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Home » Topics » Child Psychiatry

Child Psychiatry
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Clinical Guidance

Management of Suicidality and Self-Harm in Children and Adolescents

November 30, 2023
Daniel Carlat, MD and Victoria Hendrick, MD

Dr. Carlat has no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

  • If you work with children and adolescents in a psychiatric inpatient unit, you’ll frequently encounter patients with suicidal or self-injurious thoughts.



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    Clinical Update

    Lithium for Children and Adolescents

    November 2, 2023
    Max S. Rosen, MD
    From The Carlat Child Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Max S. Rosen, MD. Assistant Professor of Psychiatry (Child); Director, Child & Adolescent Psychiatry Outpatient Services; Washington University School of Medicine, St. Louis, MO.

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

    Lithium is FDA-approved for bipolar disorder in children and adolescents 12 years and up; however, its potential off-label utility is broad, from affective aggression to anorexia nervosa. This clinical update covers how to prescribe lithium for children and adolescents and how to talk with patients and parents about lithium. 


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    CME Post-Test, Obsessive Compulsive Disorder in Children and Adolescents, CCPR, October/November/December 2023

    November 1, 2023
    From The Carlat Child Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    By successfully completing the test you will be awarded a certificate for 2 CME credit.


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    Learning Objectives, Obsessive Compulsive Disorder in Children and Adolescents, CCPR, October/November/December 2023

    November 1, 2023
    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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    Note From the Editor-in-Chief

    November 1, 2023
    Joshua D. Feder, MD
    From The Carlat Child Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Joshua D. Feder, MD. 

    Can prescribers do cognitive behavioral therapy for obsessive compulsive disorder (OCD)? How do you treat OCD when it’s mixed with other conditions? What to tell families asking for invasive Deep Brain Stimulation for OCD? How can we minimize the problems of antipsychotics? And what about lithium – should you use it more? Join us and learn!


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    Research Update

    Efficacy of Deep Brain Stimulation for OCD

    November 1, 2023
    John Raiss, MD
    From The Carlat Child Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    John Raiss, MD. Dr. Raiss has no financial relationships with companies related to this material.

    Deep Brain Stimulation is a surgically invasive procedure that is used in an attempt to treat several conditions including obsessive compulsive disorder in some youths. But does it work? Read our research update so you can better guide families on this high-risk decision.


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    Clinical Update

    Tapering Antipsychotics

    November 1, 2023
    Charmi Patel Rao, MD, DFAACAP
    From The Carlat Child Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Charmi Patel Rao, MD, DFAACAP. Director of Psychiatric Services, Positive Development; Health Sciences Assistant Clinical Professor, Department of Psychiatry, Child and Adolescent Psychiatry; UCSD, San Diego, CA.

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

    Antipsychotics offer remarkable, even lifesaving treatment for children and adolescents, however, their side effects include metabolic and neurologic problems, including neurotoxicity. This clinical update guides you through a rational process for employing these powerful medications when necessary but also reducing and discontinuing them when possible.


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    Expert Q&A

    Basics of Office-Based CBT for OCD

    November 1, 2023
    Robert D. Friedberg, PhD, ABPP
    From The Carlat Child Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Robert D. Friedberg, PhD, ABPP.

    Head, Child and Family Emphasis Area, Core Full Professor, and Director and Research Group Advisor, Center for the Study and Treatment of Anxious Youth; Palo Alto University, Palo Alto, CA. 

    Dr. Friedberg has served as a consultant for Kinark Child and Family Services and Psychological Assessment Resources. Relevant financial relationships listed for the author have been mitigated.

    OCD is typically treated with CBT and SSRIs. But do you understand the mental mechanics of Exposure and Response Prevention? This is critical to supporting families, and once you learn about it, you might want to do it yourself. We show you the path to learning how. 


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    Yuri A_shutterstock_2362528975.jpg
    Expert Q&A

    Treating OCD With Co-Occurring Conditions

    November 1, 2023
    Kate Dimond Fitzgerald, MD
    From The Carlat Child Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    KateFitzgerald_updated.JPGKate Dimond Fitzgerald, MD. 

    Child and adolescent psychiatrist; Ruane Professor of Child and Adolescent Psychiatry, Department of Psychiatry, Columbia University; New York State Psychiatric Institute, New York, NY. 

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

    In this issue we offer the information you need to treat OCD when it is mixed with other diagnoses.


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    autistic_suicidality.jpeg

    Addressing Suicidality in Autistic Children and Teens

    September 25, 2023
    Joshua Feder, MD, Mara Goverman, and Paul Lipkin, MD

    Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

    Autistic kids and teens can become despondent or suicidal. This episode explores the distinction between self-injurious behavior and suicidality in autistic children, communication patterns related to suicide, the screening process for identifying suicidality, and the different levels of care required to effectively address this issue. 


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