Because of several factors, including high levels of dopamine, adolescents are prone to risky behavior. Controlling that risk and keeping kids safe isn’t something we as child psychiatrists can do on our own. It also takes support and help from parents, says Jess Shatkin, MD, an expert on adolescent behavior,...
Psychosis in children is difficult to determine, especially in younger kids who might not understand the concept of psychotic behavior. In more obvious cases, children will come into your office saying that they are hearing voices, or that someone is chasing them. But how do you evaluate a child for...
Choosing and prescribing the right medications for treating ADHD can be challenging. The Carlat Child Psychiatry Report spoke with Anne Buchanan, DO, Child psychiatrist at Maimonides Medical Center in Brooklyn, NY, about her approach. She offers the following tips.When choosing meds, Dr. Buchanan recommends that you: Consider stimulants first line.
Authors Joshua D. Feder, MD, Elizabeth Tien, MD, and Talia Puzantian, PharmD, BCPP have carefully put together this quick-reference guide.The Child Medication Fact Book is a comprehensive reference resource covering all the important facts, from cost to pharmacokinetics, about the most commonly prescribed medications in child and adolescent psychiatry.https://youtu.be/BULqqjIfpccComposed of...
Editor-in-Chief of The Carlat Child Psychiatry Report, Dr. Joshua D. Feder, discusses the latest issue about ADHD in children and adolescents. The issue features an expert interview with Mark Katz, MD.https://youtu.be/BKJW647gggUBecome a subscriber here.
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, typically second generation antipsychotics (SGA’s). TOSCA was devised to help...
Josh Feder, MD
Child and family psychiatrist, Solana Beach, CA, Editor-in-Chief of the Carlat Child Psychiatry Report
Dr. Feder has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
What do you do when your teen patient declines an offer of medication yet the parents insist on it? How about if the teen is coming to you for medication and the parents are opposed to the idea?
Mark Chenven, MD
Private practice child and adolescent psychiatrist, San Diego, CA
Dr. Chenven has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
How do you approach using psychotropic medications for children and adolescents? Most parents do not want to start medications. I empathize with them, which then makes it possible to move together toward medications when indicated.
Adam Strassberg, MD
Psychiatrist in private practice in Palo Alto, CA. Contributing writer to the Carlat Report newsletters.
Dr. Strassberg has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Metformin has been used off-label for weight loss in psychiatry for many years, much of it for help with adult weight gain as a side effect of atypical antipsychotics. However, most trials of metformin for weight loss were actually conducted on the child and adolescent population. This article will look at the quality of the data in our pediatric population of 3 studies, and then come up with some recommendations for your practice.
Mark Chenven, MD
Private practice child and adolescent psychiatrist, San Diego, CA
Dr. Chenven has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Good practice using psychotropic medications with children and adolescents requires a psychiatrist to pay attention to a number of elements.