Each year in the US, there are about 1.04 million divorces, affecting about 800,000 children, and it may not be the divorce itself that is hard on children, but how the divorce is handled. How can we navigate the complexities of treating a child with divorced or separated parents?

The pandemic continues and our kids’ problems are growing. We hope this issue helps you in your assessments— using scales, embracing discrepant stories. We also offer thoughts on effective school inclusion and the place of atomoxetine and IV ketamine in our work.One side note: Fentanyl deaths are rising—warn your patients...

Clinicians often rely largely on their clinical interview to arrive at a diagnosis and track treatment outcomes. We interviewed Dr. Rajeev Krishna to learn how structured use of assessment scales can improve your diagnostic precision and your outcomes, and how you can build these assessments into your everyday clinical practice.

We talk about the importance of gathering data from multiple sources as part of a good assessment. But how often do you find that your sources give conflicting information, and what do you do about it? This interview with Dr. Andres de Los Reyes will help you understand that these collateral conflicts are common and how they help you clarify diagnosis.

Atomoxetine (ATX) has been available for about 20 years to treat ADHD in children and adolescents. But does it work? If so, what is its place in treatment? We talk about the relative efficacy of ATX and clinical situations where ATX has specific advantages.

Inclusion can help children with developmental and learning challenges as well as typical students. But inclusion is more than a geographic placement. Placements fail when there is poor planning. This article helps you problem solve placement challenges to support families and schools in achieving the Least Restrictive Environment for your patients.

Ketamine is a hot topic in the treatment of adults with severe depression. But how effective is ketamine in adolescents? This research update looks at some emerging data to help you decide whether off label use of ketamine might be a viable option in teens with severe depression.

After reading these articles, you should be able to…

By successfully completing the test you will be awarded a certificate for 2 CME credits.

In a world where circumstances continue to put our patients and families into overdrive, in this issue we look at several kinds of amped-up situations. Dr. Ann Van Meter talks with us about assessment of bipolar disorder and the use of a practical nomogram to help predict whether a patient’s history and symptoms are likely to lead to bipolar disorder. Dr. Joseph Blader reviews his research on more effective and safer treatment of aggression in the context of ADHD. Dr. Rafael Pelayo offers us a more sophisticated approach to sleep problems. We also include a collection of research updates that look at preliminary studies in a variety of overdriven situations: DASH diet treatment of ADHD, treating agitation in the ED, self-injury with ADHD, and IVIG for PANS. For a bit of relief, expert colleagues also get together to give us a picture of the pastoral beauty and broad application of equine-assisted psychotherapy. As always, we welcome your feedback and suggestions.