child psychiatry

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Cognitive Rehabilitation for Youth With Psychotic Disorders

By: jives | May 14th , 2020 | Podcast| 0 Comment

Psychotic disorders in children and adolescents include a range of neuropsychiatric problems related to the multitude of underlying neurophysiological differences and the problems created by these differences. Chief among these are cognitive impacts. This interview helps outline and give guidance for managing these cognitive problems related to both

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Coronavirus and Mental Health - Part 1

By: jives | March 6th , 2020 | Podcast| 0 Comment

This is a special episode covering coronavirus for mental health care professionals with a focus on children and adolescents. Dr. Feder discusses basic information on symptoms, minimizing transmission, tips for telepsychiatry, talking about the virus with patients prone to anxiety, and addressing cultural bias. Date published: 3/6/2020 Duration:

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ADHD and Life Expectancy with Russell Barkley, PhD

By: jives | January 23rd , 2020 | Podcast| 0 Comment

From a public health standpoint, ADHD is worse than the top five killers in the U.S. combined. Russell Barkley, PhD, is a Clinical Professor of Psychiatry at the Virginia Commonwealth University Medical Center (VCUMC), Richmond, VA. His research findings have lit a fire under the ADHD community. Listen to excerpts of his interview with the Dr. Josh

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Cannabis and Kids

By: jives | December 16th , 2019 | Podcast| 0 Comment

Child psychiatrists are grappling with the problem of pervasive use of marijuana in an age where legalization of use for adults has led to even greater use in teens. In this episode, Dr. Feder and Mara go over two recent interviews in The Carlat Child Psychiatry Report with Gabriella Gobbi, MD, PhD, of McGill University and Elizabeth D’Amico, P

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Informed Consent: An Ongoing Process for Focused Care

By: jives | October 28th , 2019 | Podcast| 0 Comment

Informed consent is a foundation for good clinical practice and can provide legal protection. But informed consent is more than defensive medicine. It is a vehicle for framing good care. How often do people use the consent process? In this episode we go through the steps of good informed consent with some practical advice on how to go about doing it.

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How to Address School Refusal

By: jives | August 31st , 2019 | Podcast| 0 Comment

School refusal is a common problem, affecting up to 5% of schoolchildren. This episode takes a look at the limited research on the subject and goes over work done by experts at the Yale Child Center to put together some useful advice on how to address this problem in your patients and families. Publication Date: 9/2/19 Runtime: 15 minutes, 28

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The Carlat Report Goes to APA Part II

By: jives | July 29th , 2019 | Podcast| 0 Comment

More highlights from the American Psychiatric Association's 2019 meeting in the final installment of this two-part series. Expert interviews with Manpreet Singh on childhood mood disorders and Nikhil Rao on novel medications for sleep. Learn what to do when children get worse on antidepressants, and how to use clonidine for sleep in patients with

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Editor's Choice: Volunteering to Help Youth Refugees Q&A

By: jives | July 12th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Here's a recent article from The Carlat Child Psychiatry Report I highly recommend. In the March/April 2019 issue Dr. Suzan Song talked to us about helping refugees and asylum seekers in this Expert Q&A. We hear of many children and adolescents who are refugees, most seeking asylum. There are calls for professionals to meet the needs of these peopl

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Off-Label Use of Medications for PTSD

By: jives | June 30th , 2019 | The Carlat Psychiatry Blog| 0 Comment

In The Carlat Child Psychiatry Report, Elizabeth Tien, MD, a child & adolescent psychiatrist at Maimonides Medical Center in Brooklyn, NY, offers off-label advice on prescribing medications for children with PTSD. Below are some general tips, but to get a handy table on which meds to choose and how to dose, please click here. SSRIs Start with ps

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Tips for Good Medication Practice

By: jives | June 28th , 2019 | The Carlat Psychiatry Blog| 0 Comment

The following are some recommendations on good medication practice from child psychiatrist Mark Chenven, MD, who offered his expertise in The Carlat Child Psychiatry Report: Start low, go slow: Most side effects are dose related, so gradual up-titration is simple common sense. This allows for the body’s homeostatic and regulatory mechanisms to resp

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Helping Children To Tell Us About Their Experience

By: jives | June 22nd , 2019 | The Carlat Psychiatry Blog| 0 Comment

There are some ways to help you assess the type of anxiety that leads to inattention. Consider the following tips, which we’ve excerpted from an article from The Carlat Child Psychiatry Report newsletter: Catalog. Work with the child to develop a list of activities in which the child is calm and or alert and does well, and another list of things th

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Managing Medications with Adolescents

By: jives | June 20th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Just getting adolescents to even find their medicine or remember to take it is a big challenge, says Jess Shatkin, MD, Professor of Adolescent Psychiatry and Pediatrics at the New York University School of Medicine, and author of “Born to be Wild: Why Teens Take Risks, and How We Can Help Keep Them Safe”. That’s why, in a recent issue of The Carla

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Calming Violent, Aggressive Patients

By: jives | June 17th , 2019 | The Carlat Psychiatry Blog| 0 Comment

In many cases, it will be immediately clear when an aggressive patient needs to be sent to the ER, says Ruth Gerson, MD, Director at the Bellevue Hospital Children’s Comprehensive Psychiatric Emergency Program in New York, NY. If a patient is hurting people, including himself, and you determine a clear and present danger, immediately arrange transport

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Managing Conflict Over Medication Consent

By: jives | June 9th , 2019 | The Carlat Psychiatry Blog| 0 Comment

The following tips for overcoming conflict in the medication consent process were excerpted from an informed consent article in the May/June issue of The Carlat Child Psychiatry Report: 1. If it’s not an emergency, take your time. When life and limb are at stake, we should act immediately—but that doesn’t usually mean medicating so much as empl

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Diagnosing Common Sleep Disorders in Children

By: jives | June 5th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Always screen for disturbances of sleep—they often are the key to other problems a child might be having. Look at factors from issues at school or in the family, as well as digital exposure and dietary habits (caffeine, carbs, etc). The following is a brief primer on common sleep disorders, from The Carlat Child Psychiatry Report: Insomnia In p

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Advice on Limiting Screen Time for Children

By: jives | May 21st , 2019 | The Carlat Psychiatry Blog| 0 Comment

When used appropriately, screen media can be useful rather than harmful. But with children, there must be limits, says Mary G. Burke, MD of the Sutter Pacific Medical Foundation in San Francisco, who covered the topic in The Carlat Child Psychiatry Report. Since screen time can be addictive for susceptible individuals, children need to learn how to u

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Helping Kids with Problem Behaviors in School

By: jives | May 11th , 2019 | The Carlat Psychiatry Blog| 0 Comment

All behavior is a code that a child uses to communicate, says Jessica Minahan, a board-certified behavior analyst and special educator, who co-authored The Behavior Code Companion. “Bad behavior” is often cloaked anxiety, and we can support education professionals by offering ideas that help anxious children. In an Expert Q&A in The Carlat Ch

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Evaluating Tourette’s Disorder

By: jives | May 8th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Despite lots of scientific investigation, the cause of TD remains relatively unknown. Most investigations seem to implicate hyper-functioning dopamine circuits. At least one study showed that antipsychotic medications, which block dopamine transmission, are beneficial in suppressing tics. (Robertson, MM. Arch Dis Child Educ Pract Ed 2012;97(5):166-175).

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Assessing Suicide Risk in Children and Adolescents

By: jives | May 7th , 2019 | The Carlat Psychiatry Blog| 0 Comment

When children or adolescents come to your office showing signs of suicidal ideation, it’s necessary to conduct a focused assessment. During an interview in The Carlat Child Psychiatry Report, Cynthia Pfeffer, MD, Professor of psychiatry and director of the Childhood Bereavement Program at Weill Cornell Medicine, White Plains, NY, recommends that th

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Options for Calming a Highly Agitated Child

By: jives | May 5th , 2019 | The Carlat Psychiatry Blog| 0 Comment

An 11-year-old boy, who was admitted for suicidal ideation, is angry and wants to go home. He is marching up and down the hallways, screaming and flailing his arms in a menacing manner. You realize that medication to sedate him might be necessary, but you’re also considering a behavioral intervention. How do you handle either approach? Here are som

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Parents Can Help With Risky Adolescent Behavior

By: jives | May 4th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Because of several factors, including high levels of dopamine, adolescents are prone to risky behavior. Controlling that risk and keeping kids safe isn’t something we as child psychiatrists can do on our own. It also takes support and help from parents, says Jess Shatkin, MD, an expert on adolescent behavior, who we interviewed for the most-recent iss

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Evaluating Psychosis in Children

By: jives | April 24th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Psychosis in children is difficult to determine, especially in younger kids who might not understand the concept of psychotic behavior. In more obvious cases, children will come into your office saying that they are hearing voices, or that someone is chasing them. But how do you evaluate a child for psychosis when there aren’t any obvious cues? The an

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Medication treatment for ADHD

By: jives | March 28th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Choosing and prescribing the right medications for treating ADHD can be challenging. The Carlat Child Psychiatry Report spoke with Anne Buchanan, DO, Child psychiatrist at Maimonides Medical Center in Brooklyn, NY, about her approach. She offers the following tips.When choosing meds, Dr. Buchanan recommends that you: Consider stimulants first

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Author Introduction to The Child Medication Fact Book

By: jives | November 14th , 2018 | The Carlat Psychiatry Blog| 0 Comment

Authors Joshua D. Feder, MD, Elizabeth Tien, MD, and Talia Puzantian, PharmD, BCPP have carefully put together this quick-reference guide. The Child Medication Fact Book is a comprehensive reference resource covering all the important facts, from cost to pharmacokinetics, about the most commonly prescribed medications in child and adolescent psychiat

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Quick Take Video - ADHD in Children and Adolescents

By: jives | November 12th , 2018 | The Carlat Psychiatry Blog| 0 Comment

Editor-in-Chief of The Carlat Child Psychiatry Report, Dr. Joshua D. Feder, discusses the latest issue about ADHD in children and adolescents. The issue features an expert interview with Mark Katz, MD. Become a subscriber here.

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Antipsychotics and Aggressive Children With ADHD

By: jives | July 12th , 2018 | The Carlat Psychiatry Blog| 0 Comment

The TOSCA study focused on children with severe ADHD, who also met criteria for oppositional defiant disorder (ODD) or conduct disorder (CD). These children tend not to do as well with stimulants alone and often end up being prescribed antipsychotics, typically second generation antipsychotics (SGA’s). TOSCA was devised to help clinicians determine wh

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