Professor Francisco Musich
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What Is Autism Now?
Autism was first described as a clinical condition in the mid-twentieth century and was long considered of low prevalence. Since the 1990s, autism prevalence has increased substantially, particularly in high-income countries. This rise has prompted public and professional debate, including concerns of over-diagnosis and suggestions of an “autism epidemic.” Current research and conceptual analysis suggest that these interpretations are not supported by the available evidence. Instead, changes in diagnostic practices, alongside shifts in social, educational, and economic environments, have reshaped how autism is recognised and understood.
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Obsessive-Compulsive and Related Disorders in Children and Young People: Current Evidence and Clinical Approaches
Obsessive-Compulsive and Related Disorders in Children and Young People: Current Evidence and Clinical Approaches Short summary Obsessive-Compulsive Disorder (OCD) and related disorders, including Body Dysmorphic Disorder (BDD), often begin in childhood or adolescence and can be associated with marked distress, impaired school functioning, family disruption, and increased risk of comorbidity and co-occurring symptoms.
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Attention-Deficit/Hyperactivity Disorder in Girls and Women
ADHD has historically been conceptualised as a predominantly male condition, contributing to delayed recognition and underdiagnosis in girls and women. Longitudinal research suggests that ADHD in females is associated with long-term risks, including internalising disorders, self-harm, and psychosocial impairment, particularly when symptoms go unrecognised and untreated. Current evidence raises concerns about both over- and under-diagnosis, aiming for a better understanding of ADHD female presentation.
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Attention-Deficit/Hyperactivity Disorder in Children and Adolescents: Current Evidence and Clinical Practice
Research over the past decade have refined our understanding of ADHD epidemiology, neurobiology, diagnosis, and treatment, with growing emphasis on evidence-based assessment, multimodal intervention, and shared decision-making with young people and families.
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Dialectical Behaviour Therapy for Adolescents: Evidence, Applications, and Emerging Considerations
Dialectical Behaviour Therapy for Adolescents (DBT-A) is a developmentally adapted, evidence-based intervention for young people experiencing emotion dysregulation, self-harm, and suicidal ideation. In recent years, a growing body of evidence such as randomised trials and meta-analyses have suggested DBT-A’s effectiveness across outpatient, inpatient, and community settings (Mehlum et al., 2014; McCauley et al., 2018; Kothgassner et al., 2021; Syversen et al., 2024).
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Rethinking Reading Disorders: Language Foundations, Risk Pathways, and Protective Factors
Understanding how children learn to read requires a comprehensive understanding of language, phonology, cognition, and environmental factors. While phonological processing deficits have long been considered central to dyslexia (Snowling, 2000; Vellutino et al., 2004), growing evidence suggests that reading difficulties can emerge from multiple developmental pathways, influence by a diverse combination of risk and protective factors (Hulme & Snowling, 2016; Catts et al., 2017). These individual differences underscore why some children struggle primarily with decoding, others with comprehension, and many with both.
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Promoting Mental Health in Schools: Evidence-Based Strategies for a Stepped, Collaborative Approach
Recent research has highlighted the advantages of comprehensive school mental health (SMH) systems, particularly those organised around Multi-Tiered Systems of Support (MTSS). MTSS provides a coherent structure integrating prevention, early intervention and intensive support to meet diverse student needs (Barrett et al., 2018) acknowledging the interdependence of academic outcomes, mental health and social-emotional development.
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Supporting Children and Young People with Complex Trauma Histories: Rethinking Readiness for Treatment
Children and young people who have experienced trauma often present with a range of emotional, behavioural, and relational difficulties. There is robust evidence that trauma-focused psychological therapies are effective for PTSD in children and adolescents. Nonetheless, clinicians sometimes hesitate to offer these approaches to young people whose circumstances are complicated—for example, those with ongoing instability, high levels of distress, suicide risk, or multiple comorbidities. Some are told they are ‘not ready’, or that therapy should wait until other difficulties are managed. However, current evidence suggests that complexities are not, in themselves, a reason to delay treatment.
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Children and Adolescents with Single and Multiple Traumas Response to PTSD Therapy: New Insights from a Major Meta-Analysis
A 2023 meta-analysis led by Hoppen and colleagues examined whether children and adolescents with post-traumatic stress disorder (PTSD) benefit equally from psychological interventions, regardless of whether they have experienced a single traumatic event or multiple traumas (Hoppen et al., 2023).
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Insights from Two Decades of Statewide Data on the Diagnostic Rates among Autistic Females
A 2024 study by Harrop and colleagues reflects how the landscape of autism diagnosis for females has evolved. Drawing on more than 10,000 diagnostic records from the TEACCH Autism Program in North Carolina, spanning the years 2000 to 2021, the study reveals a steady increase in the proportion of females identified as autistic. While diagnostic pathways are becoming more inclusive, late recognition remains a concern, highlighting the ongoing need for approaches that acknowledge the diversity of autistic experience.
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