Child Psychiatry https://www.thecarlatreport.com/rss en-us Assessing the Evidence in Child and Adolescent Psychiatry Not all studies are created equal — and in child psychiatry, the stakes of getting it wrong are high. Dr. Spielmans introduces the PICOT framework, exposes common sources of bias in clinical trials, and offers practical tools for vetting the research before it reaches your patients.

]]> http://www.thecarlatreport.com/articles/6288 Fri, 08 May 2026 12:41:38 -0400 https://www.thecarlatreport.com/articles/6288-assessing-the-evidence-in-child-and-adolescent-psychiatry SSRIs Help Modestly With Pediatric OCD SSRIs are standard for pediatric OCD, but how much do they actually move the needle? An individual participant data meta-analysis puts a number on it, and the answer is more nuanced than the guidelines suggest. Baseline severity, it turns out, matters more than most clinicians realize.

]]> http://www.thecarlatreport.com/articles/6283 Fri, 08 May 2026 12:16:47 -0400 https://www.thecarlatreport.com/articles/6283-ssris-help-modestly-with-pediatric-ocd Learning Objectives, Evidence-Based Treatment in Child and Adolescent Psychiatry, CCPR, April/May/June 2026 After reading these articles, you should be able to… 

]]> http://www.thecarlatreport.com/articles/6290 Thu, 02 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6290-learning-objectives-evidence-based-treatment-in-child-and-adolescent-psychiatry-ccpr-april-may-june-2026 What Works in Child and Adolescent Psychiatry: A Guide to Evidence-Based Treatments When treatment options feel overwhelming, evidence is your anchor.  

]]> http://www.thecarlatreport.com/articles/6289 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6289-what-works-in-child-and-adolescent-psychiatry-a-guide-to-evidence-based-treatments CCPR_AprMayJun 2026_issueimage_sm.png Managing Genetic Risk for Psychiatric Conditions in Children and Adolescents Genetic risk is real, but it’s not destiny. Dr. Besterman unpacks what heritability actually means in clinical practice, clarifies when genetic testing is and isn’t warranted, and offers concrete strategies for helping families move toward a more empowered understanding of their child’s risk.

]]> http://www.thecarlatreport.com/articles/6287 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6287-managing-genetic-risk-for-psychiatric-conditions-in-children-and-adolescents CCPR_QA2 Aaron Bestermann_photo_sm.png New Antipsychotic Formulations for Children and Adolescents: Caution Prevails Newer antipsychotics promise novel mechanisms and fewer metabolic headaches, but the pediatric data have not caught up with the enthusiasm. This update cuts through the excitement around lumateperone, xanomeline-trospium, and TAAR1 agonists, and offers a practical framework for deciding when, if ever, to venture beyond the tried-and-true SGAs.

]]> http://www.thecarlatreport.com/articles/6286 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6286-new-antipsychotic-formulations-for-children-and-adolescents-caution-prevails A Three-Question Scale Offers a Quick Read on Antidepressant Side Effects in Youth Side effects are the most common reason kids stop antidepressants, yet most monitoring tools are too cumbersome for real-world visits. The FIBSER-C asks just three questions and takes under a minute. Could this be the side effect check-in your practice has been missing?

]]> http://www.thecarlatreport.com/articles/6285 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6285-a-three-question-scale-offers-a-quick-read-on-antidepressant-side-effects-in-youth SSRIs May Slow Height Gain SSRIs are among the most prescribed medications in adolescents, but are we paying close enough attention to what they may be doing to pubertal growth? A prospective cohort study found dose-related reductions in height velocity, with changes in growth hormone signaling suggesting a possible biologic mechanism.

]]> http://www.thecarlatreport.com/articles/6284 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6284-ssris-may-slow-height-gain Low-Dose Aripiprazole for Youth With Anorexia When family-based therapy stalls in adolescents with anorexia, what comes next? A retrospective matched-cohort study suggests that low-dose aripiprazole may loosen cognitive rigidity enough to get treatment moving again — with doses averaging under 3 mg/day and a surprisingly favorable side-effect profile.

]]> http://www.thecarlatreport.com/articles/6282 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6282-low-dose-aripiprazole-for-youth-with-anorexia Managing Suicidality in Autistic Youth 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.

]]> http://www.thecarlatreport.com/articles/5860 Mon, 23 Feb 2026 16:57:20 -0500 https://www.thecarlatreport.com/articles/5860-managing-suicidality-in-autistic-youth CCPR_JanFebMar_2026_Autism.jpg Treating Anxiety and Sleep Issues in Children and Adolescents p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

A parent sits across from you and asks, "Why can't my child just take the same anxiety medicine that helps me?” Sounds reasonable, but the evidence tells a very different story.




]]> http://www.thecarlatreport.com/blogs/2/post/5837 Mon, 02 Feb 2026 02:00:00 -0500 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5837-treating-anxiety-and-sleep-issues-in-children-and-adolescents shutterstock_2733364919.jpg Autism and Divorce: A Legal Expert’s Guide for Clinicians 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.

]]> http://www.thecarlatreport.com/articles/5859 Thu, 01 Jan 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5859-autism-and-divorce-a-legal-experts-guide-for-clinicians CCPR_QA1 Ethan Marcus_photo_sm.png Autism and the Transition to Adulthood: A Clinical Guide 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.

]]> http://www.thecarlatreport.com/articles/5858 Thu, 01 Jan 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5858-autism-and-the-transition-to-adulthood-a-clinical-guide CCPR_QA2 Mary Baker-Ericzen_photo_sm.png Autism and Substance Use: Clinical Considerations 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.

]]> http://www.thecarlatreport.com/articles/5857 Thu, 01 Jan 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5857-autism-and-substance-use-clinical-considerations Divalproex for Aggression in Autism: IV May Calm Crises, Oral Results Mixed 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.

]]> http://www.thecarlatreport.com/articles/5854 Thu, 01 Jan 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5854-divalproex-for-aggression-in-autism-iv-may-calm-crises-oral-results-mixed Learning Objectives, Autism in Children and Adolescents, CCPR, January/February/March 2026 After reading these articles, you should be able to… 

]]> http://www.thecarlatreport.com/articles/5861 Wed, 31 Dec 2025 23:00:00 -0500 https://www.thecarlatreport.com/articles/5861-learning-objectives-autism-in-children-and-adolescents-ccpr-january-february-march-2026 Psychiatry Practice Boosters, Fifth Edition (2026) - 4 SA / 10 CME Psychiatry Practice Boosters, Fifth Edition (2026) - 4 SA / 10 CME Course

]]> http://www.thecarlatreport.com/articles/5813 Sun, 28 Dec 2025 14:59:34 -0500 https://www.thecarlatreport.com/articles/5813-psychiatry-practice-boosters-fifth-edition-2026-4-sa-10-cme Psychiatry Practice Boosters, Fifth Edition (2026) - 4 SA / 10 CME Psychiatry Practice Boosters, Fifth Edition (2026) - 4 SA / 10 CME Course

]]> http://www.thecarlatreport.com/articles/5812 Sun, 28 Dec 2025 14:50:07 -0500 https://www.thecarlatreport.com/articles/5812-psychiatry-practice-boosters-fifth-edition-2026-4-sa-10-cme Living Without Illusions: Psychological Survival in a World of Persistent Hatred Today’s episode is one we’ve been sitting with for a long time. We’re talking about how to survive psychologically in a world where hatred is persistent, not abstract, not metaphorical but recurring, and sometimes lethal.



]]> http://www.thecarlatreport.com/blogs/2/post/5802 Fri, 19 Dec 2025 23:00:00 -0500 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5802-living-without-illusions-psychological-survival-in-a-world-of-persistent-hatred shutterstock_2716137939.jpg quiet room window light contemplative Top 10 Clinical Topics of 2025 (All Newsletters) Here are the 10 most visited clinical topics across all Carlat Report newsletters in 2025 with links to relevant articles.]]> http://www.thecarlatreport.com/blogs/1/post/5801 Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5801-top-10-clinical-topics-of-2025-all-newsletters Topics_Most_Read.png Top 10 Carlat Psychiatry Articles of 2025 (The Carlat Child Psychiatry Report) Here are the articles your colleagues read the most in 2025 in The Carat Child Psychiatry Report.]]> http://www.thecarlatreport.com/blogs/1/post/5797 Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5797-top-10-carlat-psychiatry-articles-of-2025-the-carlat-child-psychiatry-report CCPR_Most_Read.png Risk of Psychiatric Illness Following Hospitalization for Self-Harm: What Clinicians Need to Know 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.

]]> http://www.thecarlatreport.com/articles/5776 Wed, 03 Dec 2025 15:19:28 -0500 https://www.thecarlatreport.com/articles/5776-risk-of-psychiatric-illness-following-hospitalization-for-self-harm-what-clinicians-need-to-know Note From the Editor-in-Chief 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.

]]> http://www.thecarlatreport.com/articles/5774 Wed, 03 Dec 2025 15:11:52 -0500 https://www.thecarlatreport.com/articles/5774-note-from-the-editor-in-chief Feder.png AACAP Policy Statement – Expanding Access to Care for the Autism Community For years, autism care has centered on one model, but that’s changing. The American Academy of Child and Adolescent Psychiatry just redefined what evidence-based care really means. This shift could transform how we support children and families.



]]> http://www.thecarlatreport.com/blogs/2/post/5642 Mon, 17 Nov 2025 01:00:00 -0500 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5642-aacap-policy-statement-expanding-access-to-care-for-the-autism-community shutterstock_2702983117.jpg A clinician sitting on the floor engaging with a child in play Psychiatry Practice Boosters, Fifth Edition (2026) This page has links and instructions for downloading your PDF and eBook copies of Psychiatry Practice Boosters, Fifth Edition (2026) and completing the 10 CME Post-Test.

]]> http://www.thecarlatreport.com/articles/5576 Mon, 03 Nov 2025 11:36:45 -0500 https://www.thecarlatreport.com/articles/5576-psychiatry-practice-boosters-fifth-edition-2026 PB5e_eBook_Cover.png ADHD in Young Adults: Assessment, Daily Functioning, and Support That Fits Working with young adults who are navigating ADHD is rarely straightforward. They’re often dealing with more than just distractibility or missed deadlines. There’s anxiety, identity shifts, life transitions, and sometimes a long history of feeling misunderstood. This isn’t about checking boxes on a symptom list, it’s about understanding how their brain, their environment, and their story all interact. Today, we’re going to unpack that. 



]]> http://www.thecarlatreport.com/blogs/2/post/5578 Mon, 27 Oct 2025 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5578-adhd-in-young-adults-assessment-daily-functioning-and-support-that-fits shutterstock_2694929461.jpg A young adult sitting at a desk or caf.. table, laptop open, looking thoughtful or slightly overwhelmed but hopeful ... soft natural light. Psychiatry Practice Boosters, Fifth Edition (2026) This page has links and instructions for downloading your PDF and eBook copies of Psychiatry Practice Boosters, Fifth Edition (2026) and completing the 10 CME Post-Test.


]]> http://www.thecarlatreport.com/articles/5575 Fri, 24 Oct 2025 00:00:00 -0400 https://www.thecarlatreport.com/articles/5575-psychiatry-practice-boosters-fifth-edition-2026 PB5e_Cover_sm.png When Your Schedule Is Full: Managing Referrals in Child Psychiatry You want to help every family that calls, but your schedule's full, and the need keeps growing. What can you do when you can't take another patient? In this episode, we will talk about how to manage referrals, support other providers, and build systems that make a difference even when you have to say no. 

]]> http://www.thecarlatreport.com/blogs/2/post/5573 Mon, 20 Oct 2025 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5573-when-your-schedule-is-full-managing-referrals-in-child-psychiatry shutterstock_2692182471.jpg therapist on computer mental health office looking overwhelmed Understanding Climate Anxiety in Youth More teens are saying they can’t sleep because they’re worried about the environment. Today, we’re asking: How do we respond to climate anxiety without pathologizing it?  



]]> http://www.thecarlatreport.com/blogs/2/post/5549 Mon, 06 Oct 2025 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5549-understanding-climate-anxiety-in-youth shutterstock_2686526001.jpg A teen (diverse representation, ideally ambiguous gender or mixed group) sitting pensively on a rock or hill, looking out over a hazy or smoggy forest or city. Learning Objectives, Depression and Anxiety in Children and Adolescents, CCPR, October/November/December 2025 After reading these articles, you should be able to… 

]]> http://www.thecarlatreport.com/articles/5782 Wed, 01 Oct 2025 00:00:00 -0400 https://www.thecarlatreport.com/articles/5782-learning-objectives-depression-and-anxiety-in-children-and-adolescents-ccpr-october-november-december-2025