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Child Psychiatry

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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?

Brain Development Effects of Prenatal Exposure to Drugs and Alcohol

Every day in the United States, about 650 babies are born that have been exposed to illicit drugs in the prenatal period (Keegan K et al, J Addict Dis 2010;29(2):175–191). The number would be even larger if we include women who continue to smoke cigarettes, drink alcohol, and abuse prescription drugs during pregnancy.

Research Update

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). 

How Many Teens Actually Go When Referred for Mental Health Services?

The American Academy of Pediatrics recommends mental health screening as a standard part of well-child physicals. 

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. 

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.