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Home » Topics » Child Psychiatry

Child Psychiatry
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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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Why We Miss Suicide Risk in Autistic Youth

June 1, 2026
Joshua D. Feder, MD and Mara Goverman

What if the patients we assume are safest from suicide are actually the ones we miss? Today we're talking about suicide risk in autistic youth, why it's higher than many clinicians expect, how distress shows up differently, and what small changes in our assessment process and treatment can make a real difference.

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Expert Q&A

Assessing the Evidence in Child and Adolescent Psychiatry

May 8, 2026
Glen Spielmans, PhD.
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Glen Spielmans, PhD. Professor of Psychology, Metropolitan State University, St. Paul, MN.

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


Not all studies are created equal — and in child psychiatry, the stakes of getting it wrong are high. Dr. Spielmans introduces the PICOT framework, exposes common sources of bias in clinical trials, and offers practical tools for vetting the research before it reaches your patients.


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Research Update

SSRIs Help Modestly With Pediatric OCD

May 8, 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.


SSRIs are standard for pediatric OCD, but how much do they actually move the needle? An individual participant data meta-analysis puts a number on it, and the answer is more nuanced than the guidelines suggest. Baseline severity, it turns out, matters more than most clinicians realize.


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Learning Objectives, Evidence-Based Treatment in Child and Adolescent Psychiatry, CCPR, April/May/June 2026

April 2, 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

What Works in Child and Adolescent Psychiatry: A Guide to Evidence-Based Treatments

April 1, 2026
Elizabeth Steuber, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Elizabeth Steuber, MD. Attending Psychiatrist, Boston Children’s Hospital; Instructor of Psychiatry, Harvard Medical School, Boston, MA.

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


When treatment options feel overwhelming, evidence is your anchor.  


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