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Clinical Update

Selective Mutism: Helping Kids Find Their Voice

April 1, 2025

Mariel Zeccola, APRN, PhD. Nurse practitioner in private practice, Westport, CT.

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

Selective mutism (SM) in children can create tremendous frustration, often resulting in harsh reactions from parents or teachers. This clinical update from our own Dr. Mariel Zeccola will help you differentiate SM from co-occurring anxiety and other conditions and offer a path to treatment with therapy and, when needed, medication.

Note From the Editor-in-Chief

January 1, 2025

Joshua D. Feder, MD

In our note from the Editor in Chief, Dr. Feder underlines the hope for better outcomes for the ravages of substance use disorders and a timely message for those impacted wildfires and other disasters.

Expert Q&A

Vaping and Nicotine Addiction in Children and Adolescents

January 1, 2025

Jonathan P. Winickoff, MD, MPH

Jonathan P. Winickoff, MD, MPH

Pediatrician at Mass General for Children; Director of Pediatric Research, Tobacco Research and Treatment Center at Massachusetts General Hospital; Professor, Pediatrics, Harvard Medical School, Boston, MA.

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

Nicotine is among the most addictive substances out in the community. Learn how to talk with patients and families and use the most effective strategies we know to intervene.

Expert Q&A

Addressing the Overdose Crisis: What You Can Do

January 1, 2025

Aaron Quiggle, MD, MS

Aaron Quiggle, MD, MS

Adult, child, and adolescent addiction psychiatrist; Medical Director, Addiction Recovery Management Service (ARMS), Massachusetts General Hospital, Boston, MA.

Dr. Quiggle is a co-investigator of an investigator-sponsored trial for Ironshore Pharmaceuticals. Relevant financial relationships have been mitigated.

There are multiple ways that we can help our patients reduce the risk of overdose. In our interview with Dr. Aaron Quiggle, we cover screening, fentanyl testing, the use of Narcan and the importance of learning to prescribe buprenorphine.

Chronic Depression with Allen Frances

December 30, 2024

Kellie Newsome, PMHNP, Allen Frances, MD, and Chris Aiken, MD

Allen Frances shares his approach to chronic depression.

When Bipolar and ADHD Overlap: Treatment 2

December 2, 2024

Kellie Newsome, PMHNP and Chris Aiken, MD

How to treat ADHD in bipolar disorder without destabilizing mood part 1: stimulants and non-stimulants.

When Bipolar and ADHD Overlap: Treatment 1

November 25, 2024

Kellie Newsome, PMHNP and Chris Aiken, MD

How to treat ADHD in bipolar disorder without destabilizing mood part 1: stimulants and non-stimulants.

Research Update

Stimulants in Preschool-Age Children

October 1, 2024

Earth Hasassri, MD

Earth Hasassri, MD. Dr. Hasassri has no financial relationships with companies related to this material.

We are understandably hesitant to treat young children with medication for ADHD. Does it work? Will there be worse or different side effects? This research update will help you weigh the risks and benefits of pursuing stimulant treatment for ADHD in our smallest patients.

Expert Q&A

Treating ADHD in Young Children

October 1, 2024

Natalie Pon, MD

Natalie Pon, MD

Child and adolescent psychiatrist, Children’s Health Council; adjunct clinical faculty, Stanford University, Palo Alto, CA.

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

What does ADHD look like in young children? How do we differentiate it from just another active toddler? And if a young child really does have ADHD, how do we treat it? Our interview with Dr. Natalie Pon will help you identify and treat ADHD in young children.

Clinical Update

Dysregulation in Autism: Irritability, Aggression, and “Pathological Demand Avoidance”

October 1, 2024

Alyssa Aikman, MSN, APRN, PMHNP-BC

Alyssa Aikman, MSN, APRN, PMHNP-BC. Psychiatric nurse practitioner in outpatient group practice, Vancouver, WA.

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

Pathological demand avoidance (PDA) is a popular concern among autistic kids and families. It’s not in the DSM, yet we need to understand and address it. This clinical update helps you approach irritability and PDA rationally to help autistic patients connect and regulate before merely prescribing D2-blocking antipsychotics.