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The Carlat Psychiatry Report

Issues in Child Psychiatry (November) | 2008

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Autism and Asperger's Syndrome: A Primer

November 1, 2008

Autism has recently hit the radar screen in psychiatry and pediatrics. This is partly due to an increase in prevalence that has been widely reported in the media, coupled with ongoing debate regarding whether vaccines are causing this so-called "autism epidemic.” Read More

The Latest on ADHD

November 1, 2008

The last time we did an entire issue on ADHD was in September of 2006. In this brief article, we’ll bring you up to date on some recent developments. Read More

Antidepressants and Suicidal Ideation

November 1, 2008

Dr. Fassler, you are a child psychiatrist and you testified at the original FDA hearings leading to the black box warnings on antidepressants. Can you give us some insight into how that process played out? Read More

Atypicals Roughly Equivalent to Molindone for Youth Psychosis

November 1, 2008

A recent NIMH-sponsored eight week trial compared two atypical antipsychotics, olanzapine (Zyprexa) and risperidone (Risperdal), to the first-generation antipsychotic, molindone (Moban) in the treatment of 116 youths with schizophrenia or schizoaffective disorder. Read More

Antidepressant Dose Escalation Not Found Helpful in Improving Outcomes

November 1, 2008

In the September 2007 issue of TCPR, we reviewed the very mixed literature on whether it makes sense to increase the dose of an antidepressant to achieve a response. We concluded that there is insufficient evidence, but that as long as you can avoid side effects, there is no compelling reason not to try dose escalation. Read More

Psychotherapy and Medication Roughly Comparable in Treating Depression

November 1, 2008

Two recent meta-analyses examined the comparative efficacy of antidepressants versus psychotherapy in the treatment of depression and dysthymia (Cuijpers P et al., J Clin Psychiatry 2008, online ahead of print; Imel et al., J Affect Dis 2008;110:197-206). Read More