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Home » Newsletters » The Carlat Child Psychiatry Report
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The Carlat Child Psychiatry Report

Depression and Anxiety in Children and Adolescents (Oct/Nov/Dec) | 2025

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Learning Objectives, Depression and Anxiety in Children and Adolescents, CCPR, October/November/December 2025

October 1, 2025

After reading these articles, you should be able to… 

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SNRIs in Kids: When to Use Them for Depression and Anxiety

October 1, 2025
Kristen Kim, MD and Charmi Patel Rao, MD, DFAACAP

Should you reach for an SNRI or stick with SSRIs when treating youth? This clinical update reviews the latest data on duloxetine and its peers, clarifies where SNRIs might fit in the treatment algorithm, and explores when—if ever—they’re worth trying in pediatric depression and anxiety.

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Targeted Treatment of Depression in Children and Adolescents

October 1, 2025
Joshua Feder, MD

Depression in children is rarely simple. Dr. Joshua Feder shares how to use a biopsychosocial lens to identify the unique roots of depression—from medical and developmental factors to social stressors—and create targeted, individualized treatment plans for more effective care.

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Managing School Refusal

October 1, 2025
Raman Marwaha, MD

School refusal is on the rise post-pandemic. Dr. Raman Marwaha outlines how to distinguish it from truancy, assess underlying anxiety or learning issues, and apply CBT-based graded exposure and family interventions to help students successfully return to school.

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Benzodiazepine Use in Kids and Teens: When Is It Safe, When Is It Effective?

October 1, 2025
Anthony Charuvastra, MD and Tal Tetzeli

Are benzodiazepines ever appropriate for children? This evidence-based update explains why SSRIs remain first-line for pediatric anxiety, the rare instances when short-term BZD use makes sense, and the key risks clinicians must weigh—including dependence, interference with therapy, and drug diversion.

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Do SSRIs Trigger Mania in Kids?

October 1, 2025
Joshua Feder, MD

Do SSRIs unmask bipolar disorder in youth? A new Swedish cohort study addresses whether SSRIs trigger mania in children and adolescents with unipolar depression. Learn which risk factors warrant closer monitoring.

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Risk of Psychiatric Illness Following Hospitalization for Self-Harm: What Clinicians Need to Know

December 3, 2025
Jasmine Kaur, MD

A 20-year Swedish study examines whether youth hospitalized for self-harm face a higher risk of later psychosis. This research update will help you assess whether these patients are at higher risk before more severe illness develops.

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Note From the Editor-in-Chief

December 3, 2025
Joshua Feder, MD

Dr. Feder reflects on pediatric depression, seasonal sadness, and the myths around acetaminophen and autism. Plus, what’s next for research on leucovorin in autism—and why clinicians should balance caution with evidence-based optimism.

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CME Post-Test, Depression and Anxiety in Children and Adolescents, CCPR, Oct/Nov/Dec 2025

October 1, 2025

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

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Editor-in-Chief
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Joshua Feder, MD

Dr. Joshua Feder studied mathematics and medicine at Boston University, Psychiatry at Naval Regional Medical Center San Diego, serving the first Gulf War in child and adolescent psychiatry fellowship at Tripler Army Medical Center in Honolulu, and eventually became Chief of Child Psychiatry at the National Naval Medical Center in Bethesda, MD. Dr. Feder now practices in Solana Beach, California, and serves as Executive Medical Director at Positive Development, providing relationship-based support for families, with research at UCSD, SDSU, Fielding Graduate University, An Najah National University, Quicksilver Software, Autism Is inclusion program, and Programmatic Lead for the International Networking Group on Peace Building with Young Children, with projects in the US, Northern Ireland, and the Middle East. Dr. Feder co-authored the first American Academy of Child & Adolescent Psychiatry Practice Parameter on Autism and serves as Co-Chair of the Disaster & Trauma Committee at AACAP. Dr Feder was founding policy chair for the California Association for Infant Mental Health and advocates worldwide on access to care, climate policy, and peacebuilding. His recent books include Child Medication Fact Book for Psychiatric Practice, Second Edition (2023) and Prescribing Psychotropics (2021).

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