Child Psychiatry

Article

The Autism Diagnostic Shuffle

Let’s look at the three most important benchmarks in autism diagnosis history.

Medication Strategies for Helping People with Autism Spectrum Disorders

Getting meds just right is challenging in autism. Sometimes we succeed, sometimes it doesn't work out so well. No two people with Autism Spectrum Disorder are alike, meaning that our medication choices have to be individualized even more so than in most other psychiatric syndromes.

Medications for Childhood PTSD: It’s All Off-Label

Medications for Childhood PTSD: It’s All Off-Label

In 2011, we wrote a review of medications for PTSD in children and found, unfortunately, that data to inform true evidence-based practice was scant. There are still no psychotropic medications that have been proven effective in randomized controlled trials for children with PTSD and there are no FDA approved medications for this population.

Research Update

OCD in Kids: CBT, SSRIs, Then What?

When kids come to us with obsessive-compulsive disorder (OCD), we know that first-line treatment is cognitive behavioral therapy (CBT) or selective serotonin reuptake inhibitors (SSRIs). But then what? What about the kids who don’t respond to CBT or SSRIs? This research update discusses studies measures, treatments and medications for to take to help your younger OCD patients.

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

OCD in Kids: CBT, SSRIs, Then What? [Free Article]

Source: 
Anxiety Disorders
OCD in Kids: CBT, SSRIs, Then What? [Free Article]

When kids come to us with obsessive-compulsive disorder (OCD), we know that first-line treatment is cognitive behavioral therapy (CBT) or selective serotonin reuptake inhibitors (SSRIs). But then what? 

Originally published in CCPR, April 2015, Vol 6, Issue 3. 
If you would like to read that full issue, please subscribe to CCPR by clicking here.

The New FDA-Approved EEG Test for ADHD: Should You Order It? [Free Article]

Antipsychotics in Children, CCPR

Over the decades, finding a truly useful objective diagnostic test in psychiatry has proven both elusive and frustrating. 

Originally published in CCPR, December 2014, Vol 5, Issue 8.
If you would like to read that full issue, please subscribe to CCPR by clicking here

Vyvanse: A Look at America’s Most Prescribed Stimulant [Free Article]

Source: 
ADHD
ADHD - The Carlat Child Psychiatry Report (CCPR)

Why has Vyvanse become by far the most prescribed stimulant in the United States? Great marketing? A great product? Some combination of the two? 

Originally published in CCPR, November 2014, Vol 5, Issue 6. 
If you would like to read that full issue, please subscribe to CCPR by clicking here

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

Source: 
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.