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Adult ADHD 3: The Missing Page in DSM

August 10, 2026

Chris Aiken, MD and Kellie Newsome, PMHNP

The modern DSM began as a short list of 12 well-validated diagnoses. But the list expanded as the authors changed the goals from validity to reliability. Lost in this history is a missing page that helps separate adult ADHD from its mimics.

Adult ADHD 2: The Late-Onset Controversy

August 3, 2026

Chris Aiken, MD and Kellie Newsome, PMHNP

Nine studies have tried to find out whether ADHD can start in adulthood, we dig into the data and find some answers to the controversy.

Adult ADHD 1: The Child Grows Up

July 27, 2026

Chris Aiken, MD and Kellie Newsome, PMHNP

DSM-5 loosened the criteria for adult ADHD, but did it get too lose? We look at what recent prosecutions of telehealth companies mean for those trying to diagnose this disorder on the front-lines.

Clinical Update

Selective Mutism: Helping Kids Find Their Voice

April 1, 2025

Mariel Zeccola, APRN, PhD

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.

Expert Q&A

Sorting Out Psychotic-Like Experiences in Children and Teens

April 1, 2025

Kristin Cadenhead, MD

Kristin Cadenhead, MD, Professor of psychiatry, director of Cognitive Assessment and Risk Evaluation (CARE) early psychosis research and treatment program, University of California San Diego, San Diego, CA.

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

What are psychotic-like experiences (PLE) in children and teens, and what is the prognosis for those who have them? Should we treat immediately with antipsychotics? Watch and wait? Our interview with Dr. Kristin Cadenhead gives you the guidance you need to assess and manage PLE.

Meaning and the Patient's Story

February 3, 2025

Kellie Newsome, PMHNP, Chris Aiken, MD, and Margaret S. Chisolm, MD

Learn how your patient’s life story can unlock psychotherapeutic avenues of treatment on our interview with Margaret Chisolm.

Temperament and Diagnosis

January 27, 2025

Kellie Newsome, PMHNP, Chris Aiken, MD, and Margaret S. Chisolm, MD

Learn how an understanding of patient’s temperament and the meaning of their life story can unlock psychotherapeutic avenues of treatment on our interview with Margaret Chisolm.

The Missing Perspectives in DSM

January 20, 2025

Kellie Newsome, PMHNP, Chris Aiken, MD, and Margaret S. Chisolm, MD

Margaret Chisolm shares the Perspectives model, a way of assessing patients that builds on the DSM takes the famous manual a few steps further.

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

Early Childhood Psychiatric Care

October 1, 2024

Jeffrey Rowe, MD

Jeffrey Rowe, MD

Private practice, San Diego, CA; associate clinical professor, University of California at San Diego School of Medicine (Retired); co-chair, “We Can’t Wait” Early Childhood Mental Health Conference, 2010–2024.

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

Mental health problems in young children are incredibly complex. Dr. Jeffrey Rowe’s comprehensive outline helps us organize our assessment and care planning for these children. Even more important, since most of us see older kids, Dr. Rowe helps us find the links between problems in early childhood and later mental health challenges.