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Home » Topics » Child Psychiatry

Child Psychiatry
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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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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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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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Gender Affirming Care in Children and Adolescents: A Primer

September 18, 2023
Joshua Feder, MD and Mara Goverman

Child and adolescent psychiatrists are seeing increasing numbers of transgender and gender-diverse children and teens. This podcast will help clinicians understand the basics of gender-affirming care (GAC) as they work with families around issues of gender dysphoria.


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Fact Sheet

Amphetamine (Adzenys XR-ODT, Dyanavel XR, Evekeo) for Children and Adolescents

September 1, 2023
Joshua Feder, MD, Elizabeth Tien, MD, and Talia Puzantian, PharmD, BCPP

Dr. Feder, Dr. Tien, and Dr. Puzantian have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

Newer formulations of an old drug come with a high price tag. Stick to the usual amphetamine products like mixed amphetamine salts unless liquid or ODT dosing is absolutely necessary.


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Algorithm

ADHD Treatment Algorithm for Children and Adolescents

September 1, 2023
Joshua Feder, MD, Elizabeth Tien, MD, and Talia Puzantian, PharmD, BCPP

Dr. Feder, Dr. Tien, and Dr. Puzantian have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

ADHD treatment algorithm for children and adolescents


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Fact Sheet

ADHD Medications General Tips for Child and Adolescent Psychopharmacology

September 1, 2023
Joshua Feder, MD, Elizabeth Tien, MD, and Talia Puzantian, PharmD, BCPP

Dr. Feder, Dr. Tien, and Dr. Puzantian have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

Generally, in treating kids with ADHD, you should start with psychostimulants, since they are the most effective options. Second-line agents include alpha-agonists, followed by atomoxetine, viloxazine, and bupropion


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Fact Sheet

General Tips on Child and Adolescent Psychopharmacology

September 1, 2023
Joshua Feder, MD, Elizabeth Tien, MD, and Talia Puzantian, PharmD, BCPP

Dr. Feder, Dr. Tien, and Dr. Puzantian have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

Over the course of a career, most of us realize that pediatric psychopharmacology is more art than science, and that much of the knowledge we’ve acquired over the years has come from our work with patients after completing residency and fellowship. Here are some hard-won tips and pearls that you might find useful in your practice.


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Recognizing and Treating Psychosis in Autism

August 21, 2023
Joshua Feder, MD and Mara Goverman

Is it autism or psychosis or both? Autistic traits and psychotic symptoms can look a lot alike. How common is psychosis in autism? And how can we differentiate co-occurring autistic traits from psychotic symptoms? Dr. Kristin Cadenhead gives us an approach for sorting through the history and addressing these problems separately.


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