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The Carlat Child Psychiatry Report

Young Adult Mental Health (July/August/September) | 2026

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Learning Objectives, Young Adult Mental Health, CCPR, July/August/September 2026

July 1, 2026

After reading these articles, you should be able to…

Note From the Editor-in-Chief

July 1, 2026

Joshua Feder, MD

Dr. Feder reflects on an issue that makes great summer reading in preparing for the academic year, navigating the long arc of prefrontal development, and sending teens off to college.

Medication Nonadherence in Children and Teens

July 1, 2026

Anthony Charuvastra, MD

Nonadherence affects roughly one-third of youth with severe mental illness—and those who need medication most are often least likely to take it. This update reviews the most common drivers of nonadherence, from forgetfulness and family dynamics to stigma and motivation, with practical strategies clinicians can apply at every visit.

Psychiatry on College Campuses

July 1, 2026

Mathilde Ross, MD

The transition to college is a mental health inflection point. Dr. Mathilde Ross discusses why crises peak in October, how to prepare students for independent healthcare, medication choices that fit chaotic schedules, and what home providers should do—before their patient steps on campus.

A Developmental Framework for Teen Psychiatry

July 1, 2026

Joshua Feder, MD

Why do teenagers make impulsive decisions even when they know better? Dr. Joshua Feder maps the arc of prefrontal cortex maturation and explains how each developmental stage shapes clinical strategy—from parent coaching in early childhood to motivational interviewing with teens and medication tapering as reflective capacity matures.

Leveraging the Placebo Effect in Child Psychiatry

July 1, 2026

Circe Cooke, MD and Jacob Margulis-Kessel, MA

The placebo effect is real, measurable, and often stronger in children than adults, yet it’s routinely underused. This update explains the neurobiology behind placebo response, how "placebo by proxy" shapes outcomes through caregiver expectations, and how to use open-label placebo approaches ethically and effectively in everyday clinical practice.

Behavioral Sleep Interventions Help Parents' Perceptions in Complex Kids

July 1, 2026

Joshua Feder, MD

Sleep problems are nearly universal in children with ADHD, autism, and chronic illness—but how much can behavioral interventions actually move the needle? A meta-analysis of 15 RCTs examines what changes, what doesn't, and whether the gains last.

Most Teens With SUD or Depression Get No Treatment

July 1, 2026

Joshua Feder, MD

Treatment access for adolescent mental health and substance use isn't keeping pace with rising rates. A national survey of over 32,000 youth reveals just how wide the gaps are and why turning 18 may make things measurably worse.

Neuroleptic Malignant Syndrome in Youth Is Rare, but Risk Peaks Early

July 1, 2026

Joshua Feder, MD

NMS is feared but poorly characterized in pediatric populations. A Medicaid cohort of 1.66 million young antipsychotic users now offers the clearest picture yet of when risk is highest and which combinations clinicians should watch most closely.

Add-On Dextromethorphan May Reduce Irritability in Children With ADHD

July 1, 2026

Joshua Feder, MD

Irritability in pediatric ADHD often persists despite stimulant treatment, yet targeted options are limited. Could an NMDA antagonist already sitting on pharmacy shelves offer a safer adjunct? A small pilot trial reports a striking early signal.

CME Post-Test, Young Adult Mental Health, CCPR, July/August/September 2026

July 1, 2026

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

Psychiatry Practice Boosters, Fifth Edition (2026)
This fifth edition teaches you the key points of 66 of the most clinically relevant studies in...
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