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The Carlat Child Psychiatry Report

Eating Disorders in Children and Adolescents (May/June) | 2016

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Taking Back Control in Binge Eating Disorder

May 1, 2016

According to the WHO World Mental Health Surveys, BED is the most common specific eating disorder, with a lifetime prevalence of 1.9%. It is roughly twice as common as bulimia nervosa (BN), which in turn is more common than anorexia. This article reviews of how to diagnose BED and introduce strategies for helping kids and teens take back control over their consumption. Read More

Eating Disorders: Assessment and Treatment

May 1, 2016

James Lock, MD

James Lock, PhD, discusses his experiences treating children and adolescents with eating disorders. In the child psychiatry inpatient unit, among the kids with eating disorders, he saw that half or more were medically ill as a result of malnutrition or other behavioral problems that led to problems with electrolytes or blood pressures. His experiences eventually led him to treatment methods that involved families in an outpatient setting. Read More

Meds for ADHD Not Working? Add CBT

May 1, 2016

Medication is an effective and necessary treatment for many adolescents struggling with ADHD. Unfortunately, even when patients and parents report significant relief from meds, symptoms persist, which can lead to ongoing problems at school, at home, and with peers. That’s why psychosocial interventions are an important part of any treatment plan for adolescents with ADHD. Read More

Risperidone Leads to Serious Metabolic Problems in Autistic Children

May 1, 2016

The metabolic effects of atypical antipsychotics in children are well known, and carefully weighing the risk-benefit ratio of their use is a difficult ordeal for both parents and clinicians. The reality is that the use of these meds is necessary for some children, particularly those dealing with an autism spectrum disorder with serious behavioral problems. Read More