Welcome to the autism issue! We interviewed Dr. Serena Wieder on evidence-based developmental approaches for kids with ASD, ones that bring the humanity back into autism treatment by returning our focus to the nurturing relationships between parents and children, building on children’s ideas to improve communication and learning.
Candace Good, MD
Child & adolescent psychiatrist, SunPointe Health, State College, PA
Dr. Good has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
It’s a vexing question: At what point do you consider prescribing antipsychotics for aggressive children? The potential side effects—weight gain, sedation, possible movement side effects, and metabolic abnormalities—encourage us to think long and hard about this, and there are few good evidence-based guidelines.
Serena Wieder, PhD
Clinical director and founding member of the Profectum Foundation in Mendham, NJ, which provides worldwide training and education in autism, sensory-motor processing, and IMH
Dr. Wieder has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
When I think of a child with autism, I want to discover who he is—not just his diagnosis, but how he relates, feels, functions, and learns in the context of family, culture, environment, and education.
Janina Scarlet, PhD
Licensed psychologist, Center for Stress and Anxiety Management, San Diego, CA
Dr. Scarlet has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
ACT seeks to teach us to mindfully observe our internal and external experiences and to increase our willingness to experience things, which may either be out of our control or otherwise necessary to honor our core values.
Thomas Jordan, MDDr. Jordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Disorders of lipid metabolism—specifically inefficient metabolism of lipids—have been implicated as part of the metabolic complexity in children with autism spectrum disorder. Research points to the neuroprotective effects of simvastatin over other statins, due to its greater ability to cross the blood-brain barrier. But does that neuroprotection translate to differences in behavior?
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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.
Informed consent is a foundation for good clinical practice and can provide legal protection. But informed consent is more than defensive medicine. It is a vehicle for framing good care. How often do people use the consent process?
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.