DSM-IV-TR Casebook and Treatment Guide for Child Mental Health

DSM-IV-TR Casebook and Treatment Guide for Child Mental Health

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In the United States, approximately 20% of children and adolescents have diagnosable mental health problems, with eleven percent significantly impaired. Sadly, most of these afflicted youth are not appropriately diagnosed and treated. For the editors of DSM-IV-TR(R) Casebook and Treatment Guide for Child Mental Health, this gap in services represents a crisis to which this outstanding volume is their powerful response. Working with an impressive team of contributors, the editors have created an indispensable reference and teaching tool for trainees, trainers, and clinicians of child and adolescent psychiatry, including social workers, psychiatrists, psychologists, and nurse clinicians. The book's foundation is its thirty compelling and carefully narrated cases. Each case has three field leading commentators who describe how they conceptualize the case diagnostically and how they would approach treatment if the child presented to their practice. The book is organized into four parts: Classic Cases, where the diagnosis is fairly clear; Comorbid Complexity, where the diagnosis may be complicated by co-existing conditions; Toughest Cases, where the diagnosis is unclear or the patient has been unresponsive to treatment; and, finally, Kids in Crisis, where the patient's psychopathology exists in the context of extreme social stressors. The volume offers an array of features that place it in a class by itself: * Editors' introduction at the beginning of each part introduces and contextualizes the information to come, providing a framework for understanding and building bridges to the other sections.* Three expert commentaries accompanying every case, simulating the experience of meeting with a panel of supervisors or -- depending on the reader's training level -- consultants who are among the best in the field. Thus, the case and commentary are a great starting point for clinicians considering how to approach assessment and treatment of patients in their practice.* The commentaries are cross-disciplinary and thus offer a diversity of approaches. The first is always written from a psychotherapeutic perspective, the second, from a psychopharmacological perspective, and the third is integrative, ranging across etiologic and therapeutic perspectives. These were written without reading the other commentaries resulting in a range of opinion that reflects the realities of clinical practice.* Chapters on research and clinical perspectives and diagnostic decision making focusing the clinician on developmental and cultural issues and explaining how a stronger, more nuanced understanding of clinical decision making leads to improved diagnosis and treatment.* Descriptions and comparisons of an abundance of screening tools and rating scales in the Appendix, along with information on acquiring them for use in a clinical setting.* A concise, research-based, and clinically pragmatic approach that child and adolescent psychiatrists studying for their board exams will find very useful. Thoughtful, comprehensive, and reflective of the realities of clinical practice, the DSM-IV-TR(R) Casebook and Treatment Guide for Child Mental Health will be prized by trainees and clinicians alike.show more

Product details

  • Paperback | 224 pages
  • 149.86 x 228.6 x 45.72mm | 1,156.65g
  • American Psychiatric Association Publishing
  • American Psychiatric Publishing
  • VA, United States
  • English
  • 2 line drawings, 3 tables
  • 1585623105
  • 9781585623105
  • 1,071,137

Review quote

"This book would be especially valuable as a teaching tool in a course on diagnosis and treatment of child and adolescent mental health because it provides comprehensive, relevant, and well-organized presentations of commonly seen disorders in a useful and thought-provoking format."-- "Lauren M. Sitzer, M.D., Psychiatric Services"show more

Flap copy

Imbued with a shared passion for children's mental health, the DSM-IV-TR(R) Casebook and Treatment Guide for Child Mental Health reflects its editors and contributors' conviction that through the meticulous presentation and careful study of cases, diagnosis and treatment can be vastly improved. The book is designed to be both an indispensable reference and a teaching tool for trainees, trainers, and clinicians of child and adolescent psychiatry, including social workers, psychiatrists, psychologists, and nurse clinicians.The heart of the book is its cases, which are organized into four parts by increasing complexity. Each case is accompanied by three expert commentaries, simulating the experience of meeting with a panel of supervisors or -- depending on the reader's training level -- consultants who are among the best in the field.At a time when twenty percent of children and adolescents in the United States have diagnosable mental health problems, yet 75 to 80 percent of those so afflicted do not receive appropriate psychiatric care, the DSM-IV-TR(R) Casebook and Treatment Guide for Child Mental Health constitutes a necessary and long overdue resource.show more

About Cathryn A. Galanter

Cathryn A. Galanter, M.D., is Assistant Professor of Clinical Psychiatry in the Division of Child and Adolescent Psychiatry at Columbia University/New York State Psychiatric Institute in New York, New York. Peter S. Jensen, M.D., is President and Chief Executive Officer of the REACH Institute (Resource for Advancing Children's Health) in New York, New York.show more

Table of contents

Preface. Introduction: our conceptualization of the cases. Part I: Classic Cases. Introduction to classic cases. Trouble paying attention: attention-deficit/hyperactivity disorder. Trouble with transitions: does my child have autism? Living in her parents' shadow: separation anxiety disorder. Chatterbox at home: selective mutism. Everything bothers her: major depressive disorder. Excessively silly: bipolar disorder. Life of the party: chronic marijuana use. My mind is breaking: psychosis. She just won't eat a thing: anorexia nervosa. The blinker: tourette's disorder. She never falls asleep: disordered sleep in an adolescent. The world is a very dirty place: obsessive-compulsive disorder. Part II: Comorbid Complexity. Introduction to comorbid complexity. Stealing the car: disruptive behavior in an adolescent. Zero tolerance: threats to harm a teacher in elementary school. Anxious adolescent in the emergency room: possible abuse of prescription medications. The worried child: a child with multiple anxiety disorders. Affective storms: a careful assessment of rage attacks. Failing out of school: language and reading weaknesses. Functional abdominal pain in a child with inflammatory bowel disease. Part III: Toughest Cases: Diagnostic and Treatment Dilemmas. Introduction to toughest cases. Frequent tantrums: oppositional behavior in a young child. Toddler with temper tantrums: a careful assessment of a dysregulated toddler. Won't leave his room: clinical high risk for developing psychosis. I just want to die: double depression. Cutting helps me feel better: nonsuicidal self-injury. From foster care to the state hospital: psychotic symptoms in a child who is the victim of neglect. Part IV: Kids in Crisis Psychopathology in the Context of Social Stressors. Introduction to kids in crisis. Suicidal ideation after supervised visits with biological mom: depressed mood in a child in foster care. The legacy of war: irritability and anger in an adolescent refugee. Moody child: depressed in the context of parental divorce. It should have been me: childhood bereavement. Won't settle down: disinhibited attachment in a toddler. Part V: Diagnostic Decision Making. Diagnostic decision making. Research and clinical perspectives on diagnostic and treatment decision making: whence the future? Appendix: Screening tools and rating scales useful in the screening, assessment and monitoring of children and adolescents. Subject index. Index of cases by diagnosis.show more

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