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Department Faculty

Mary Fristad

Mary Fristad, PhD, ABPP

Dr. Fristad is a 1986 graduate of the University of Kansas clinical psychology program. She completed her clinical child psychology internship at Brown University and is board certified both in clinical psychology and in clinical child and adolescent psychology. She is a Professor of Psychiatry, Psychology and Human Nutrition at the Ohio State University, where she has been on faculty since 1986. Dr. Fristad is the Director of Research and Psychological Services in the OSU Division of Child and Adolescent Psychiatry; her area of specialty is childhood mood disorders. She has published over 200 articles and book chapters addressing the assessment and treatment of childhood-onset depression, suicidality and bipolar disorder (manic-depression). In 2011, Dr. Fristad published a treatment manual, Psychotherapy for Children with Bipolar and Depressive Disorders as well as accompanying parent, child and therapist workbooks for multi-family and individual-family psychoeducational psychotherapy (MF-PEP and IF-PEP). She recently co-wrote two books for professionals, A Clinical Manual for the Management of Bipolar Disorder in Children and Adolescents and Childhood Mental Health Disorders: Evidence Base and Contextual Factors for Psychosocial, Psychopharmacological and Combined Interventions and one for families, Raising a Moody Child: How to Cope with Depression and Bipolar Disorder. Dr. Fristad has served on and chaired many NIMH review committees. She served two presidential terms on the Executive Board for the Society of Clinical Child and Adolescent Psychology (APA Division 53) and was president of the American Board of Clinical Child and Adolescent Psychology. She has chaired the Serious Emotional Disturbance committee of the American Psychological Association Task Force for Serious Mental Illness/Serious Emotional Disturbance and served on the APA Task Force, Psychotropic Medications & Children. She serves on the Board of Directors for four web-based education and support groups for children and families with mood disorders. Dr. Fristad has been the principal or co-principal investigator on over two dozen federal, state, local grants focused on assessment and treatment of mood disorders in children.

Research Areas

I am interested, broadly speaking, in improving the assessment and treatment of mood disorders (depressive and bipolar spectrum) in children. Current studies include the NIMH-funded Longitudinal Assessment of Manic Symptoms (LAMS) study and a long-term follow-up of the NIMH-funded Omega-3 and Therapy Studies (OATS). More details about each of these can be found at

Selected Publications

Fristad, M.A., Young, A.S., Vesco, A.T., Nader, E.S., Healy, K.Z., Gardner, W., Wolfson, H.L. & Arnold, L.E. (in press). A randomized pilot trial of Individual Family Psychoeducational Psychotherapy & omega-3 fatty acids in youth with Bipolar Disorder Not Otherwise Specified. Journal of Child and Adolescent Psychopharmacology.

Fristad MA, Wolfson H, Algorta GP, Youngstrom EA, Arnold LE, Birmaher B, Horwitz S, Axelson D, Kowatch RA, Findling RL, Fraizer T, Holland S, Phillips M, Taylor HG. (in press). Disruptive Mood Dysregulation Disorder and Bipolar Disorder Non-Specified: Identical or Fraternal Twins? Journal of Child and Adolescent Psychopharmacology.

Young AS, Horwitz S, Findling RL, Youngstrom EA, Arnold LE, Fristad MA, LAMS Group. (in press). Parents' perceived treatment match and treatment retention over 12 months among youth in the LAMS study. Psychiatric Services.

Vesco, A.T., Lehmann, J., Gracious, B.L., Arnold, L.E., & Fristad, M.A. (in press). Omega-3 supplementation for psychotic mania and comorbid anxiety in children: Review and case presentation. Journal of Child & Adolescent Psychopharmacology.

Persch, A., Lamb, A., Metzler, C. & Fristad, M.A. (in press). Health policy perspectives: Health habits for children—leveraging existing evidence to demonstrate value. The American Journal of Occupational Therapy, 69(4).

Vallarino, M., Henry, C., Etain, B., Gehue, L.J., NacNeil, C., Scott, E.M., Barbato, A., Conus, P., Hlastala, S.A., Fristad, M.A., Miklowtiz, D.J. & Scott, J. (in press). An evidence map of psychosocial interventions for the earliest stages of bipolar disorder. The Lancet: Psychiatry.

Fristad, M.A. & Arnold, L.E. (in press). Psychosocial and nutritional interventions for childhood mood disorders. Alternative and Complementary Therapies.

Klaus, N.M., Perez Algorta, G., Young, A.S., Fristad, M.A. (in press). Validity of the Expressed Emotion Adjective Checklist (EEAC) in caregivers of children with mood disorders. Couple and Family Psychology: Research and Practice.

Hafeman DM, Bebko G, Bertocci MA, Fournier JC, Bonar L, Perlman SB, Travis M, Gill MK, Diwadkar VA, Sunshine JL, Holland SK, Kowatch RA, Birmaher B, Axelson D, Horwitz SM, Arnold LE, Fristad MA, Frazier TW, Youngstrom EA, Findling RL, Drevets W, Phillips ML. (in press). Abnormal deactivation of the inferior frontal gyrus during implicit emotion processing in youth with bipolar disorder: attenuated by medication. Journal of Psychiatric Research.

Yee, A., Algorta, G.P., Youngstrom, E.A., Findling, R.L., Birmaher, B., Fristad, M.A. & the LAMS Group (in press). Unfiltered administration of the YMRS and CDRS-R in a clinical sample of children. Journal of Clinical Child and Adolescent Psychology. ID: 915548 DOI: 10.1080/15374416.2014.915548

Bertocci, M.A., Bebko, G., Olino, T., Fournier, J., Hinze, A. K., Bonar, L., Almeida, J. R. C., Perlman, S. B., Versace, A., Travis, M., Gill, M. K., Demeter, C., Diwadkar, V. A., White, R., Schirda, C., Sunshine, J. L., Arnold, L. E., Holland, S. K., Kowatch, R. A., Birmaher, B., Axelson, D., Youngstrom, E. A., Findling, R. L., Horwitz, S. M., Fristad, M. A., and Phillips, M. L. (in press). Behavioral and emotional dysregulation trajectories marked by prefrontal-amygdala function in symptomatic youth. Psychological Medicine. doi:10.1017/S0033291714000087

Bebko G, Bertocci MA, Fournier J, Hinze AK, Bonar L, Almeida JRC, Perlman SB, Versace A, Schirda, C., Travis M, Gill MK, Demeter C, Diwadkar, V. A, Rodriguez E, Olino T, Forbes E, Sunshine JL, Holland SK, Kowatch RA, Birmaher B, Axelson D, Horwitz SM, Arnold, LE, Fristad MA, Findling RL, Phillips ML. (2014). Elevated left middle prefrontal cortical activity in response to win during reward processing: a dimensional marker of elevated symptoms of mania in the Longitudinal Assessment of Manic Symptoms (LAMS) study. JAMA: Psychiatry. 71(1):71-80.

Case-Smith, J., Weaver, L., & Fristad, M. (2014). A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism. doi: 10.1177/1362361313517762

Frazier TW, Youngstrom EA, Fristad M, Demeter C, Birmaher B, Kowatch RA, Arnold EL, Axelson D, Gill MK, Horwitz SM, Findling RL (2014). Improving clinical prediction of bipolar spectrum disorders in youth. Journal of Clinical Medicine. 3(1): 218-232. doi:10.3390/jcm3010218

Fristad, M.A. & MacPherson, H. (2014). Evidence-based psychosocial treatments for bipolar disorder in youth. Journal of Clinical Child and Adolescent Psychology. 43(3):339-55 doi: 10.1080/15374416.2013.822309

MacPherson, H. A., Algorta, G. P., Mendenhall, A. N., Fields, B. W., & Fristad, M. A. (2014). Predictors and moderators in the randomized trial of Multi-Family Psychoeducational Psychotherapy for childhood mood disorders. Journal of Clinical Child and Adolescent Psychology, 43(3):459-72. doi: 10.1080/15374416.2013.807735

MacPherson, H. A., & Fristad, M. A. (2014). Evidence-based psychosocial treatments for pediatric mood and anxiety disorders. Current Treatment Options in Psychiatry. 1(1), 48-65. DOI: 10.1007/s40501-013-0002-1

MacPherson, H. A., Fristad, M.A., & Leffler, J. M. (2014). Implementation of Multi-family psychoeducational psychotherapy for childhood mood disorders in an outpatient community setting. Journal of Marital and Family Therapy. 40(2): 193–211. DOI 10.1111/jmft.12013


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