Episode 9: Making Medication Decisions with Joshua Feder, MD

In this episode, host Kassie Allison talks with Dr. Josh Feder, a child and family psychiatrist and Profectum Faculty member, about the complex topic of medication use in autism and neurodiversity. They discuss common reasons people are prescribed medications, the importance of addressing environmental and sensory factors first, and how naturalistic, developmental, and parent-mediated strategies can often reduce the need for prescriptions. Dr. Feder walks listeners through his “algorithm for care,” starting with understanding the child’s intent, sensory and motor needs, communication, and co-occurring conditions such as ADHD, anxiety, and sleep difficulties. Dr. Feder emphasizes a thoughtful, relationship-based approach to care—one that explores all possible supports before turning to medication.