For our 2019 issue on anxiety, we spoke with Dr. Moira Rynn at Duke about the concept of anxiety as a pervasive symptom that cuts across diagnostic categories. We are focused on anxiety as a target symptom that happens every day, but what are the data for medication treatment? We have an update on what works. Speaking of everyday anxiety, by this time in the year we are all dealing with kids refusing to go to school—Drs. Amelia Londono Tobon and Wendy Silverman at Yale help us think through this problem. Also, we review the new research on suicidality in college students, which helps us know more about what to look for. Finally, we grapple with a reader’s question about wilderness programs. Can we vet them? Should we be recommending them? Hope you like it!

PS: Heard about the article citing increased mortality with high-dose antipsychotics in kids and teens? At CCPR, we take a breath and think it through—we plan on issuing a rational response next issue. Until then, look at our new Child Medication Fact Book for Psychiatric Practice with practical principles for safe treatment.