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Addressing the Hazards of Performance-Enhancing Substances

July 14, 2021
Kyle T. Ganson, PhD, MSW
Kyle T. Ganson, PhD, MSWKyle T. Ganson, PhD, MSW

Assistant professor at the University of Toronto’s Factor-Inwentash Faculty of Social Work. Dr. Ganson has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.


Many of us do not think to ask about performance enhancing substances, and yet these are common and often hazardous to the health of our teen and young adult patients. Which ones are harmful? How do you ask about them? Learn here.
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Citalopram Plus Stimulants for Chronic Irritability?

July 14, 2021
Eric Robbins, MD.
Eric Robbins, MD. Dr. Robbins has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Disruptive Mood Dysregulation Disorder (DMDD) is a challenging syndrome. Some have conceptualized it as a combination of ADHD and ODD. Are there good ways to treat the irritability that do not involve antipsychotics or anti-epileptic drugs? This study explores adding citalopram to stimulants.
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SSRIs vs SNRIs in Pediatric Anxiety Disorders: Which Are More Tolerable?

July 14, 2021
John Raiss, MD.
John Raiss, MD. Dr. Raiss has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Which class of medication performs better for treating anxiety or OCD in children and adolescents, SSRI’s or SNRI’s? This study sorts through the comparative efficacy vs. side effects so that you can better decide how to help your patients.
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Is It Time for an Online Tantrum Tool?

July 14, 2021
Pavan Madan, MD.
Pavan Madan, MD. Dr. Madan has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
We all need more resources to offer parents to help them with challenging behaviors. Online applications are springing up to address all sorts of difficulties. This study reports on a promising online program to teach parents how to manage tantrums in children.
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ADHD Prevalence in the US Black Population

July 14, 2021
Thomas Jordan, MD.
Thomas Jordan, MD. Dr. Jordan has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
We all need to become more aware of the differences in the population prevalence of mental health problems among various communities. This research update offers more recent data, upending what we knew when DSM-5 came out, and giving us a better sense of how to assess black youth and avoiding bias in the diagnostic process.
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Note From the Editor-in-Chief

May 20, 2021
Joshua Feder, MD
Joshua D. Feder, MDJoshua Feder, MD
At Carlat we dig deeper: Last fall it was the possibility of suicidality with antidepressants when we see the real data; this winter, it was the lack of clinical relevance of CYP enzyme testing when we use medications carefully; and this spring, beneath the apparent weight of thousands of studies that turn out to be flawed, we found an absence of a definable effect size for the massive $17 billion applied behavioral analysis industry.
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Approaches to Autism Intervention

May 20, 2021
Diane Cullinane, MD.
Diane Cullinane, MD. Developmental pediatrician. Co-founder and Executive Director Emerita of Professional Child Development Associates (PCDA), Pasadena, CA. Dr. Cullinane has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
How to respond to the seismic shift in our understanding of effect sizes in autism treatment? With better informed consent: we supplemented our interview with Dr Sandbank with an article by Dr Diane Cullinane on the three main kinds of autism treatment so that you will be prepared to help families know that they have choices.
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Effect Size Matters: The Seismic Shift Toward Naturalistic and Developmental Interventions in Autism

May 20, 2021
Micheal P Sandbank, PhD
Micheal P Sandbank, PhDMicheal P Sandbank, PhD

Assistant professor of special education at the University of Texas, Austin. Dr. Sandbank has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.


Thousands of studies that carry the weight of support for Applied Behavioral Analysis treatment for autism are flawed. See what we learned about effect sizes for this massive 17-billion-dollar industry and learn about why it is so hard to study more functional but meaningful change vs rote but less useful learning.
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