Since its FDA approval in 2002, Atomoxetine (brand name Strattera) has become a second or third line option (after stimulants and sometimes after central alpha agonists) for ADHD in both children and adults. Does it work? Listen and find out!
ADHD is one of the most treatable conditions in psychiatry if patients adhere to medication regimens. So, why are parents so resistant to stimulant medications and how can we approach these misconceptions?
Each year in the US, there are about 1.04 million divorces, affecting about 800,000 children. How can we navigate the complexities of treating a child with divorce?
Do antipsychotics have neurotoxic effects in youth? In this episode, we’ll be banging the drum of caution about antipsychotic use in children and adolescents.
With a growing body of evidence supporting its clinical efficacy and cost-effectiveness relative to traditional ABA approaches, the developmental model is being used with increasing prevalence across the US.
Prescribing Psychotropics bridges the gap between the complexities of drug pharmacokinetics and everyday clinical practice, providing clinicians more insight into how psychiatric drugs behave (or misbehave!) once their patients take them.
As leaders we want to be kind while being effective, and this can be difficult. How do make sure that we do not become tired and angry but instead stay fresh and creative? Hear Zoe Kernohan Neely, Josh Feder MD & Jerri Lynn Hogg PhD in three mini videos.
This deep dive podcast breaks through the dogma of autism intervention and helps you to understand three main branches of autism intervention and their very different mechanisms, with a huge shift in our understanding of what works.
Positive Development is a start-up aiming to change the culture of the current state of autism treatment so that it opens the door for evidence-based developmental approaches for autism that are much more humane.
We break down three main autism intervention approaches, and provide you with information that will help you improve on your abilities to recognize which particular autism intervention might be best for a specific patient.
It's all over the internet: a new non-stimulant medication approved by the FDA for treatment of ADHD. but is Viloxazine (Qelbree) going to be a game changer? Find out!
There's so much marketing for genetic testing, but does it really help clinical care? Listen to our interview with Dr. Aaron Besterman about how genetic tests work, and what can be reliably taken away from them.
For 17 years, since the FDA black box warning about suicidality with antidepressants, our community has quoted data that downplays this concern. We were wrong. We were deceived. Antidepressants can be lifesaving, but there really is a duty to warn.
Returning guest Dr. Joshua Feder and I discuss why it is so important to emphasize that accepting reality is a process that parents need to be supported in, and the ways in which we can do this.
While medication is the mainstay of treating symptoms in ADHD, Edward Hallowell, MD, shares a positive, relationship-based approach to ADHD with practical strategies to help children and adolescents manage ADHD.
Air pollution, including particulate matter from forest fires, is a leading cause of health problems. It is also linked to psychiatric problems in children and adolescents. We take a closer look at the evidence and clinical implications in this episode.
The movie Bass Clef Bliss is about an autistic teen who blossomed on the trombone. It’s the centerpiece of an evidence based educational program, Autism Is, that helps all students and teachers to be comfortable and connect with autistic students.
We hope this trio of 60-second psych podcasts is a start at addressing the impact of systemic inequity: How to Address Implicit Bias Promoting Assertiveness in Adolescents Preventing Trauma With Racial Socialization
This is a short episode with a link to these points from the American Foundation for Suicide Prevention in the description. Please share it far and wide with your colleagues.
Psychotic disorders in children and adolescents have both underlying neurophysiological differences and problems created by these differences. Chief among these are cognitive impacts. This podcast talks about how to manage those problems.
Zoe Kernohan-Neely and I made these 2-3 min videos for Early Years The Organisation for Young Children in Northern Ireland to offer support for adults during this time of the pandemic: managing stress, structuring the day, wearing masks, etc.
We interviewed Dr Linda Chokroverty, MD, who has been working on the front lines of the pandemic in New York City. In this episde she describes her experiences working with COVID19 providers and advice for clinicians who may face similar issues.
The COVID19 pandemic has us locked down and under pressure. Here we’ll talk about telepsychiatry, insurance issues, prescriptions, living under lockdown, and my own telehealth online mental health practice.
In this new era with me and colleagues doing online care, therapy, telemedicine, & telehealth, my puppy and I shot this video during the NFAR (virtual) Race for Autism to introduce you to the use of video for therapy and medical care.
In compliance with San Diego County recommendations, I have shifted to online telehealth telemedicine menatl health services for now. My hope is that our coronavirus situation is resolved sooner than later, but until then we can meet by phone or video.
In this special episode on coronavirus in mental health, Dr. Feder, who is doing telehealth/telemedicine, discusses basic information on symptoms, minimizing transmission, tips for telepsychiatry, helping anxious families, and addressing cultural bias.
We interviewed ADHD icon Dr. Russ Barkley. I thought we'd hear about his groundbreaking work on behavioral interventions for ADHD. Instead, Dr. Barkley blew open our entire understanding of the impact of ADHD. Listen and let me know what you think!
Child psychiatrists are grappling with the problem of pervasive use of marijuana in an age where legalization of use for adults has led to even greater use in teens. In this episode, we go over two recent interviews in The Carlat Child Psychiatry Report.
Informed consent is so much more than a quick signature on a form - it is an ongoing process that organizes medical care for doctors, patients, and families. This podcast covers the parts of informed consent process and a free download of a concise form.
Getting a bill passed is a huge process. We cover a philosophy for 'fixing the world', the ups and downs of the legislative process, and managing meetings with important people. This is followed by a play by play on the bill we ran this cycle in 2019.
Transcranial Magnetic Stimulation (TMS ) is getting a lot of attention and a lot of marketing. But is it safe and effective for children and adolescents? And if so, what's the cost and what should it be used for? Listen to my Carlat Podcast and find out.
How do you prepare for, live through, and recover from the stress of disasters? This talk covers the nuts and bolts of what to do and what not to do to prevent traumatic stress reactions in ourselves and also in the survivors we serve.
In this talk, we cover the range of developmental levels of social problem solving - all 16 - described by Drs. Stanley Greenspan and Stuart Shanker in their book The FIrst Idea. This is a great way to assess and support social-emotional development.
This is not just playing hooky! In our new podcast for The Carlat Child Psychiatry Report, Mara Goverman and I talk about understanding and helping kids who just won’t go to school. We cover assessment, interventions and, when needed, medications.
I recently spoke at Fusion Academy on helping teens and tweens on the Autism Spectrum. This rehash at Fielding U is a 27-minute romp featuring an easy to learn, straightforward developmental method and practical ideas for common problems that crop up.
Intellivision is bringing family connection back to video gaming. All games will be E or E10 for Everyone and the controllers are designed for accessibility so kids, grandparents, and others can join and connect.
This is my special episode of the Carlat Psychiatry Podcast focused on child psychiatry, suicidality, and the popular Netflix series 13 Reasons Why. The show stirred controversy when it portrayed the bullying and suicide of a teenager.
Both a case study in developmental approaches to autism and a thank you to the people who helped 'Matthew' reach high school graduation. Every child is different, but the aim of following the child's lead and building on it to reach a dream is the same.
New books for helping kids with developmental challenges are more empathic and in line with the latest research.
Why am I in Northern Ireland again? Early stress leads to risk for traumatization and radicalization, and I come here, a place long-impacted by conflict, developing programs to help parents and teachers to help young children to be more resilient.
Connection Coder by SymPlay, developed with Fielding Graduate University, is designed to assist you to look at how interactions between people and help them to be connected in meaningful social communication.
Last December, we spoke with Dr. Joshua Feder about repetition in autism therapy. He returns today to speak with us from his practice in Solana Beach, California about autism and medication.
When used appropriately, screen media can be useful rather than harmful. But with children, there must be limits, says Mary G. Burke, MD of the Sutter Pacific Medical Foundation in San Francisco.
This curriculum with common core standards is designed to help students to explore their thoughts, feelings, and experiences with kids with Autism, which changes their perceptions and improves their behavior towards their classmates.
The new Carlat Child Medication Fact Book for Child Psychiatrists is great for clinicians and parents are really finding it useful too. Find up to date information faster than you can even look it up online!
The Child Medication Fact Book is a comprehensive reference guide covering all the important facts, from cost to pharmacokinetics, about the most commonly prescribed medications in child and adolescent psychiatry.
Editor-in-Chief of the Carlat Child Psychiatry Report, Dr. Joshua D. Feder, discusses the latest issue about depression in children and adolescents. The double issue features an expert interviews with Danella Hafeman, MD, PhD and Calvin Colarusso, MD.
The TOSCA study focused on children with severe ADHD, who also met criteria for oppositional defiant disorder (ODD) or conduct disorder (CD). These children tend not to do as well with stimulants alone and often end up being prescribed antipsychotics, typi
Editor-in-Chief of the Carlat Child Psychiatry Report, Dr. Joshua D. Feder, discusses the latest issue about autism in children and adolescents. The issue features an expert interview with Dr. Serena Wieder.
In this tip, excerpted from a past issue of the Carlat Child Psychiatry Report, Elizabeth Tien, MD, a child & adolescent psychiatrist at Maimonides Medical Center in Brooklyn, NY, offers off-label advice on prescribing medications for children with PTSD. B
The following tips for overcoming conflict in the medication consent process were excerpted from an article I wrote for the May/June issue of the Carlat Child Psychiatry Report: If it’s not an emergency, take your time.
In many cases, it will be immediately clear when an aggressive patient needs to be sent to the ER, says Ruth Gerson, MD, Director at the Bellevue Hospital Children’s Comprehensive Psychiatric Emergency Program in New York, NY. `
The following are some recommendations on good medication practice from child psychiatrist Mark Chenven, MD, who offered his expertise in the May/June issue of The Carlat Child Psychiatry Report.
Just getting adolescents to even find their medicine or remember to take it is a big challenge.
There are some ways to help you assess the type of anxiety that leads to inattention. Consider the following tips, which we’ve excerpted from an article in the March/April issue of the Carlat Child Psychiatry Report newsletter:
In a past issue of the Carlat Child Psychiatry Report, Sara Weekly, MD, child and adolescent psychiatrist and clinical assistant professor at New York University School of Medicine, gave the following advice on BED treatment strategies:
Because they work better than anything else to help kids focus, stimulant medications are standard treatments for ADHD.
In a past article from The Carlat Psychiatry Report, Joshua Sonkiss, MD, Medical Director for Fairbanks Community Mental Health Services and Boys and Girls Home of Alaska in Fairbanks, reviewed and explained the different types of study designs.
Editor-in-Chief of the Carlat Child Psychiatry Report, Dr. Joshua M. Feder, discusses the latest issue about suicide in children and adolescents. The issue features an expert interview with Cynthia R. Pfeffer, MD.
All behavior is a code that a child uses to communicate, says Jessica Minahan, a board-certified behavior analyst and special educator, who co-authored The Behavior Code Companion. “Bad behavior” is often cloaked anxiety, and we can support education profe
Young children in places impacted by armed conflict are at high risk for trauma. Caregivers (parents, relatives, daycare staff, and teachers) are under duress. How do we help the children be regulated and resilient?
Most of the research I review is flawed. It’s not so hard to build a decent design. So I made a 21 frame cartoon to help people. While it’s written for NFAR*, the ideas are universal. The link and a sample frame are below. Hope you like it! www.nfar.org/im
In the April 2017 Journal of Developmental and Physical Disability, Mayes et. al, published an article entitled: Tantrums are Not Associated with Speech or Language. This research is important from clinical, research as well as advocacy perspectives.
Tech to Manage the ACA 1557 Non-Discrimination Notification Requirement
Connect with Autism Treatment – free audio file
We don’t really want to be bothered by paparazzi. But as it turns out, if we want to leave something useful behind, we probably need to say something meaningful, do that well so that many people hear us, and, of course, still pay the bills.
Medication Strategies for Helping People with Autism Spectrum Disorders
Judo for Tech Isolation? Game for autism benefits social communication
Quick Guide Emergency Services for First Responders for Persons with Autism and Related Disorders
Spreading the word: Reflective Process – What it is and why it’s important
Graphic Medicine : pictures for care and healing
A Pause During Battle: Tech Play Engaged in a pitched battle, our rag tag DIR/Floortime Coaliton of California, fighting hard for the rights of families to have access to all evidence based approaches, including developmental ones, is pitted against an arr
Evidence Based Practice – An Overview Defining Evidence Based Practice: Evidence Based Practice (EBP) is a process for making better clinical treatment decisions. In EBP we consider relevant research about a condition and think about what might be useful
It’s not uncommon: a patient or family member is in severe distress and we need to figure out what to do and find resources right away.
You may have noticed that when we post, Barbara Kalmanson and I are giving you links to our own websites, sometimes with more links to click for added resources.
Advocating for Evidence Based Practices in Autism Spectrum Disorder Our UCSD Autism Research Seminar this morning featured Connie Wong PhD, first author on the report Evidence Based Practices for Children, Youth, and Young Adults with Autism Spectrum Disor
I am deeply troubled by the problem of helping people understand the existence of hate and brutality of totalitarian regimes and intolerant despots.
We just finished the Profectum conference in Pasadena, which was really great in so many ways including a big boost for advocacy for Parent Choice for Evidence Based Practices.
In this tip, excerpted from a past issue of the Carlat Child Psychiatry Report, Elizabeth Tien, MD, a child & adolescent psychiatrist at Maimonides Medical Center in Brooklyn, NY, offers off-label advice on prescribing medications for children with PTSD. B
