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Alternative and Complementary Therapies for Children with Psychiatric Disorders, Part 2, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book

Alternative and Complementary Therapies for Children with Psychiatric Disorders, Part 2, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book

Deborah R. Simkin

(2014)

Additional Information

Abstract

Patients in psychiatry, or their parents, experiment with alternative methods and practices. Psychiatrists, in search of scientifically-based discussion and evidence of use for daily practice, find that information in this issue of Child and Adolescent Psychiatric Clinics. Readers will find clinically focused information in the major categories of Selected Treatments, Selected Disorders, and Perspectives on Clinical Complementary and Alternative Therapies. Micronutrients for mental disorders, the role of essential fatty acids. EEG and Neurofeedback, Mind-Body Meditation and Movement Therapies, Music Therapy, are presented. Evidence for minerals, vitamins, and herbs is discussed. Guest Editors Deborah Simkin and Charles Popper, with decades of experience in working with complementary therapies, lead this issue.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Alternative and Complementary Therapies for Children with Psychiatric Disorders, Part 2\r i
Copyright\r ii
Contributors iii
Contents v
Child And Adolescent Psychiatric Clinics\r vii
Preface ix
Quantitative EEG and Neurofeedback in Children and Adolescents 427
Key points 427
Introduction 429
Neurofeedback basics 430
How Neurofeedback changes action potentials 431
Is all brain biofeedback alike? 434
Quantitative electroencephalography and its role in Neurofeedback 434
Validation of quantitative electroencephalography by use of neuroimaging and other techniques 435
Coregistration of quantitative electroencephalography with diffuse spectral imaging and other neuroimaging methods 437
Quantitative electroencephalography and NF for psychiatric conditions 438
Role of the EEG Power Spectrum, Neuromodulators, and Psychiatric Disorders 438
How Complex Homeostatic Systems Regulate the EEG Power Spectrum 438
How May This Occur in the Case of ADHD? 439
Psychiatry as Related to Circuitry: Moving from Categorical Disorders to Transdiagnostic Symptoms 439
Neurofeedback treatment in children and adolescents 442
Neurofeedback Treatment of Depression 443
Neurofeedback Treatment of Anxiety Disorders 444
Neurofeedback Treatment of Substance Abuse 445
Neurofeedback Treatment of Substance Use Disorders in the Context of Comorbid ADHD 446
Surface Neurofeedback Treatment of Posttraumatic Stress Disorder 447
Neurofeedback treatment of intrauterine brain damage, mild head injury, concussion, and TBI 448
Neurofeedback in Reducing Performance Anxiety 450
Does Neurofeedback Technique Have to be Modified for Developmental Age? 451
Controversies 451
Summary of Tables 454
Summary 456
References 457
Quantitative EEG Neurofeedback for the Treatment of Pediatric Attention-Deficit/Hyperactivity Disorder, Autism Spectrum Dis ... 465
Key points 465
What is neurofeedback? 467
Types of Neurofeedback 468
Controls for Neurofeedback research 469
Treatment outcomes in Neurofeedback research 470
Neurofeedback for ADHD 470
Neurofeedback for autism 474
Neurofeedback for LD 477
Neurofeedback for epilepsy 479
Safety and risks of neurofeedback 481
Clinical summary and clinical recommendations 481
References 483
Meditation and Mindfulness in Clinical Practice 487
Key points 487
Introduction 489
Meditation and Mindfulness: Evolution from Buddhist Traditions to Modern Western Techniques 490
Focused attention mindfulness-based interventions 491
Goals of Focused Attention Mindfulness-Based Intervention 491
Mindfulness-Based Stress-Reduction Techniques and Approaches 491
Mindfulness-Based Cognitive Therapy Techniques and Approaches 492
Dialectical Behavioral Therapy Approaches and Techniques 492
Acceptance and Commitment Therapy Techniques and Approaches 492
Mindfulness-Based Relapse Prevention Techniques and Approaches 492
Physiologic and Neurobiological Effects of Focused Attention Mindfulness-Based Interventions 493
Vipassana meditation 493
Mindfulness-based intervention: changing pathologic states 494
MRI results 494
Functional MRI results 494
Open monitoring 495
Goals of Open Monitoring 495
Open Monitoring Techniques and Approaches 495
Physiologic and Neurobiological Effects of Open Monitoring 496
Brain-wave activity 496
Parasympathetic activity 496
Automatic self-transcending or transcendental meditation 496
Goals of Transcendental Meditation 497
Transcendental Meditation Techniques and Approaches 497
Physiologic and Neurobiological Effects of Transcendental Meditation 497
Mind-body 498
Goals of Mind-Body Therapies 499
MED-RELAX Techniques and Approaches 499
Physiologic and Neurobiological Effects of MED-RELAX 500
Body-mind 500
Evolution from Buddhist, Chinese, and Indian/Vedic Traditions, and Modern Techniques 500
Goals of Body-Mind Therapies 500
Body-Mind Techniques and Approaches 501
Music Therapy and Music Medicine for Children and Adolescents 535
Key points 535
Introduction 535
Defining Music Therapy and Music Medicine 535
Mechanism of Therapeutic Action: Music and the Brain 536
Autism 538
Affective disorders 538
Eating disorders 538
Music Therapy and Mental Health Overview 539
Effectiveness Research 541
Disorders typically diagnosed in childhood 541
Aggressive behaviors 542
ADHD 542
General emotional and behavioral disorders 542
Autism 543
Intellectual or learning disabilities 543
Substance abuse 544
Mood/anxiety disorders 544
Eating disorders 545
Summary 545
References 549
Omega-3 Fatty Acid and Nutrient Deficits in Adverse Neurodevelopment and Childhood Behaviors 555
Key points 556
Introduction 556
Essential nutrients and the risk of deficiencies 557
The lipid substance of the brain 557
Excess linoleic acid and the dietary balance of omega-3 and omega-6 HUFAs 559
Impact of inadequate DHA intake on brain development in animals 560
A dietary evolution: unfortunate consequences of agricultural developments 560
Inadequate HUFA intake during pregnancy on human developmental outcome 562
Effect of HUFA supplementation in healthy children 563
HUFA abnormalities in ADHD 563
Differential Effects of EPA and DHA in the Brain 565
Resting-state electroencephalogram 565
Emotion-elicited event-related potentials 565
Memory-related event-related potentials in healthy fish-eating children 566
Individual HUFA supplementation trials in youth with ADHD or ADHD-type symptoms 566
Omega-3/-6 in Relation to Learning, Behavior, and Motor Skills 566
Randomized, double-blind, placebo-controlled clinical trials in schoolchildren 567
Omega-3/-6 Relation to Dyslexia 569
Omega-3/-6 Studies Relating to Attention and Behavior 569
Pharmacologic intervention and omega-3 HUFAs for ADHD 570
Meta-analyses and reviews of clinical efficacy of omega-3 HUFAs in ADHD 570
HUFAs and youth with aggressive or conduct-disordered related behaviors 571
HUFAs and Young Adult Prisoners 572
Omega-3 HUFA supplementation trials in youth and adults with depression 573
Dietary Intake in Youth with Depressive Symptoms 573
Omega-3 in Children with Depression 573
Omega-3 in Adults with Depression 574
Omega-3 and Suicide 574
Omega-3 HUFA and prevention of psychosis in high-risk youth 574
Clinical recommendations in relation to HUFAs 575
Cautionary findings on omega-3 supplementation 575
Safety and adverse effects 577
Summary 578
References 581
Single-Micronutrient and Broad-Spectrum Micronutrient Approaches for Treating Mood Disorders in Youth and Adults 591
Key points 591
Vitamins and minerals in health and disease 592
Micronutrient Functions in Biology 592
Micronutrient Mechanisms Leading to Disease and Dysfunction 596
Need for a Full and Balanced Range of Micronutrients for Optimal Functioning 597
Micronutrient deficiencies in the general population 597
Nutrient deficiencies and nutrient insufficiencies 599
General correlations between diet and mental health 601
Treatment of mood disorders with single micronutrients 603
Folic Acid (Vitamin B9) 604
Cobalamins (Vitamin B12) 606
Calciferols (Vitamin D) 607
Correlations between vitamin D levels and depression in adults 608
Correlations between vitamin D levels and depression in youth 609
Treatment of depression with vitamin D 610
Clinical recommendations 610
Pyridoxine (Vitamin B6) 611
Other Single Micronutrients 613
Chromium 613
Zinc 613
Thiamine 617
Selenium 618
Magnesium 618
Implications of the Single-Micronutrient Intervention Studies 619
Broad-spectrum micronutrient interventions 620
Violent and Antisocial Behavior in Youth and Adults 621
ADHD 624
Open-label trials 624
Controlled trials on ADHD 626
Mood Disorders 629
Open-label studies 630
Controlled studies of mood disorders 632
Clinical caveats on the micronutrient treatment of mood disorders 633
Summary comment on mood disorders 635
Micronutrients for Other Psychiatric Conditions 636
OCD 636
Autism 636
Substance use 637
Broad-Spectrum Micronutrient Interventions in Healthy Populations 637
Cognition in healthy adults 637
Cognition in healthy youth 637
Mood and well-being in healthy adults 638
Response to stress 640
Adverse Effects of Broad-Spectrum Micronutrient Interventions 643
Summary 646
Acknowledgments 655
References 655
Index 673