Dr. Feder’s Blog

Autism and Medication with Dr. Joshua Feder

  by ​D. Brown​ | Apr 23, 2018 | ​DIR Practice​, ​Podcast​, ​Video blog Key Take-Aways PDF Last December, we spoke with ​Dr. Joshua Feder about ​repetition in autism therapy​. He returns today to speak with us from his practice in Solana Beach, California about autism and medication. Is medication

The Blessings of a Bad Review

Google me.  See my one-star reviews. Like skulls on a beach, most from a weathered past, they warn: ‘Beware. Stay away! No guarantees here. Come only if you must.’ An awful sight. Pit in my stomach. Cold damp skin. I rack my head: ‘Who wrote this? Can I fix it?’ 

Helping Kids with Problem Behaviors in School

All behavior is a code that a child uses to communicate, says Jessica Minahan, a board-certified behavior analyst and special educator, who co-authored The Behavior Code Companion. “Bad behavior” is often cloaked anxiety, and we can support education professionals by offering ideas that help anxious children.

The Carlat Report

Off-Label Use of Medications for Children and Adolescents with PTSD

In this tip, excerpted from a past issue of the Carlat Child Psychiatry Report, Elizabeth Tien, MD, a child & adolescent psychiatrist at Maimonides Medical Center in Brooklyn, NY, offers off-label advice on prescribing medications for children with PTSD. Below are some general tips, but to get a handy table

Tips for Good Medication Practice

The following are some recommendations on good medication practice from child psychiatrist Mark Chenven, MD, who offered his expertise in the May/June issue of The Carlat Child Psychiatry Report: Start low, go slow: Most side effects are dose related, so gradual up-titration is simple common sense. This allows for the

Managing Medications with Adolescents

Just getting adolescents to even find their medicine or remember to take it is a big challenge, says Jess Shatkin, MD, Professor of Adolescent Psychiatry and Pediatrics at the New York University School of Medicine, and author of “Born to be Wild: Why Teens Take Risks, and How We Can Help Keep Them Safe”. That’s why, in a recent issue of The Carlat Child Psychiatry Report, Dr. Shatkin recommends the following strategies for helping teens manage their meds:

About Dr. Joshua Feder

Dr. Joshua Feder is a child and family psychiatrist with an active clinical practice in Solana Beach, seeing infants through adults and their families to address neuropsychiatric challenges. Dr. Feder is Editor in Chief of the Carlat Child Psychiatry Report, a continuing education publication founded on transparency.  He serves on the Trauma and Disaster Committee of the American Academy of Child and Adolescent Psychiatry (AACAP), consults in regions impacted by armed conflict as a Senior Expert for the Early Years International Network for Peacebuilding with Young Children, and works with volunteer clinicians providing international training in developmental approaches to trauma in a pay-it-forward effort called Resilience Through Relationships.


Dr. Feder is an Adjunct Professor at Fielding Graduate University School of Leadership Studies PhD Program in Infant and Early Childhood Development, developing a research incubator students and faculty, and a voluntary professor in the Department of Psychiatry at UCSD School of Medicine supporting research on blended developmental-behavioral interventions for young children with challenges in social communication and social skills for people in transition to adulthood. Dr. Feder serves as Medical Director at SymPlay, LLC developing interactive technology and distance learning systems to support relationship-based interventions as well as providing guidance for other technology companies in areas related to autism and social communication.


Dr. Feder works at local, state and national levels advocating for patient choice in Evidence Based Practicein legislative and forensic settings. He helped write the first AACAP Practice Parameter for Assessment and Treatment of Autism and Related Disorders, and currently serves on the Policy Workgroup of the AACAP Autism and Intellectual Disabilities Committee. Dr. Feder Co-Chaired the State of California South Counties Autism and Related Disorders Task Force and testifies in clinical and policy related at the state and local levels. Dr. Feder is known as an engaging speaker and teacher in classes and conferences. Many of his lectures can be found online on his website www.joshuafedermd.com/circlestretch.

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Current Primary Positions

1996 – present
Child and Family Psychiatrist Tertiary Outpatient and Neurobehavioral Medicine Private Practice
2013 – present
Senior Expert, International Network for Peace Building The Early Years, Belfast, Northern Ireland
July 2017 – present
Editor in Chief, The Carlat Child Psychiatry Report
2010 – present
Profectum – Faculty member, Medical Committee
Chair, Subcommittee on International Relations, Trauma Committee, American Academy of Child and Adolescent Psychiatry
2000 – present
Associate Professor, Voluntary, Department of Psychiatry University of California at San Diego School of Medicine
2016 – present
Adjunct Professor, Fielding Graduate University, PhD Program in Infant and Early Childhood and Development

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What is the DIR/Floortime Model?

The Developmental, Individual Difference, Relationship-based (DIR®/Floortime™) Model is a framework that helps clinicians, parents and educators conduct a comprehensive assessment and develop an interventionprogram tailored to the unique challenges and strengths of children with Autism Spectrum Disorders (ASD) andother developmental challenges.