expert type icon EXPERT

Scott Carroll

Adolescent Psychiatrist | Child & Adolescent Psychiatry

Dr. Scott Carroll is a pediatric neuropsychiatrist in Albuquerque, NM that specializes in treating Autism Spectrum Disorder, Bipolar Disorder, ADHD, brain injuries and autoimmune disorders of the brain across the life span.  He is the founder and CEO of the Ayni Neuroscience Institute, which is dedicated to providing cutting treatment of neuropsychiatric disorders across the Southwest.  He previously served as the Director of Psychiatric Consultation Services for The Presbyterian Children’s Hospital of New Mexico and was an Associate Professor of Psychiatry at the University of New Mexico.  He is a graduate of the Louisiana State University – School of Medicine in New Orleans and the Massachusetts Institute of Technology. He is also the author of the award-winning book, Don’t Settle: How to Marry the Man You Were Meant For and is currently working on the upcoming book, The Bipolar Child and Teen: The Essential Guide for Parents.  
Scott Carroll
  • Albuquerque, NM
  • Not accepting new patients

Is online psychotherapy effective?

Yes, online therapy seems to be just as effective as in-person therapy, although many people prefer in-person therapy.

Which form of therapy is most effective for manic depression?

None of them. No psychotherapy has ever been shown to directly help Manic-Depression which is now called Bipolar Disorder. Bipolar Disorder is a purely biochemical disorder that READ MORE
None of them. No psychotherapy has ever been shown to directly help Manic-Depression which is now called Bipolar Disorder. Bipolar Disorder is a purely biochemical disorder that only responds to medication. The only role of psychotherapy in Bipolar Disorder is to help people with Bipolar Disorder cope with having a severe mental illness.

Can psychodynamic therapy help anxiety?

Yes, but cognitive behavioral therapy (CBT) typically works faster. I would recommend starting with CBT for that quick initial improvement, but long term, you may need to do psychodynamic READ MORE
Yes, but cognitive behavioral therapy (CBT) typically works faster. I would recommend starting with CBT for that quick initial improvement, but long term, you may need to do psychodynamic psychotherapy to fully get rid of your anxiety.

How to help a child with social anxiety?

Cognitive Behavioral Therapy is the best treatment for social anxiety in an 8yo. Play therapy and certain types of antidepressant medication (selective serotonin re-uptake inhibitors READ MORE
Cognitive Behavioral Therapy is the best treatment for social anxiety in an 8yo. Play therapy and certain types of antidepressant medication (selective serotonin re-uptake inhibitors - SSRI's) can also be helpful. Medication only helps while you take it, but psychotherapy has the potential to cure it.

Can anxiety be cured completely?

Yes, most types of anxiety can be cured. The main exception is Obsessive Compulsive Disorder (OCD), which can be significantly improved, but usually cannot be cured. All of the READ MORE
Yes, most types of anxiety can be cured. The main exception is Obsessive Compulsive Disorder (OCD), which can be significantly improved, but usually cannot be cured. All of the other types of anxiety have a type of psychotherapy that is effective at curing it although it can take several years. Medication mostly just relieves the symptoms while you take it, but doesn't directly promote a cure. Traumatic anxiety and phobias are exceptions to the "meds just help symptoms" rule. There are some blood pressure medications that actually seem to promote the cure when used with psychotherapy. A better way to think about medication for anxiety is to think of medication as being able to decrease your anxiety so you are not overwhelmed and can focus on doing the therapy that will eventually cure you.
I hope this helps.

Is 30mg of Lexapro daily too much for a 15 year old?

30 mg of Lexapro per day exceeds the FDA maximum recommended dose of 20mg per day. The maximum dose of Lexapro was decreased from 30mg to 20mg per day a few years ago due to concern READ MORE
30 mg of Lexapro per day exceeds the FDA maximum recommended dose of 20mg per day. The maximum dose of Lexapro was decreased from 30mg to 20mg per day a few years ago due to concern about causing abnormal electrical activity in the heart (QTc prolongation). While 30mg per day is not illegal, it would be wise to have regular EKG's to ensure that the heart
function is normal.

Can you self diagnose bipolar disorder in teenagers?

No, Bipolar Disorder is a complicated disorder that takes an expert to diagnose accurately. He needs to be evaluated by a child psychiatrist, preferably board certified in child READ MORE
No, Bipolar Disorder is a complicated disorder that takes an expert to diagnose accurately. He needs to be evaluated by a child psychiatrist, preferably board certified in child psychiatry. If you question the diagnosis for/against Bipolar Disorder, you can get a second opinion.

Why is my child wetting the bed at age 9?

New onset bedwetting in a 9-year-old male is concerning for medical issues such as a bladder infection, medication side effect, or a change in his sleep quality such as sleeping READ MORE
New onset bedwetting in a 9-year-old male is concerning for medical issues such as a bladder infection, medication side effect, or a change in his sleep quality such as sleeping deeper. You should start with seeing his pediatrician to do a urine test (urinalysis and culture) and to look at what medication he is on. If they are non-revealing, consider an EEG and/or sleep study if the problem persists.

When is the right time to talk to my son about sex?

Now is the time to talk to him. He probably already knows a lot and you will be correcting misconceptions more than teaching him something he does know. Don't wait any longer.

Why is my daughter so nervous most of the time?

The answer to why she doesn't want to be alone depends on her age. Younger children (under 7) have a natural fear of being separated from their parents/caregivers. If the child READ MORE
The answer to why she doesn't want to be alone depends on her age. Younger children (under 7) have a natural fear of being separated from their parents/caregivers. If the child is 7 or older, then we diagnose them with Separation Anxiety Disorder and treat it, mostly with psychotherapy, but medications can be used in cases when the therapy doesn't work or the anxiety is extreme.

As for being extremely nervous, we will often treat it with play therapy when they are younger (up to 7 or 8 years old) and psychotherapy for older children and adolescents. Medication is generally reserved for severe anxiety in older children and adolescents.

As for why she has these issues it is generally due to either congenital high anxiety (usually genetic that runs in the family) or there was a traumatic event. Young children can be easily traumatized so you many not have realized an event was traumatic for them. Common causes including getting lost in a store or a parent getting sick and having to be hospitalized. Divorce can also trigger it. The child often doesn't know why, but you can usually figure it out through psychotherapy.

Why does my daughter hit her head when she can't say something?

She may not have the words to express how she feels yet. Also, strong emotions often "short circuit" their brain so they can't think clearly enough to find the words that they READ MORE
She may not have the words to express how she feels yet. Also, strong emotions often "short circuit" their brain so they can't think clearly enough to find the words that they could use if they were calm. Focus on comforting her and helping her calm down so she can then express herself. They generally grow out of this behavior as they get older and better at expressing what they want.

There are rare, but more serious causes of this behavior such as Autism Spectrum Disorder (ASD). However, children with ASD have a host of other difficulties besides self-harming behaviors such as prolonged tantrums that can last an hour or more, delayed language development and difficulty with social interaction and recognizing facial expressions. They also tend to have rigid adherence to patterns or routines and severe tactile sensitivity. If she has any of these issues, please talk to your pediatrician about getting an evaluation for ASD.

How does borderline personality disorder present in children?

We generally don't diagnose Borderline Personality Disorder in children. Instead we would diagnose Reactive Attachment Disorder if there is a history of loss of a parent or being READ MORE
We generally don't diagnose Borderline Personality Disorder in children. Instead we would diagnose Reactive Attachment Disorder if there is a history of loss of a parent or being placed in foster care or growing up in an orphanage.

More importantly, there are far more likely causes of severe mood swings and tantrums in an 11 year old boy than from a personality disorder or reactive attachment. The list of possible causes is too long to list here, but I would get him formally evaluated by a child psychiatrist. The psychiatrist should be able to figure out why he's having such severe tantrums and direct you to the appropriate treatment whether it is therapy or medication or both.

My daughter will not speak to any of us. What should I do?

She needs to see a counselor. She's probably mad at both of you for the divorce. Kids also need to grieve the loss of a marriage because they are losing the dream of a united family. READ MORE
She needs to see a counselor. She's probably mad at both of you for the divorce. Kids also need to grieve the loss of a marriage because they are losing the dream of a united family. Counseling can really help them accept a divorce and help them communicate how they feel to their parents.

Why is my daughter not talking?

The answer to your question depends on her age and if anything stressful happened lately. If you are really concerned, you could take her to a counselor.

Can my mother's dementia affect my daughter who is 10 years old?

Having a grandparent a child is close to get dementia can of course affect the child. Common feelings are curiosity, confusion and grief over the changes from the grandparent they READ MORE
Having a grandparent a child is close to get dementia can of course affect the child. Common feelings are curiosity, confusion and grief over the changes from the grandparent they remember to the grandparent they now have. Unlike death, dementia produces a more prolonged grieving process. The five stages of grieving by Kubler-Ross is a good model for what your child may experience. You can read more at:
https://grief.com/the-five-stages-of-grief/
Just remember that people cycle through the different stages, back and forth, and that there is no order or sequence.

My son has been diagnosed with bipolar disorder. Does he need medication?

If he really has Bipolar Disorder, then meds are usually necessary. However, in mild cases, a simple sleeping pill when one has trouble sleeping can be enough. Many adolescents READ MORE
If he really has Bipolar Disorder, then meds are usually necessary. However, in mild cases, a simple sleeping pill when one has trouble sleeping can be enough.

Many adolescents resist taking medication, but it is usually due to either side effects or not seeing a clear benefit from the medication. His psychiatrist should be talking to him about the medication to help him understand how it helps him and to minimize or prevent any side effects he has.

As last resort, you may need to use consequences and/or rewards to get him to take them, but this should only be done at your psychiatrist's direction.