Complex Disorders In Pediatric Psychiatry

Get a quick, expert overview of complex childhood psychiatric disorders from Drs. David I. Driver and Shari Thomas of Healthy Foundations Group. This practical resource presents a summary of today’s current knowledge and best approaches to topics from gender dysphoria to childhood onset schizophrenia and other complex psychiatric disorders. Comprehensive guide for any professional working with children. Consolidates today’s evidence-based information on complex childhood psychiatric disorders into one convenient resource. Provides must-know information on evaluation and management. Covers a range of psychiatric disorders of children including drug-induced mania and psychosis, concussions, ADHD, technology addiction, sleep disorders, and eating disorders.

The purpose of this book is to provide a children’s mental health resource tailored to the needs of physicians working with children. There are currently no such texts, despite the fact that there are patient care, healthcare systems, and workforce factors that indicate a strong need for such a resource. Approximately 1 in 5 children are diagnosed with a mental illness by the age of 18. Additionally, mental health conditions, including Attention Deficit Hyperactivity Disorder, are consistently among the most common chronic conditions in pediatric clinical populations. Delays in both diagnosis and treatment increase the morbidity associated with these conditions. These delays expose the child to negative ramifications of his/her illness and can impact rates of poor academic performance, substance use disorders and criminal justice system involvement – potentially impacting long-term life trajectories. Early identification of mental illness and appropriate intervention is critical to the healthy development of youth, though physicians in primary care and pediatrics are seldom trained to detect and treat such illnesses. The importance of recognizing mental illness is reflected in practice guidelines for pediatric primary care providers as well as in how service delivery is being structured, but this does not offer in-depth clinical guidelines. Additionally, integrated care and medical home models include mental health as key components, though yet again physicians are often not trained to work with these models. While clearly indicated clinically, these requirements do not come with significant increases in reimbursement and are added to an already demanding schedule. Increasingly, providers are also expected to use evidence based screening instruments without exposure to this body of literature. Some guidance on using those instruments in context will help them to use those tools more effectively. Finally, primary care providers and even some adult psychiatrists and psychologists are operating in a healthcare system with a severe, nationwide shortage of child and adolescent psychiatrists and mental healthcare providers. While a text certainly cannot single-handedly compensate for such a workforce shortage, it could potentially help to mitigate the negative impact on patients by facilitating early identification and treatment in the primary care setting. Additionally, with more effective treatment in pediatric settings, less complex cases may be addressed before specialty care is needed, and the expertise of child and adolescent psychiatrists can be more effectively used for more complex cases. Pediatric Psychiatry in Primary Care is the ultimate resource for clinicians working with children, including pediatricians, family physicians, general psychiatrists, psychologists, early career child psychiatrists, social workers, nurses, school counselors, and all clinical professionals who may encounter children struggling with psychiatric disorders.

Though many of the ethical issues important in adult mental health are of relevance in the child, there are a considerable number of issues special to children. Many of the dilemmas faced pertain to diagnosis, treatment, the protection of the child, as well as the child's own developing intelligence and moral judgement. In addition, there are cases where the interests of the parents may conflict with the interests of the child. For example, the interests of a mother with schizophrenia might best be served by her continuing to look after her child, but the child's interests might require that a substitute placement be found. Diagnostic Dilemmas in Child and Adolescent Psychiatry is the first in the IPPP series to explore this highly complex topic. It brings together a collection of clinicians and philosophers who consider a range of topics central to the diagnosis and treatment of children and adolescents affected by mental disorders.

Clinical Manual of Pediatric Consultation-Liaison Psychiatry offers a comprehensive guide for mental health clinicians, trainees, and students to pediatric consultation-liaison psychiatry (CLP), a specialized area of psychiatry whose practitioners have particular expertise in the diagnosis and management of psychiatric disorders in complex physically ill children and adolescents. Patients commonly fall into one of three descriptive categories: those with comorbid emotional and physical illnesses that complicate each other's management; those with distressing somatic symptoms plus abnormal thoughts, feelings, and behavior in response to these symptoms; and those with psychiatric symptoms that are a direct consequence of a physical illness and/or its treatment. The text, authored by two luminaries in pediatric psychiatry, thoroughly explores the challenges faced by these patients and pediatric practitioners and mental health professionals who together care for them, addressing, in a concrete and practical manner, the wide variety of issues encountered in the pediatric hospital. These concerns range from how to address treatment nonadherence in children to how to conduct a psychosocial assessment of a solid organ transplant recipient. The text's carefully chosen features and valuable content include: Historical context for the evolution of "pediatric psychosomatic medicine" to "pediatric consultation-liaison psychiatry," ensuring an accurate, up-to-date representation of the field and proper integration with DSM-5 classification. Detailed clinical assessment protocols, with guidance for exploring interrelated domains such as illness factors, emotional impact, family functioning, and social relationships. These practical, step-by-step guides assist the consultant in conducting a comprehensive psychiatric/psychological assessment. A target symptom-oriented chapter on psychopharmacology in the physically ill child, which offers guidance on management of acute agitation, insomnia, fatigue, depression, and anxiety. The treatment algorithms presented are designed to be easily understood by non-psychiatric clinicians. Guidance on the use of practical interventions to help physically ill children undergoing traumatic medical procedures, including hypnosis, progressive muscle relaxation, and breathing techniques. These specific techniques will help the clinician in assisting distressed patients. The previous edition was considered the gold standard for books in the field. This new, thoroughly revised iteration of Clinical Manual of Pediatric Consultation-Liaison Psychiatry will doubtless inspire similar acclaim for its rigor, accessibility, and clinical wisdom.

"Dulcan's Textbook of Child and Adolescent Psychiatry provides in-depth, DSM-5-aligned evidence-based clinical guidance in such areas as neurodevelopmental and other psychiatric disorders; psychosocial treatments; pediatric psychopharmacology; and special topics, including cultural considerations, youth suicide, legal and ethical issues, and gender and sexual diversity. This third edition includes expanded information on telehealth, e-mental health, and pediatric consultation-liaison psychiatry"--

"...[T]his book provides valuable information on taking care of children with complex mental health challenges. Chapters present information in tabular format, which makes the book easy to use in practice. The case vignettes are practical and helpful in understanding a child as a unique case and not just a diagnosis. The list of the most valid and reliable screening and assessment tools is valuable, as is the information on useful websites. The book also clearly provides up-to-date, basic information on neurobiology and genetics, as well as ongoing research in the field."--Doody's Medical Reviews Mental health practitioners who work with children are often confronted with complex, difficult-to-treat mental health issues that do not respond to conventional methods of psychotherapy. These children have a web of multiple impairments that are comprised not just of emotional and behavioral issues, but also learning and other cognitive disorders.Children With Multiple Mental Health Challenges presents an innovative, evidence-based approach to understanding and treating this difficult population that integrates the child's development and functioning into diagnosis and treatment. It does not rely on diagnostic categories alone, but explores the functioning of children in several dimensions of development and considers multiple levels of influence. The book builds on an individualized, integrated approach to present a variety of evidence-based strategies for working with children with multiple challenges. It considers children from preschool age to adolescence with a number of severe difficulties. These may include extreme aggression, oppositional defiant behavior, significant anxiety and depression, cognitive and academic challenges, delays in speech and language, problems with attention and concentration, sensory integration problems, and unresolved trauma. The treatment strategies included can be used by various specialists within the intervention team, as well as by parents and teachers. Key Features: Presents an innovative approach to working with children with multiple disorders, often the most challenging cases for clinicians Moves beyond standard "recipes" for treatment planning to encompass developmental (including social and biological factors) and functional aspects of working with children Includes case studies as well as detailed treatment plans Offers treatment strategies that can be used by the intervention team, teachers and parents

Mental, neurological, and substance use disorders are common, highly disabling, and associated with significant premature mortality. The impact of these disorders on the social and economic well-being of individuals, families, and societies is large, growing, and underestimated. Despite this burden, these disorders have been systematically neglected, particularly in low- and middle-income countries, with pitifully small contributions to scaling up cost-effective prevention and treatment strategies. Systematically compiling the substantial existing knowledge to address this inequity is the central goal of this volume. This evidence-base can help policy makers in resource-constrained settings as they prioritize programs and interventions to address these disorders.

It is a great pleasure for me to write a foreword to thi~ fine work by many dif ferent collaborators under the aegis of my friend and one-time colleague in Geneva, Dr. E. James Anthony, because it represents a collective effort toward a goal that today seems very necessary yet difficult to attain. This goal is the synthesis of developmental psychology with all the other aspects of child psychology into a science of ontogenetic development from birth to maturity encompassing three points of view-the biological, the behavioral, and the internalization of the behavioral into mental life. This synthesis is indeed necessary since it is not possible to understand a disorder or a developmental arrest without having a sufficient knowledge of l the ensemble of elements that has brought it about. At each level of development, the personality of the subject attempts to integrate a multiplex system of factors in varying proportion, and without carefully and fully considering this interdigitating whole, it is not easy to disentangle the mechanisms involved in any particular functional disintegration.