Clinical Update

Stimulant Dosing Limits

August 7, 2023

Chris Aiken, MD and Kelvin Quiñones-Laracuente, MD, PhD.

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report. Assistant Professor, NYU Langone Department of Psychiatry. Practicing psychiatrist, Winston-Salem, NC.

Kelvin Quiñones-Laracuente, MD, PhD. Psychiatry resident, NYU Langone Medical Center.

Drs. Aiken and Quiñones-Laracuente have no financial relationships with companies related to this material.

Dosing is not a collaborative venture when it comes to controlled substances, and here we look for the safe upper limits of stimulant dosing.

Clinical Update

Taking a Sexual History With Children and Teens

August 1, 2023

Mikveh Warshaw, NP.

Mikveh Warshaw, PMHNP-BC, CARN-AP. Psychiatric mental health nurse practitioner, Community Health Center Inc.; faculty member of Center for Key Populations (CKP) Program, Middletown, CT.

Ms. Warshaw has no financial relationships with companies related to this material.

Are you uncomfortable taking a sexual history from your patients? You are not alone. Only about one third of mental health professionals take a sexual history from their pediatric and adolescent patients. In this article we offer developmentally stratified tips on talking with kids and families about sexuality, abuse, and consent.

Clinical Update

Gender Affirming Care in Children and Adolescents: A Primer

August 1, 2023

Joshua Feder, MD

Joshua Feder, MD. Editor in Chief of The Carlat Child Psychiatry Report.

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

What exactly is gender affirming care? What approaches are used at different stages of development? You need to know the medical and social aspects of GAC. In this article we give you the basics on GAC including social transition, hormone replacement therapy, and gender confirming surgery, stratified by developmental stages.

Clinical Update

Suicide in Children and Adolescents

August 1, 2023

Christina Guest, MD.

Christina Guest, MD. LAC+USC Child and Adolescent Psychiatry Fellow, Los Angeles, CA.

Victoria Hendrick, MD. Chief of Inpatient Psychiatry and Clinical Professor, UCLA Medical Center, Los Angeles, CA; Editor-in-Chief, The Carlat Hospital Psychiatry Report.

Dr. Guest and Dr. Hendrick have no financial relationships with companies related to this material.

Alarmingly, one in five high school students have seriously considered suicide, and one in ten have tried it. Emergency departments are seeing more kids than ever showing up for self-harm and suicide attempts. We review warning signs and screening tools, and give you tips for how to help these kids in crisis.

Clinical Update

Psychiatric Consultation to Children and Adolescents on Pediatric Units: A Primer

August 1, 2023

Jessica E. Becker, MD, MPH. and Joshua Smith, MD.

Jessica E. Becker, MD, MPH. Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, NYU Langone Health, New York, NY.

Joshua Smith, MD. Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN.

Dr. Becker is an awardee of the American Academy of Child and Adolescent Psychiatry (AACAP) Junior Investigator Award, which is funded by AACAP and industry sponsors. Relevant financial relationships listed for the author have been mitigated.

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

Pediatric consultation-liaison (C-L) psychiatry is a field that combines psychiatry, pediatrics, and child development. We’ll give you pointers on how to manage pediatric C-L psychiatry consults, with specific recommendations for different age groups.

Clinical Update

Medical Mimics in Geriatric Psychiatry

July 11, 2023

Julia Cromwell, MD and Miranda Tsang

Miranda Tsang. MD candidate 2024, Tufts University School of Medicine, Boston, MA.

Julia Cromwell, MD. Medical Director, Senior Adult Psychiatry Unit, Salem Hospital, Salem, MA.

Ms. Tsang and Dr. Cromwell have no financial relationships with companies related to this material.

Medical illnesses can present with psychiatric symptoms— there are a few clinicians can’t afford to miss.

Clinical Update

Sexual Health in Older Adults: A Primer

July 11, 2023

Neha Jain, MD, FAPA

Neha Jain, MD, FAPA. Associate professor of psychiatry; Medical Director, Mood and Anxiety Disorders Program; Assistant Program Director, Geriatric Psychiatry Fellowship Program, University of Connecticut Health Center, Farmington, CT.

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

Aging, medical illness, and mental health affect sexuality in older adults. Treatments can improve sexual dysfunction.

CLINICAL UPDATE

Using DBT Skills in Everyday Clinical Practice: An In-Depth Overview for Therapists

July 10, 2023

Joshua Sonkiss, MD

Joshua Sonkiss, MD. Board-certified in adult, adolescent, and forensic psychiatry as well as addiction medicine.

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

DBT: a comprehensive treatment approach that combines mindfulness, cognitive-behavioral techniques, acceptance-based therapy, and case management to help individuals develop skills for emotional regulation and behavior change.

CLINICAL UPDATE

Exploring the Complexities of Self-Harm Among Youth

July 9, 2023

Joshua Feder, MD and Hanni Flaherty, LCSWR, PhD, CASAC

Joshua Feder, MD. Editor in Chief, The Carlat Child Psychiatry Report.

Hanni Flaherty, LCSWR, PhD, CASAC. Assistant Professor and Chair of Advanced Clinical Practice, Yeshiva University. President and Clinical Director, Collaborative People Clinical Group. New York, NY.

The authors have no financial relationships with companies related to this material.

While self-harming behaviors may manifest differently for each individual, they are often associated with underlying emotional distress. Learn more about how to help your clients.

CLINICAL UPDATE