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The Carlat Child Psychiatry Report

Clinical Complexity With Children and Adolescents (Jan/Feb/Mar) | 2021

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CME Post-Test - Clinical Complexity With Children and Adolescents, CCPR, Jan/Feb/Mar 2021

March 12, 2021

By successfully completing the test you will be awarded a certificate for 2 CME credits. Read More

Prescribing to Children of Divorce

March 12, 2021

Anthony Charuvastra, MD.

What is the best approach to effective clinical care with families that are separated or divorced? This article covers the complexities, the legalities, and an expectation of collaboration that can help us to help children to receive good mental health care despite the inevitable differences between parents in these situations. Read More

Treating Pandemic-Associated Trauma in Children and Adolescents

March 12, 2021

Alan Steinberg, PhD and Naser Ahmadi, MD, PhD

In the age of COVID-19, clinicians need to assess for specific pandemic-related impacts on children and adolescents. UCLA has a new COVID-19 PTSD screen and they have also developed an effective intervention that targets and manages trauma triggers to address suicidality in children and adolescents for use in urgent settings. Read More

Long-Term Treatment Response in Pediatric OCD

March 12, 2021

Pavan Madan, MD

Which is better for OCD in children and adolescents: Cognitive Behavioral Therapy (CBT), Serotonin Specific Reuptake Inhibitors or a combination of both in children and adolescents? Are there reasonable options between these choices? This research review gives some helpful answers that you can put into practice with your patients today. Read More

New Canadian Eating Disorders Guidelines

March 12, 2021

John Raiss, MD

What is the best approach to treatment of adolescents with eating disorders? What level of care should be we advocating for to have the best chance of a good outcome? This review of the recent Canadian Eating Disorders Guidelines offers a clear direction for our efforts to provide better care. Read More

Melatonin for Sleep-Onset Insomnia

March 12, 2021

Lauren Cashion, MD

So many of use melatonin to try to help children get to sleep, but does it really work? And if so, what is the optimal dosage? And what is the optimal timing of administration to optimize the use of this supplement? This research review will give you excellent practical guidance. Read More

The MTA Turns 21: Implications for ADHD Treatment

March 12, 2021

Anthony Charuvastra, MD

The MTA was a classic research effort aimed at reaching more definitive conclusions about the relative effectiveness of stimulant medications and behavioral treatments for children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD). The results have proven enduring and inspiring, leading to the development of new and innovative treatment approaches. Read More

Note From the Editor-in-Chief

March 12, 2021

Joshua Feder, MD

In this first issue of 2021, we dig deeper into current and chronic areas of clinical complexity. Genetic testing can find identifiable disorders, offering relief to families searching for answers and perhaps guiding future treatment. Despite the hype, though, pharmacogenetics has limitations; we need to know what it can and... Read More

Cultural Competence: Impact on Clinical Care

March 12, 2021

Fagie Mandel Greenberg, M.Ed., CDT.

Don’t be pressured into medicating your way out of cultural problems. What are the nuts and bolts of offering culturally competent care to children and adolescents? This article is a how-to with a case example that demonstrates a respectful approach to helping families caught between dominant and different cultural understandings. Read More

Pharmacogenetics: Not Quite Ready for Prime Time?

March 12, 2021

Aaron Besterman, MD

Genetic testing can tell whether a patient has an identifiable disorder, offering relief to families searching for answers and perhaps leading them to support and even future treatment. Despite the hype, pharmacogenetics is rather limited in utility and clinicians need to know what it can and cannot tell us. Read More