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Child Psychiatry

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Hallucinations in Children and Adolescents

Hallucinations can be scary for parents and other caregivers, but they don’t usually signal major psychopathology and are mostly associated with anxiety and stressful events. 

Dealing With Side Effects of SSRIs

Selective serotonin reuptake inhibitors (SSRIs) are widely used as the first-line treatment for depression and anxiety in children and adolescents, but they are associated with significant adverse effects (AEs). Studies have shown that up to 50% of kids experience side effects from SSRIs, depending on the sample size and the type of study. 

The Real Story About Food Dyes and Behavior

We’ve seen these parents in our practice: those that say their children get “hyper” from eating a red Popsicle or that the orange mac and cheese makes their ADHD somehow worse. But what’s the evidence that food dyes are actually related to behavior?

Research Update

Does Dose Matter When it Comes to Antidepressants and Self-Harm?

Concerns about the possible risk of suicide in young people taking antidepressants are often voiced by experts and parents. But how much of a role does dosage play in the risk of suicide and self-harm among young people on antidepressants?

Fish Oil Doesn’t Curb Aggressive Behavior

Aggressive behavior is a huge problem in child psychiatry. In fact, some estimates say as many as 80% of children and adolescents referred for psychiatric care have some type of aggression, including oppositional defiant disorder or conduct disorder (Connor D, The Carlat Child Psychiatry Report 2010;1(1):4–5). 

Expert QA

Treating Anxiety in Children and Adolescents

Anxiety disorders, in general, for children and adolescents, can be a very big problem. A big issue is that anxiety disorders are often not the first diagnoses considered and they are often overlooked.

Trauma-Focused Cognitive Behavioral Therapy

TF-CBT has strong evidence of improving a wide variety of problems, including PTSD, depression, anxiety and fear, behavior
problems, and trauma-related shame, as well as improving parental functioning.

Free Article

Diagnostic Comorbidity in DSM-5: More of the Same [Free Article]

Child Psychiatry in DSM-5 - The Carlat Child Psychiatry Report (CCPR)

The epidemic of psychiatric comorbidity has been a problem since DSM-III appeared way back in 1980. Not much has been done to improve this area in the subsequent editions of the manual. 

Video Game Addiction [Free Article]

Problematic Technology - The Carlat Child Report (CCPR)

Video games have come a long way since Pac Man and Tetris. Games today simulate reality in massive user-generated worlds.

How Effective Are the Newest Antipsychotics? [Free Article]

Behavioral Disorders, The Carlat Child Psychiatry Report (CCPR), February 2012

Four new antipsychotics are beginning to gain some traction in the adult market. Here is a quick low down on paliperidone, iloperidone (Fanapt), lurasidone (Latuda), and asenapine (Saphris).

Stimulants in the Treatment of ADHD

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ADHD

The gold standards of treatment for ADHD are the stimulants amphetamine and methylphenidate. They are old friends, having been used for decades, and there is a wealth of patient experience with them. Although we use them all the time, an occasional review of the tools in our toolbox is always helpful.

How to Discuss Medications with Parents

Making the decision to put a child on a psychiatric medication is hard enough. The process of discussing this possibility with parents can be even more challenging.