If your practice is like mine, things are chaotic for our kids returning to school this fall after two distressing years. Diagnosis is more complicated, so for this issue we picked subjects that can expand your diagnostic acumen. We interviewed Dr. Lee Wachtel, who helps us recognize catatonia as a separate entity from psychosis and possibly an integral part of autism, with potentially life­saving implications. We also take on bipolar spectrum disorders, including the controversy surrounding prepubertal bipolar disorder. Our interview of Drs. Virginia Spielmann and Sarah Schoen helps us identify sensory processing challenges that can impact care across every diagnostic category. If you saw our ARFID piece this past summer, you’ll appreciate the research update on medication treatment. We also cover treatment safety from lavender to ECT. I can’t end without repeating the caution: Warn your patients about fentanyl, rainbow fentanyl, and now... tranq. As always, we value your feedback!

Josh Feder, MD
jfeder@thecarlatreport.com