Child and Adolescent Psychiatry for the General Psychiatrist, An Issue of Psychiatric Clinics

Cover......Page 1
Preface......Page 2
New Developments in Autism......Page 5
Acknowledgments......Page 6
Diagnostic Tools......Page 7
Genetic Susceptibility to an Environmental Trigger......Page 8
Behavioral Interventions......Page 10
Pharmacologic Treatments......Page 11
Biomedical Treatments......Page 12
Working with families......Page 13
References......Page 14
Overview......Page 19
Velocardiofacial syndrome......Page 20
Fragile X syndrome and fragile X-associated tremor/ataxia syndrome......Page 23
Down syndrome......Page 26
Down Syndrome and Autism......Page 27
Prader-Willi syndrome......Page 28
Turner’s syndrome......Page 29
Klinefelter’s syndrome......Page 31
Summary......Page 32
References......Page 33
How common is attention deficit/hyperactivity disorder?......Page 42
How does attention deficit/hyperactivity disorder typically present in the pediatric population?......Page 43
How is attention deficit/hyperactivity disorder diagnosed?......Page 44
Behavioral Interventions......Page 47
Stimulants......Page 48
Off-Label Attention Deficit/Hyperactivity Disorder Medications......Page 49
Stimulants......Page 52
Growth and Attention Deficit/Hyperactivity Disorder Pharmacotherapies......Page 53
What is important to know about the treatment of preschool children who have attention deficit/hyperactivity disorder?......Page 54
What is important to know about the treatment of adolescents who have attention deficit/hyperactivity disorder?......Page 55
References......Page 56
Acknowledgments......Page 60
Course and Outcome......Page 61
Clinical Presentation......Page 62
Clinical Presentation......Page 63
Clinical Presentation......Page 64
Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections......Page 65
Case Example......Page 66
Clinical Presentation......Page 67
Summary......Page 68
References......Page 69
Vignette......Page 73
Discussion......Page 74
Irritability and aggression in BD......Page 75
Hallmark symptoms......Page 76
Differential diagnosis......Page 77
Epidemiology......Page 78
Prognosis......Page 79
References......Page 80
Nick......Page 83
Kelly......Page 86
Max......Page 87
Benefits of early detection......Page 88
Treatment/management......Page 91
Future directions......Page 92
References......Page 93
Cognitive-Behavioral Therapy and Dialectical Behavior Therapy; Adaptations Required to Treat Adolescents......Page 97
Research on cognitive behavioral therapy and anxiety in adolescence......Page 98
Implementation of cognitive behavioral therapy for anxiety disorders in adolescents......Page 99
Research on cognitive behavioral therapy and depression in adolescence......Page 101
Implementation of cognitive behavioral therapy for depressive disorders in adolescents......Page 102
Research on dialectical behavior therapy with suicidal adolescents......Page 104
Multifamily Skills Training......Page 105
As-Needed Family Sessions......Page 106
Research on cognitive behavioral therapy for somatoform and eating disorders......Page 107
References......Page 108
Attention deficit hyperactivity disorder......Page 112
Disruptive behavior disorders......Page 115
Major depressive disorder......Page 116
Bipolar disorder......Page 118
Anxiety disorders......Page 119
Autism and pervasive developmental disorders......Page 122
Psychotic disorders......Page 123
References......Page 125
Historical context......Page 135
What is ‘‘wraparound’’?......Page 138
How Wraparound Works......Page 139
Case #1......Page 141
Case # 2......Page 142
Comparison of wraparound to other intensive community-based interventions......Page 143
Applications of wraparound......Page 145
Potential limitations of wraparound......Page 146
Summary......Page 147
References......Page 148
Evolving diversity in the United States: some background......Page 152
Under-Utilization of Services......Page 153
Disparities in Psychotropic Medication Treatment......Page 154
Pediatric Ethnopsychopharmacology......Page 155
Cultural Beliefs About Causes and Treatments......Page 156
Family Therapy......Page 158
The culturally competent clinician......Page 159
References......Page 160
The Psychiatrist as Consultant: Working Within Schools, the Courts, and Primary Care to Promote Children’s Mental Health......Page 163
Acknowledgments......Page 164
The consultant’s entry into the system......Page 165
Defining the question......Page 166
Measuring outcomes......Page 167
Professional and ethical issues in consultation......Page 168
Consultant as Teacher......Page 169
Consultant as Clinician Providing Direct Evaluation or Treatment of Children......Page 170
Training for psychiatric consultants......Page 171
Further Readings......Page 172
References......Page 173
Biological Factors......Page 175
Neuroplasticity......Page 178
Attachment: A Neurobiological Perspective......Page 179
Early Indicators/Early Recognition of Specific Conditions......Page 180
Other Investigative Approaches to Understanding Child Development......Page 182
Prevention and intervention......Page 183
Early Indicators and Early Recognition......Page 184
Clinical implications......Page 185
References......Page 190
Towards a Neurodevelopmental Model of Clinical Case Formulation......Page 196
Acknowledgment......Page 197
Dr. Hendren......Page 198
Dr. Hessl......Page 199
Dr. Chiu......Page 200
Dr. Solomon......Page 201
Dr.Hessl......Page 202
Dr. Hessl......Page 203
Dr. Chiu......Page 204
References......Page 205
Child and Adolescent Psychiatry for the Future: Challenges and Opportunities......Page 209
Workforce Issues......Page 210
Public Perception......Page 212
Scope of Practice and Professional Identity......Page 213
Collaboration and Consultation......Page 214
Training and Education......Page 215
The Role of the General Psychiatrist......Page 217
Summary......Page 218
References......Page 219