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The Carlat Child Psychiatry Report

Overarousal in Children and Adolescents (Oct/Nov/Dec) | 2021

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CME Post-Test - Overarousal in Children and Adolescents, CCPR, October/November/December 2021

October 18, 2021

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

Assessing Bipolar Disorder in Children and Adolescents

October 18, 2021

Anna Van Meter, MD

Most of us need more clarity to better differentiate bipolar disorder from other problems such as ADHD with irritability or other mood problems. In this interview, Dr Ann Van Meter offers a simple methodology for making better predictions about the risk of bipolar illness in children and adolescents based on risk factors and symptomatology. Read More

Unpacking Aggression Associated with ADHD

October 18, 2021

John C. Blader, PhD

We often see children and teens who have ADHD with aggressive behavior. The press to treat them often results in polypharmacy with all the attendant risks and complications. This interview with Dr. Joseph Blader discusses research findings that can help us to provide more effective simplified and safer treatment for many of the patients. Read More

Tools to Help Kids and Teens to Sleep Better

October 18, 2021

Rafael Pelayo, MD, FAASM

Poor sleep is a drag on daily function and a central factor in psychopathology, however typical sleep hygiene advice has little impact in everyday practice. In this article, Dr Rafael Pelayo takes us to the next level of understanding and helping patients and families with straightforward ideas that can begin during everyday office visits. Read More

Using Equine-Assisted Psychotherapy

October 18, 2021

Anja Kriegeskotten, MD, Peter Parry, MBBS, and Renee Sievert, RN, MFT,

Equine therapy is becoming popular for a variety of child and adolescent mental health problems, from ADHD, anxiety disorders and PTSD to developmental challenges. In this article our experts describe the nuts and bolts of equine assisted psychotherapy, covering the research and the practicalities of these approaches. Read More

Dash Diet for Childhood ADHD

October 18, 2021

Thomas Jordan, MD.

Clinicians and families often seek natural non-pharmacological approaches to ADHD in children and adolescents. This hope has spawned a growing body of preliminary research on many supplements and diets for ADHD. This research update on a study of the DASH diet offers our thinking about its possible usefulness for our patients. Read More

Quetiapine vs First-Generation Antipsychotics for Aggression

October 18, 2021

Marcus Jang, NP.

What medications are best picks for treating agitation in children and adolescents in the emergency department setting? While there is little definitive research on the topic we looked at a retrospective study comparing quetiapine with first line antipsychotics that gives us a start at pulling the threads on this knotty problem. Read More

Self-Harm in Adolescents With ADHD

October 18, 2021

Pavan Madan, MD.

What is the relationship between ADHD and non-suicidal self-injury? This research update teases out an understanding of these and other common co-morbidities in a manner that suggests a practical approach to dealing with both problems in our child and adolescent patients. Read More

A Novel Treatment for Dramatic-Onset Autoimmune OCD or Severe Food Restriction?

October 18, 2021

Susan Siegfreid, MD.

When other, more conventional, treatments fail, some families and clinicians seek alternative approaches to Pediatric Acute Onset Neuropsychiatric Syndrome (PANS). In this research update we cover a preliminary study on the use of extended treatment IV immunoglobulin therapy (IVIG), associated symptoms, particularly severe food restriction. Read More

Note From the Editor-in-Chief

October 18, 2021

In a world where circumstances continue to put our patients and families into overdrive, in this issue we look at several kinds of amped-up situations. Dr. Ann Van Meter talks with us about assessment of bipolar disorder and the use of a practical nomogram to help predict whether a patient’s history and symptoms are likely to lead to bipolar disorder. Dr. Joseph Blader reviews his research on more effective and safer treatment of aggression in the context of ADHD. Dr. Rafael Pelayo offers us a more sophisticated approach to sleep problems. We also include a collection of research updates that look at preliminary studies in a variety of overdriven situations: DASH diet treatment of ADHD, treating agitation in the ED, self-injury with ADHD, and IVIG for PANS. For a bit of relief, expert colleagues also get together to give us a picture of the pastoral beauty and broad application of equine-assisted psychotherapy. As always, we welcome your feedback and suggestions. Read More