, Presbyterian Healthcare Services, Albuquerque, NM.
Jacob Margulis-Kessel, MA. Educator, Oakland, CA.
Dr. Cooke and Mr. Margulis-Kessel have no financial relationships with companies related to this material.


The placebo effect is real, measurable, and often stronger in children than adults, yet it’s routinely underused. This update explains the neurobiology behind placebo response, how "placebo by proxy" shapes outcomes through caregiver expectations, and how to use open-label placebo approaches ethically and effectively in everyday clinical practice.


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Research Update

Behavioral Sleep Interventions Help Parents' Perceptions in Complex Kids

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua Feder, MD.
Dr. Feder has no financial relationships with companies related to this material.


Sleep problems are nearly universal in children with ADHD, autism, and chronic illness—but how much can behavioral interventions actually move the needle? A meta-analysis of 15 RCTs examines what changes, what doesn't, and whether the gains last.


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Research Update

Most Teens With SUD or Depression Get No Treatment

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua Feder, MD.
Dr. Feder has no financial relationships with companies related to this material.


Treatment access for adolescent mental health and substance use isn't keeping pace with rising rates. A national survey of over 32,000 youth reveals just how wide the gaps are and why turning 18 may make things measurably worse.


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Research Update

Neuroleptic Malignant Syndrome in Youth Is Rare, but Risk Peaks Early

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua Feder, MD.
Dr. Feder has no financial relationships with companies related to this material.



NMS is feared but poorly characterized in pediatric populations. A Medicaid cohort of 1.66 million young antipsychotic users now offers the clearest picture yet of when risk is highest and which combinations clinicians should watch most closely.


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Research Update

Add-On Dextromethorphan May Reduce Irritability in Children With ADHD

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua Feder, MD.
Dr. Feder has no financial relationships with companies related to this material.


Irritability in pediatric ADHD often persists despite stimulant treatment, yet targeted options are limited. Could an NMDA antagonist already sitting on pharmacy shelves offer a safer adjunct? A small pilot trial reports a striking early signal.


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Note From the Editor-in-Chief

Note From the Editor-in-Chief

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Dr. Feder reflects on an issue that makes great summer reading in preparing for the academic year, navigating the long arc of prefrontal development, and sending teens off to college.


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