Clinical Child Psychiatry

Making a psychiatric diagnosis in children can be challenging: some clinicians say the incidence of some childhood disorders, such as bipolar disorder and ADHD, is over–diagnosed while others saying they are undiagnosed, undertreated, and are a large burden on society.  The drug treatment of child psychiatric disorders can also be controversial in children and adolescents. This book fulfills the need for an objective, clinically relevant source to dispel this confusion. Clinical Child Psychiatry is a textbook of current clinical practice in child and adolescent psychiatry. It is designed as a reference for clinicians that is both easily usable and authoritative, a “chairside” reference for the consultation room. This book addresses a defined series of clinical entities that represent the bulk of current treatment modalities and disorders encountered in 21 st century practice. It is authoritative in the areas addressed while at the same time being rapidly accessible in format. To facilitate access, it presents disorders in declining order of frequency. The authors believe that worthwhile clinical work must be informed by both evidence–based practice and by psychiatry’s traditional attention to internal and interpersonal dynamics. They are committed to an approach that is broadly biopsychosocial while based on current clinical evidence for a pragmatic, clinical focus.  The book is divided into four sections. The first, Fundamentals of Child and Adolescent Psychiatric Practice, addresses assessment, treatment modalities, and planning. Common Child and Adolescent Psychiatric Disorders and Developmental Disorders cover the diagnosis and treatment of the large majority of disease entities encountered in practice. The final section, Special Problems in Child and Adolescent Psychiatry, includes a variety of topics such as foster care and adoption, loss and grief, and forensics. The book also includes: New evidence relating to the areas of depression, psychosis, trauma.  New insights from genetics, genomics, and proteomics cleverly integrated into chapters on the individual disease with focus on their clinical application.  New chapter on consultation and collaboration within systems of care The book addresses a need for clinicians, many of whom are beginners, non–psychiatrists, or psychiatrists entering unfamiliar territory, to come up to speed rapidly in providing more than perfunctory service to needy populations. This challenge grows ever greater. The book has a companion website with questions to facilitate learning.  

List of Contributors ix Preface to Clinical Child Psychiatry, Third Edition xiii Section I The Fundamentals of Child and Adolescent Psychiatric Practice 1 Chapter 1 The Initial Psychiatric Evaluation 3 William M. Klykylo Chapter 2 Psychological Assessment of Children 20 Antoinette S. Cordell Chapter 3 Neurobiological Assessment 46 George Realmuto, Bonnie Klimes–Dougan Chapter 4 Educational Assessment and School Consultation 64 Dorothyann Feldis Chapter 5 Psychiatric Assessment in Medically Ill Children 73 James H. Duffee, William M. Klykylo, David M. Rube Chapter 6 How to Plan and Tailor Treatment: An Overview of Diagnosis and Treatment Planning 90 Brian J. McConville, Sergio V. Delgado Chapter 7 Assessment of Infants and Toddlers 107 Martin J. Drell Chapter 8 Play Therapy 120 Susan C. Mumford Chapter 9 Cognitive Behavioral Therapy 130 Christina C. Clark Section II Common Child and Adolescent Psychiatric Disorders 151 Chapter 10 Attention–Deficit Hyperactivity Disorder 153 David M. Rube, Tejal Kaur Chapter 11 Disruptive Behavior Disorders 175 Jennifer P. Edidin, Niranjan S. Karnik, Scott J. Hunter, Hans Steiner Chapter 12 Child and Adolescent Affective Disorders and their Treatment 189 Rick T. Bowers, Christina G. Weston, Julia Jackson Chapter 13 Anxiety Disorders in Childhood and Adolescence 215 Craig L. Donnelly, Jesse C. Rhoads Chapter 14 Substance Use in Adolescents 243 Jacqueline Countryman Chapter 15 Childhood Trauma 255 Julia Huemer, Sidney Edsall, Niranjan S. Karnik, Hans Steiner Chapter 16 Attachment and its Disorders 274 Jerald Kay Chapter 17 The Eating Disorders 289 Randy A. Sansone, Lori A. Sansone Chapter 18 Elimination Disorders: Enuresis and Encopresis 305 Ryan C. Mast, Andrew B. Smith Chapter 19 Sexual Development and the Treatment of Sexual Disorders in Children and Adolescents 325 James Lock, Jennifer Couturier Section III Developmental Disorders 343 Chapter 20 Learning and Communications Disorders 345 Pamela A. Gulley Chapter 21 The Autistic Spectrum Disorders 353 Russell Tobe, Young Shin Kim, Thomas B. Owley, Bennett L. Leventhal Chapter 22 Intellectual Disability (Mental Retardation) 377 L. Lee Carlisle, Bryan H. King, Arthur Maerlender Chapter 23 Movement Disorders: Tics and Tourette′s Disorder 399 Kevin Lam, Barbara J. Coffey Chapter 24 Psychotic Disorders 418 Michael T. Sorter, Daniel A. Vogel Chapter 25 Neuropsychological Assessment and the Neurologically Impaired Child 435 Scott D. Grewe, Keith Owen Yeates Chapter 26 The Somatoform Disorders 458 Patricia I. Ibeziako, David Ray DeMaso Chapter 27 Sleep Disorders 475 Martin B. Scharf, Christine V. Wellborn Section IV Special Problems in Child and Adolescent Psychiatry 493 Chapter 28 Loss: Divorce, Separation, and Bereavement 495 Jamie Snyder Chapter 29 Foster Care and Adoption 508 Jill D. McCarley, Christina G. Weston Chapter 30 Child Psychiatry and the Law 518 Douglas Mossman Index 539 Companion website The book is accompanied by a companion resources site: clinicalchildpsychiatry.com With interactive multiple–choice questions for each chapter.

William M. Klykylo, M.D. is Professor and Director of the Division of Child and Adolescent Psychiatry at the Boonshoft School of Medicine of Wright State University in Dayton, Ohio. He attended the University of Michigan Medical School and trained in General and Child and Adolescent Psychiatry at the University of Cincinnati. He served at the Cincinnati Children’s Hospital Medical Center and as a residency training director at Cincinnati and Wright State for twenty–seven years. His academic interests include developmental disabilities, pervasive developmental disorders, medical education, ethics, and health care delivery systems.    Dr. Kay is a Fellow of the American College of Psychiatrists and Distinguished Life Fellow of the American Psychiatric Association and has served as the chair of the APA Committee on Medical Student Education, the Council on Medical Education and Career Development, the Vestermark Award Board, and the Committee on the Practice of Psychotherapy. He chairs the World Psychiatric Association Task Force on  Undergraduate and Post Graduate Curriculum as well as the APA Committee on College Mental Health.  Dr. Kay is the immediate past chair of the Psychiatry Residency Review Committee of the ACGME and the Founding Editor of the Journal of Psychotherapy Practice and Research and Associate Editor of the American Journal of Psychotherapy . He has published extensively on the topics of medical and psychiatric education, medical ethics, child psychiatry, psychoanalysis, psychotherapy, the neurobiology of psychotherapy, and psychosocial aspects of AIDS and of cardiac transplantation. Dr. Kay serves as the Associate Director of the Comprehensive Neuroscience Center at Wright State University. He received the 2001 APA Seymour Vestermark Award for contributions to psychiatric education.