Child psychiatry - Articles - Page 3

RESEARCH UPDATE

Consider Catatonia in Your Differential

October 1, 2022

John Raiss, MD. Dr. Raiss, author of this educational activity, has no relevant financial relationship(s) with ineligible companies to discloses.

Catatonia is common in adult inpatient settings, where 6%–15% meet diagnostic criteria. In children and adolescents, prevalence estimates vary more widely, from 0.6% to 17%, perhaps because catatonia is often misdiagnosed or unrecognized. Like delirium, catatonia occurs as part of many conditions, including psychosis, mood disorders, substance use, autistic spectrum disorder, and medical conditions.

EXPERT Q&A

Assessing and Treating Catatonia in Children and Adolescents

October 1, 2022

Lee Wachtel MD

Lee Wachtel, MD, Medical Director, Neurobehavioral Unit, Kennedy Krieger Institute. Psychiatry Professor, Johns Hopkins School of Medicine. Baltimore, MD.

Dr. Wachtel, expert for this educational activity, has no relevant financial relationship(s) with ineligible companies to disclose.

Catatonia is marked by a change from the person’s baseline state with distinct motor, vocal, and behavioral symptoms. Clinicians usually think of a catatonic person as being like a statue—immobile, unresponsive, staring, and with waxy flexibility.

CLINICAL UPDATE

A Diet for ADHD

September 25, 2022

Chris Aiken, MD and Uma Naidoo, MD

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report.

Uma Naidoo, MD. Director of Nutritional and Metabolic Psychiatry, Massachusetts General Hospital (MGH); Director of Nutritional & Lifestyle Psychiatry, MGH Academy; Author, This Is Your Brain on Food (Little, Brown Spark; 2020).

The authors have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

After years of suggestive studies, the first randomized controlled to test a practical approach to diet in ADHD is out. Find out which foods to eat, and which to avoid.

Addressing Weight Stigma in Clinical Practice

September 19, 2022

Joshua Feder, MD and Mara Goverman

Every patient and family you see is inescapably impacted by weight stigma or fat shaming and the damage from this bias can lethal.

Diagnosing and Treating Avoidant/Restrictive Food Intake Disorder

August 8, 2022

Joshua Feder, MD, Mara Goverman, and Jennifer Thomas, PhD

Nine years after DSM-5, Avoidant Restrictive Food Intake Disorder (ARFID) is still settling into clinical practice. Dr. Jennifer Thomas helps sort out the differential diagnosis between ARFID, anorexia, and other conditions and plan treatment in the context of comorbid conditions, such as anxiety disorders and Autism Spectrum Disorder.

Medication Management of Antipsychotic-Induced Weight Gain in Children and Teens

July 25, 2022

Joshua Feder, MD and Mara Goverman

Second-generation antipsychotics routinely breach the FDA’s level of concern of >7% body weight gain. This article examines the efficacy and safety of using off-label medications, such as metformin, to manage this side effect.