Clinical Child Psychiatry

Front Cover
William M. Klykylo, Jerald Kay
John Wiley & Sons, Mar 23, 2012 - Medical - 568 pages
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 21st 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.

 

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Contents

List of Contributors
Psychological Assessment of Children
Neurobiological Assessment
Educational Assessment and School Consultation
Psychiatric Assessment in Medically Ill Children
How to Plan and Tailor Treatment An Overview
Assessment of Infants and Toddlers
Play Therapy
Substance Use in Adolescents
References
Childhood Trauma
Treatment
Attachment and its Disorders
Conclusions
Elimination Disorders Enuresis and Encopresis
References

References
The Eating Disorders
Developing the Conceptualization
AttentionDeficit Hyperactivity Disorder
Diagnosis and Assessment
Summary and Conclusions
Disruptive Behavior Disorders
Etiology
Comorbidity and Differential Diagnosis
References
Child and Adolescent Affective Disorders and their
Bipolar Disorders
Conclusion
Anxiety Disorders in Childhood and Adolescence
Generalized Anxiety Disorder
Learning and Communications Disorders
The Autistic Spectrum Disorders
Intellectual Disability Mental Retardation
References
Psychiatric Comorbid Disorders
References
Psychotic Disorders
Neuropsychological Assessment and the Neurologically
The Somatoform Disorders
References
Loss Divorce Separation and Bereavement
Foster Care and Adoption
References
Copyright

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About the author (2012)

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.

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