Child and Adolescent Psychiatry

Edited by Robyn Thom and Christopher McDougle

What Do I Do Now Psychiatry

Provides a practical biopsychosocial approach to assessing and treating psychiatric disorders in children and adolescents
Management recommendations detail considerations based on age and developmental stage of the patient
Content and organization of chapters follow the DSM-5 structure and disorders for child and adolescent psychiatry

Child and Adolescent Psychiatry

Edited by Robyn Thom and Christopher McDougle

Description

Part of the What Do I Do Now? Psychiatry series, Child and Adolescent Psychiatry provides a practical biopsychosocial approach to assessing and treating psychiatric disorders in children and adolescents. Case studies covered include neurodevelopmental disorders, schizophrenia, mood disorders, anxiety disorders, obsessive-compulsive and related disorders, trauma and stressor-related disorders, factitious disorder imposed on another, feeding and eating disorders, encopresis, gender dysphoria, substance-related and addictive disorders, and delirium. Each chapter includes an overview of the epidemiology of the disorder, common signs and symptoms, key aspects of the clinical assessment, and a biopsychosocial treatment approach with considerations based upon the age and developmental stage of the patient.

Child and Adolescent Psychiatry

Edited by Robyn Thom and Christopher McDougle

What Do I Do Now Psychiatry

1. Young boy with social impairment and repetitive behaviors
2. Persistent reading difficulty despite improved focus on a stimulant medication
3. Below average intellectual and adaptive functioning
4. A child with inattention, hyperactivity, and impulsivity
5. Repetitive throat clearing, blinking, and grimacing
6. Teenager with paranoia and hallucinations preceded by a decline in academic and social functioning
7. Several weeks of low mood, decreased appetite, and poor sleep after changing schools
8. An episode of giddy, irritable mood with increased energy and goal-directed activity
9. Chronically irritable mood with frequent temper outbursts
10. Limited speech outside the home in a young girl who speaks normally at home
11. A fear of dogs
12. Trouble being away from mother
13. Worries about being embarrassed in front of classmates
14. Recurrent episodes of intense fear, shortness of breath, racing heart, and sweating
15. Excessive, uncontrollable worries
16. A teenager who spends hours scrutinizing her skin
17. Repeating, counting, and touching to prevent harm
18. A girl without stranger danger
19. A boy who could not be comforted
20. Sad mood and changes in behavior after exposure to a traumatic reminder
21. A child whose parent insists on recurrent medical admissions
22. Decreased food intake after a choking incident
23. A teenage girl with low body mass index due to restricting food intake
24. Recurrent episodes of binging and purging
25. A young boy with stool soiling
26. An adolescent requesting to pause puberty
27. An adolescent with binge drinking
28. An adolescent with new onset inattention
29. Confusion and mental status changes in a medically ill child

Child and Adolescent Psychiatry

Edited by Robyn Thom and Christopher McDougle

What Do I Do Now Psychiatry

Author Information

Robyn Thom, MD, is Assistant Professor of Psychiatry at Massachusetts General Hospital/McLean Hospital.

Christopher McDougle, MD, is Professor of Psychiatry and Pediatrics and Director of the Lurie Center for Autism at Massachusetts General Hospital/McLean Hospital.

Contributors:

Emily Anderberg, PhD
Neuropsychology Fellow
Department of Psychiatry
Massachusetts General Hospital
Woburn, MA, USA

David L. Beckmann, MD, MPH
Staff Psychiatrist
Addiction Recovery Management Service, Department of Psychiatry
Massachusetts General Hospital
Boston, MA, USA

Kathryn S. Czepiel, MD
Resident Physician
Department of Pediatrics
Massachusetts General Hospital
N. Attleboro, MA, USA

Lauren N. Deaver, MD
Department of Psychiatry
Massachusetts General Hospital
Somerville, MA, USA

Craig L. Donnelly, MD
Child Psychiatrist
Department of Psychiatry
Dartmouth- Hitchcock Medical Center
Lebanon, NH, USA

Eun Kyung Ellen Kim, MD
Resident
Department of Psychiatry
Massachusetts General Hospital/ McLean Hospital
Cambridge, MA, USA

Katherine A. Epstein, MD, MA
Resident
Department of Psychiatry
Beth Israel Deaconess Medical Center
Boston, MA, USA

Mila N. Grossman, MD
Psychiatry Resident
Department of Psychiatry
Massachusetts General Hospital
Cambridge, MA, USA

Kevin M. Hill, MD
Resident Physician
Department of Psychiatry
Beth Israel Deaconess Medical Center
Boston, MA, USA

Alex S. Keuroghlian, MD, MPH
Associate Professor of Psychiatry
Department of Psychiatry
Massachusetts General Hospital/ Harvard Medical School
Boston, MA, USA

Christina L. Macenski, MD
Resident Physician
Department of Psychiatry
Brigham and Women's Hospital/ Harvard Medical School
Brookline, MA, USA

Christopher J. McDougle, MD
Director, Lurie Center for Autism
Department of Pediatrics
Massachusetts General Hospital
Lexington, MA, USA

Sirin Ozdemir, MD
Child and Adolescent Psychiatrist
Department of Psychiatry
Massachusetts General Hospital/ Harvard Medical School
Belmont, MA, USA

Joseph A. Pereira, MD
Psychiatry Resident
Department of Psychiatry
Columbia University
Clark, NJ, USA

Cordelia Y. Ross, MD, MS
Fellow
Department of Psychiatry, Division of Child & Adolescent Psychiatry
Massachusetts General Hospital
Somerville, MA, USA

Sumita Sharma, MD
Resident Physician
Department of Psychiatry
Beth Israel Deaconess Medical Center
Milpitas, CA, USA

Danielle Sipsock, MD
Child & Adolescent Psychiatrist
Center for Autism & Developmental Disorders
Maine Behavioral Healthcare
Scarborough, ME, USA

Joshua R. Smith, MD
Clinical Child and Adolescent Psychiatry Fellow
Department of Psychiatry
Massachusetts General Hospital
Boston, MA, USA

Samantha M. Taylor, MD
Physician
Department of Psychiatry
Brigham and Women's Hospital
Boston, MA, USA

Robyn P. Thom, MD
Psychiatrist
Department of Psychiatry
Massachusetts General Hospital Lurie Center for Autism
Lexington, MA, USA

Ivana Viani, MD
Department of Psychiatry
Brigham and Women's Hospital
Boston, MA, USA