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Home » Authors » Joshua Feder, MD

Articles by Joshua Feder, MD

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Expert Q&A

A Developmental Framework for Teen Psychiatry

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua D. Feder, MD. Associate Clinical Professor, UCSD School of Medicine, San Diego, CA; Editor-in-Chief, The Carlat Child Psychiatry Report.

Dr. Feder has no financial relationships with companies related to this material.

Why do teenagers make impulsive decisions even when they know better? Dr. Joshua Feder maps the arc of prefrontal cortex maturation and explains how each developmental stage shapes clinical strategy—from parent coaching in early childhood to motivational interviewing with teens and medication tapering as reflective capacity matures.


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Research Update

Behavioral Sleep Interventions Help Parents' Perceptions in Complex Kids

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua Feder, MD.
Dr. Feder has no financial relationships with companies related to this material.


Sleep problems are nearly universal in children with ADHD, autism, and chronic illness—but how much can behavioral interventions actually move the needle? A meta-analysis of 15 RCTs examines what changes, what doesn't, and whether the gains last.


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Research Update

Neuroleptic Malignant Syndrome in Youth Is Rare, but Risk Peaks Early

July 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua Feder, MD.
Dr. Feder has no financial relationships with companies related to this material.



NMS is feared but poorly characterized in pediatric populations. A Medicaid cohort of 1.66 million young antipsychotic users now offers the clearest picture yet of when risk is highest and which combinations clinicians should watch most closely.


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The Latest in Child and Adolescent Psychiatry from Dr. Joshua Feder and Mara Goverman, LCSW. Five Free Episodes!

June 6, 2026
Joshua Feder, MD and Mara Goverman

Five free episodes on the issues that matter most in child and adolescent psychiatry today — from suicide risk in autistic youth to anxiety, sleep, legal systems, and expanding access to care. Hosted by Dr. Joshua Feder and Mara Goverman, LCSW.


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Treating Anxiety and Sleep Issues in Children and Adolescents

February 2, 2026
Joshua Feder, MD and Mara Goverman

A parent sits across from you and asks, "Why can't my child just take the same anxiety medicine that helps me?” Sounds reasonable, but the evidence tells a very different story.





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Note From the Editor-in-Chief

Note From the Editor-in-Chief

January 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua Feder, MD

Dr. Feder has no financial relationships with companies related to this material.

Here’s our take on autism circa 2026: 



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Clinical Update

Autism and Substance Use: Clinical Considerations

January 1, 2026
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Joshua Feder, MD. Associate clinical professor, Department of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA; Editor-in-Chief, The Carlat Child Psychiatry Report.

Dr. Feder has no financial relationships with companies related to this material. 

Autistic teens may turn to substances to manage anxiety, reduce social discomfort, or fit in with peers. This article reviews risk factors, assessment adaptations, and tailored treatment strategies—including motivational interviewing, family engagement, and medication considerations—to support healthier coping and social connection.


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Living Without Illusions: Psychological Survival in a World of Persistent Hatred

December 19, 2025
Joshua Feder, MD and Mara Goverman

Today’s episode is one we’ve been sitting with for a long time. We’re talking about how to survive psychologically in a world where hatred is persistent, not abstract, not metaphorical but recurring, and sometimes lethal.




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Note From the Editor-in-Chief

Note From the Editor-in-Chief

December 3, 2025
Joshua Feder, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Dr. Feder reflects on pediatric depression, seasonal sadness, and the myths around acetaminophen and autism. Plus, what’s next for research on leucovorin in autism—and why clinicians should balance caution with evidence-based optimism.


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AACAP Policy Statement – Expanding Access to Care for the Autism Community

November 17, 2025
Joshua Feder, MD and Mara Goverman

For years, autism care has centered on one model, but that’s changing. The American Academy of Child and Adolescent Psychiatry just redefined what evidence-based care really means. This shift could transform how we support children and families.




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