Despite having been around for 30 years, there is still controversy surrounding the acne drug isotretinoin (Accutane) and its association with psychiatric problems.
Given the teratogenicity of certain psychiatric drugs like mood stabilizers and antipsychotics, it is logical and responsible to offer contraception to patients for whom these drugs are prescribed. However, actually doing so can be complicated.
At a certain point [in my research career], with all the children and adolescents who were being prescribed psychiatric medications, I thought that the adverse effects of antipsychotics in this young patient population were worth examining.
Researchers have often found an association between television viewing and higher rates of attention problems over time, though not all studies have supported this link.
In the September 2010 issue of The Carlat Child Psychiatry Report, Dr. Fisher neatly explains the meaning of Number Needed to Treat (NNT) and Number Needed to Harm (NNH), which can be a shorthand way of assessing whether to prescribe or not, and then applies this to the question of SSRI antidepressants in pediatrics.