Clinical Manual of Pediatric Consultation-Liaison Psychiatry, 2e (Sep 16, 2019)_(1615372318)_(American Psychiatric Association Publishing).pdf

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. Cover Half Title Title Page Copyright Contents Preface Acknowledgments PART I Overview 1 Pediatric Consultation-Liaison Psychiatry Building a Collaborative Care Bridge to Pediatrics Roles of the Consultant Practice Patterns in Pediatric Consultation-Liaison Psychiatry Conclusion References 2 Coping and Adaptation in Physically Ill Children Conceptualization of Physical Illness: Categorical Versus Noncategorical Correlates of Adjustment to Physical Illness Conclusion References 3 Assessment in Pediatric Consultation-Liaison Psychiatry The Consultation Process References Appendix: Questions to Consider Asking Children and Adolescents Facing a Physical Illness 4 Legal and Forensic Issues Consent for Treatment Treatment Without Parental Consent: Exceptions Limits of Parental Authority Refusal of Treatment by an Adolescent Consent for Children of Divorced or Separated Parents Payment for Treatment Confidentiality and Privilege Assessment for Parenting Capacity and Medical Neglect Conclusion References PART II Specific Psychiatric Symptoms and Disorders 5 Delirium Clinical Characteristics Epidemiology Pathophysiology Differential Diagnosis Assessment Management Conclusion References 6 Neurocognitive Disturbances Catatonia Neuroleptic Malignant Syndrome Serotonin Syndrome Autoimmune Encephalitis Pediatric Acute-Onset Neuropsychiatric Syndrome References 7 Depressive Symptoms and Disorders Clinical Considerations in the Physically Ill Child Differential Diagnosis of Depressive Illness in the Physically Ill Child or Adolescent Assessment Treatment References 8 Anxiety Symptoms and Trauma/Stress Reactions Primary Anxiety Disorders Anxiety Symptoms as Psychological Reaction: Trauma/Stress Reactions Anxiety Symptoms Due to Direct Physiological Effects Assessment Treatment References 9 Somatic Symptom and Related Disorders Risk Factors for Pediatric Somatization Somatic Symptom and Related Disorders Assessment Treatment References 10 Pediatric Pain Classification Epidemiology Developmental Factors Measurement of Pain Psychiatric Assessment Principles of Pain Management Nonpharmacological Management Pharmacological Management References 11 Fabricated or Induced Illness Symptoms Background and Diagnostic Criteria Clinical Features Etiology Differential Diagnosis Assessment Legal Issues Treatment References 12 Solid Organ Transplantation Overview of Solid Organ Transplantation Pretransplant Psychiatric Assessment Assessment of Living Donors Transplant Process Conclusion References 13 Pediatric Cancer, Stem Cell Transplantation, and Palliative Care Pediatric Cancer Stem Cell Transplantation Palliative Care Conclusion References 14 Treatment Adherence Epidemiology Consequences of Nonadherence Risk Factors Developmental Influences Psychiatric Factors Affecting Adherence Assessment of Treatment Adherence Treatment Interventions References PART III Treatment and Intervention 15 Psychotherapy in the Pediatric Setting Models of Psychotherapy Selection of a Psychotherapeutic Strategy Therapeutic Use of Play Selected Psychotherapy Issues in Pediatric Illness Countertransference Issues for Consultants References 16 Family Interventions Illness Course Family Life Cycle Factors Affecting Family Adjustment Impact of Illness on Family Functioning Reactions of Siblings Working Relationship With the Pediatric Team Family Intervention Guidelines References 17 Psychopharmacological Approaches and Considerations Pharmacokinetics Drug-Drug Interactions Psychotropic Medication Use in Specific Physical Illnesses Medication Selection and Target Symptoms Conclusion References 18 Preparation for Procedures Effective Preparation for Procedures Assessment of Adaptation and Coping Preparation Through Education Preparation Through Modeling Preparation Through Exposure Coping Skills Training Pediatric Hypnosis Conclusion References Index Back Cover Now in a thoroughly updated second edition, Clinical Manual of Pediatric Consultation-Liaison Psychiatry remains the only textbook in the field that provides a focused and useful clinical guide to the psychiatric and psychological assessment of physically ill children and adolescents. Covering all of the common clinical psychiatric consultation questions that arise in the pediatric hospital, this book is designed for both novice trainees approaching their first pediatric consultation-liaison psychiatry rotations and advanced and experienced practitioners seeking information on psychopharmacological management of physically ill children. Chapters 1 4 provide an overview of pediatric consultation-liaison psychiatry, including assessment principles and legal and forensic issues. Chapters 5 14 are devoted to specific psychiatric symptoms and disorders in physically ill children and adolescents. Chapters 15 18 address issues related to treatment and intervention. New to the second edition are discussions of catatonia, serotonin syndrome, neuroleptic malignant syndrome, autoimmune encephalitis, and pediatric acute-onset neuropsychiatric syndrome (PANS), as well as an overview of fabricated or induced illness symptoms. Completely updated to reflect advances in research and treatment options, Clinical Manual of Pediatric Consultation-Liaison Psychiatry provides practitioners with concise and pragmatic ways of organizing the key iss "Completely updated to reflect advances in research and treatment options, Clinical Manual of Pediatric Consultation-Liaison Psychiatry provides practitioners with concise and pragmatic ways of organizing the key issues that arise in psychiatric consultation with physically ill children and their families. Covering all of the common clinical psychiatric consultation questions that arise in the pediatric hospital this book is designed for both novice trainees approaching their first pediatric consultation-liaison psychiatry rotations and advanced and experienced practitioners seeking information on psychopharmacological management of physically ill children. Chapters 1-4 provide an overview of pediatric consultation-liaison psychiatry, including assessment principles and legal and forensic issues. Chapters 5-14 are devoted to specific psychiatric symptoms and disorders in physically ill children and adolescents. Chapters 15-18 address issues related to treatment and intervention. New to the second edition are discussions of catatonia, serotonin syndrome, neuroleptic malignant syndrome, autoimmune encephalitis, and pediatric acute-onset neuropsychiatric syndrome (PANS), as well as an overview of fabricated or induced illness symptoms"-- Provided by publisher "Completely updated to reflect advances in research and treatment options, Clinical Manual of Pediatric Consultation-Liaison Psychiatry provides practitioners with concise and pragmatic ways of organizing the key issues that arise in psychiatric consultation with physically ill children and their families. Covering all of the common clinical psychiatric consultation questions that arise in the pediatric hospital this book is designed for both novice trainees approaching their first pediatric consultation-liaison psychiatry rotations and advanced and experienced practitioners seeking information on psychopharmacological management of physically ill children. Chapters 1-4 provide an overview of pediatric consultation-liaison psychiatry, including assessment principles and legal and forensic issues. Chapters 5-14 are devoted to specific psychiatric symptoms and disorders in physically ill children and adolescents. Chapters 15-18 address issues related to treatment and intervention. New to the second edition are discussions of catatonia, serotonin syndrome, neuroleptic malignant syndrome, autoimmune encephalitis, and pediatric acute-onset neuropsychiatric syndrome (PANS), as well as an overview of fabricated or induced illness symptoms"-- Résumé de l'éditeur This Manual Provides A Focused And Useful Clinical Guide To The Psychiatric And Psychological Assessment Of Physically Ill Children And Adolescents. Covering All Of The Common Clinical Psychiatric Consultation Questions That Arise In The Pediatric Hospital, This Book Is Designed For Both Novice Trainees Approaching Their First Pediatric Consultation-liaison Psychiatry Rotations And Advanced And Experienced Practitioners Seeking Information On Psychopharmacological Management Of Physically Ill Children. This manual provides a focused and useful clinical guide to the psychiatric and psychological assessment of physically ill children and adolescents. The book covers all of the common clinical psychiatric consultation questions that arise in the pediatric hospital.