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The Carlat Child Psychiatry Report

Autism in Children and Adolescents (January/February/March) | 2026

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Learning Objectives, Autism in Children and Adolescents, CCPR, January/February/March 2026

December 31, 2025

After reading these articles, you should be able to… 

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Managing Suicidality in Autistic Youth

February 23, 2026
Jessica Giddens, DNP

Autistic youth are significantly more likely to attempt suicide than their neurotypical peers—and the warning signs are easy to miss. Learn how suicidality presents differently in autism, how to adapt screening tools, and how to build practical, autism-informed safety plans that strengthen regulation, communication, and connection.

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Autism and Divorce: A Legal Expert’s Guide for Clinicians

January 1, 2026
Ethan Marcus, JD, CFLS

Custody disputes involving autistic children often pull clinicians into unfamiliar legal terrain. This interview clarifies your role in court and mediation, explains how judges use clinical input, and offers guidance on maintaining ethical boundaries while keeping the child’s developmental and emotional needs at the center.

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Autism and the Transition to Adulthood: A Clinical Guide

January 1, 2026
Mary Baker-Ericzen, MA, PhD

The shift from school-based services to adult systems can feel like a cliff for autistic youth. Dr. Baker-Ericzen explains how to strengthen executive functioning, promote supported decision-making, and address anxiety early—helping young people build autonomy, confidence, and meaningful adult outcomes.

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Autism and Substance Use: Clinical Considerations

January 1, 2026
Joshua Feder, MD

Autistic teens may turn to substances to manage anxiety, reduce social discomfort, or fit in with peers. This article reviews risk factors, assessment adaptations, and tailored treatment strategies—including motivational interviewing, family engagement, and medication considerations—to support healthier coping and social connection.

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Clozapine for Refractory Irritability in Youth With Neurodevelopmental Disorders

January 1, 2026

When first-line treatments fail, should clozapine be considered for severe aggression in autistic youth? A retrospective chart review suggests reduced hospital visits and meaningful clinical improvement in carefully monitored patients. We review who might benefit—and how to balance efficacy with safety and monitoring demands.

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High-Dose Propranolol Shows Promise for Severe Aggression in Autism

January 1, 2026
Stacy Greeter, MD

Can high-dose propranolol reduce severe aggression in autistic adolescents? A small pilot crossover trial suggests promising improvements, though cardiovascular monitoring remains essential. We examine the data, practical limitations, and how this approach fits into a thoughtful, stepwise treatment algorithm.

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Divalproex for Aggression in Autism: IV May Calm Crises, Oral Results Mixed

January 1, 2026

Dr. Feder reflects on the groundbreaking evolution of the standard of care in autism, including strength-based developmental interventions, neuro-affirming practice, and policy shifts affecting access to services. He highlights the importance of suicide screening, legal awareness, and recognizing the lifelong potential of autistic individuals.

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CME Post-Test, Autism in Children and Adolescents, CCPR, Jan/Feb/March 2026

October 1, 2025

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

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