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The Carlat Psychiatry Podcast

Recognizing and Treating Psychosis in Autism

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast

Health & Fitness, Mental Health, Medicine, Alternative Health

4.8440 Ratings

🗓️ 21 August 2023

⏱️ 24 minutes

🧾️ Download transcript

Summary

Is it autism or psychosis or both? Autistic traits and psychotic symptoms can look a lot alike. How common is psychosis in autism? And how can we differentiate co-occurring autistic traits from psychotic symptoms? Dr. Kristin Cadenhead gives us an approach for sorting through the history and addressing these problems separately.CME: Take the CME Post-Test for this Episode (https://thecarlatcmeinstitute.com/mod/quiz/view.php?id=3505)Published On: 08/21/2023Duration: 16 minutes, 04 secondsJoshua Feder, MD, and Mara Governman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcript

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0:00.0

Psychosis can co-occur with autism more often than it does in the general population.

0:05.3

In a meta-analysis from 22 of 53 studies on kids and teens, about 9% of those of autism also

0:13.6

had psychosis, and about 7.5% had bipolar disorder. It can be challenging to differentiate

0:20.5

co-occurring autistic traits from

0:22.8

psychotic symptoms. In this episode, we will discuss how to recognize and treat psychosis in autistic

0:29.1

children. Dr. Kristen Kadenhead joins us today to help unpack this topic. She's a professor

0:35.5

of psychiatry and director of cognitive assessment and

0:38.2

risk evaluation, aka care, early psychosis treatment and research program at the University of

0:45.6

California, San Diego.

0:52.0

Welcome to the Carlatte Psychiatry podcast.

0:55.0

This is another episode from the Child Psychiatry team.

0:58.3

I'm Dr. Josh Fader, the editor-in-chief of the Carlet Child Psychiatry Report,

1:02.2

and co-author of the Child Medication Fact Book for Psychiatric Practice.

1:07.0

Second edition, just came out this March of 2023.

1:11.1

In America, government, a licensed clinical social worker in Southern California with a private practice and enthusiastic reader of the Carleck reports.

1:21.6

Dr. Fader, you mentioned earlier how the co-occurrence of autism and psychosis is higher than the occurrence of psychosis

1:29.8

alone within the general population. How severe are psychotic symptoms in autistic versus

1:37.4

non-autistic kids? The severity of psychotic symptoms seems to be similar between both

1:43.4

conditions. One study found the severity of psychotic symptoms was about equal in people with schizophrenia,

1:48.8

spectrum, and patients who are autistic and have psychotic symptoms.

1:53.1

Do the conditions share common risk factors?

1:56.5

Well, there are certain factors that increase the risk of developing both psychosis and autism,

...

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