BOOK
Co-occurring Medical Illnesses in Child and Adolescent Psychiatry: Updates and Treatment Considerations, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Child and Adolescent Psychiatric Clinics, edited by Dr. Matthew Willis, will cover management of Pediatric Medical Illnesses with a focus on clinical updates and treatment considerations for the child and adolescent psychiatrist Topics covered in the issue include, but are not limited to: Eating Disorders; Obesity and Insulin Resistance; Transitioning from Pediatric to Adult Care in Young Adults with Medical Issues; Concussive syndrome: Acute Management and Chronic Post-Concussive Issues; Functional Abdominal Pain; Nonepileptic Seizures in Pediatric Patients: Diagnosis and Comorbidites; Domestic Minor Sex Trafficking (DMST); and Grief as an etiological factor in pediatric emotional and physical clinical presentations.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Co-occurring Medical Illnesses in Child and Adolescent Psychiatry:Updates and Treatment Considerations\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Co-occurring Medical Illnesses in Child and Adolescent Psychiatry: Updates and Treatment Considerations | vii | ||
| Medical Considerations in Children and Adolescents with Eating Disorders | vii | ||
| Functional Abdominal Pain and Related Syndromes | vii | ||
| Unraveling Diagnostic Uncertainty Surrounding Lyme Disease in Children with Neuropsychiatric Illness | vii | ||
| Evaluation and Management of Autoimmune Encephalitis: A Clinical Overview for the Practicing Child Psychiatrist | viii | ||
| Pediatric Psychogenic Nonepileptic Seizures: A Concise Review | viii | ||
| A Review of the Prevention and Medical Management of Childhood Obesity | viii | ||
| Domestic Minor Sex Trafficking | viii | ||
| Sports-Related Concussion: Acute Management and Chronic Postconcussive Issues | ix | ||
| Everywhere and Nowhere: Grief in Child and Adolescent Psychiatry and Pediatric Clinical Populations | ix | ||
| The Medical Transition from Pediatric to Adult-Oriented Care: Considerations for Child and Adolescent Psychiatrists | ix | ||
| Co-occurring Medical Illnesses in Child and Adolescent Psychiatry: Updates and Treatment Considerations | xi | ||
| Medical Considerations in Children and Adolescents with Eating Disorders | 1 | ||
| Key points | 1 | ||
| INTRODUCTION | 2 | ||
| DIAGNOSIS | 2 | ||
| Screening | 2 | ||
| Evaluation (History, Review of Systems, Examination, Laboratory Studies) | 3 | ||
| Complications | 4 | ||
| Treatment | 5 | ||
| CASE | 8 | ||
| CLINICAL PEARLS | 9 | ||
| Pearl | 9 | ||
| Pearl | 10 | ||
| Functional Abdominal Pain and Related Syndromes | 15 | ||
| Key points | 15 | ||
| BACKGROUND | 15 | ||
| FUNCTIONAL GASTROINTESTINAL DISEASES | 16 | ||
| PATHOPHYSIOLOGY UNDERLYING FUNCTIONAL GASTROINTESTINAL DISEASES | 17 | ||
| DIAGNOSIS | 20 | ||
| TREATMENT | 22 | ||
| SUMMARY | 23 | ||
| REFERENCES | 24 | ||
| Unraveling Diagnostic Uncertainty Surrounding Lyme Disease in Children with Neuropsychiatric Illness | 27 | ||
| Key points | 27 | ||
| INTRODUCTION | 27 | ||
| ROLE OF THE PSYCHIATRIC PROVIDER | 28 | ||
| PRESENTATIONS OF LYME DISEASE | 28 | ||
| NEUROPSYCHIATRIC AND CLINICAL OUTCOMES IN CHILDREN WITH LYME DISEASE | 29 | ||
| DIAGNOSTIC TESTING FOR LYME DISEASE | 30 | ||
| Nonvalidated Testing | 32 | ||
| TREATMENT OF LYME DISEASE | 33 | ||
| Unconventional Treatment | 33 | ||
| ASSIMILATING DATA AND APPROACH TO CLINICAL SCENARIOS | 33 | ||
| Clinical Scenario One | 33 | ||
| Presentation | 33 | ||
| Evaluation and Management of Autoimmune Encephalitis | 37 | ||
| Key points | 37 | ||
| INTRODUCTION | 38 | ||
| DEFINITION OF AUTOIMMUNE ENCEPHALITIS | 38 | ||
| Diagnosis | 38 | ||
| Suspected Autoimmune Encephalitis | 39 | ||
| Probable Autoimmune Encephalitis | 39 | ||
| Initial Workup of Autoimmune Encephalitis | 40 | ||
| Known Antibodies Associated with Autoimmune Encephalitis | 40 | ||
| -ASPARTATE RECEPTOR ENCEPHALITIS | 41 | ||
| Epidemiology | 41 | ||
| Etiology | 41 | ||
| Clinical Manifestations | 41 | ||
| Diagnosis | 41 | ||
| LIMBIC ENCEPHALITIS | 42 | ||
| Voltage-Gaited Potassium Channel Encephalitis | 42 | ||
| Glutamic Acid Decarboxylase Encephalitis | 42 | ||
| Clinical manifestations | 42 | ||
| Pediatric Psychogenic Nonepileptic Seizures | 53 | ||
| Key points | 53 | ||
| INTRODUCTION | 53 | ||
| Psychogenic Nonepileptic Seizures Risk Factors | 54 | ||
| Assessment and Diagnosis | 55 | ||
| Comorbidities | 56 | ||
| Treatment | 57 | ||
| SUMMARY | 59 | ||
| REFERENCES | 59 | ||
| A Review of the Prevention and Medical Management of Childhood Obesity | 63 | ||
| Key points | 63 | ||
| INTRODUCTION | 63 | ||
| DIAGNOSIS AND DEFINITIONS OF PEDIATRIC OVERWEIGHT AND OBESITY | 64 | ||
| PREVALENCE AND INCIDENCE OF PEDIATRIC OVERWEIGHT AND OBESITY IN THE UNITED STATES | 65 | ||
| PREVENTION OF OBESITY IN CHILDREN AND ADOLESCENTS | 65 | ||
| ASSESSMENT FOR COMORBIDITIES | 67 | ||
| STAGES OF TREATMENT OF OBESITY IN CHILDREN AND ADOLESCENTS | 70 | ||
| Stage 1: Prevention Plus | 71 | ||
| Stage 2: Structured Weight Management | 71 | ||
| Stage 3: Comprehensive Multidisciplinary Intervention | 71 | ||
| Stage 4: Tertiary Care Intervention | 72 | ||
| DISCUSSION | 74 | ||
| REFERENCES | 74 | ||
| Domestic Minor Sex Trafficking | 77 | ||
| Key points | 77 | ||
| DEFINITIONS | 77 | ||
| Commercial Sexual Exploitation of Children | 77 | ||
| Domestic Minor Sex Trafficking | 78 | ||
| Epidemiology | 78 | ||
| RISK | 78 | ||
| Normative Adolescent Psychosocial Development | 78 | ||
| Risk Factors | 79 | ||
| Individual-Level Factors | 79 | ||
| Relationship-Level Factors | 80 | ||
| Community-Level Factors | 81 | ||
| Societal-Level Factors | 81 | ||
| RECRUITMENT | 82 | ||
| Peer Networks | 82 | ||
| Social Media | 82 | ||
| Grooming | 82 | ||
| ENMESHMENT | 83 | ||
| Intimate Partner Violence | 83 | ||
| Trauma Bonding | 83 | ||
| Retrafficking | 83 | ||
| CONSEQUENCES OF INVOLVEMENT | 84 | ||
| BARRIERS TO CARE | 84 | ||
| IDENTIFICATION | 85 | ||
| Signs of Involvement in Domestic Minor Sex Trafficking | 85 | ||
| Screening Questions | 86 | ||
| INTERVENTIONS | 87 | ||
| Trauma-Focused Cognitive Behavioral Therapy | 87 | ||
| Education | 87 | ||
| Establishing a Medical Home | 88 | ||
| Multidisciplinary Approach | 88 | ||
| Community and National Programs | 89 | ||
| FUTURE DIRECTIONS | 89 | ||
| REFERENCES | 89 | ||
| Sports-Related Concussion | 93 | ||
| Key points | 93 | ||
| INTRODUCTION | 93 | ||
| DEFINITION | 94 | ||
| EPIDEMIOLOGY | 94 | ||
| PATHOPHYSIOLOGY: NEUROMETABOLIC CASCADE | 94 | ||
| DIAGNOSIS | 94 | ||
| RECOVERY | 95 | ||
| ADVANCED IMAGING | 96 | ||
| NEUROPSYCHOLOGICAL TESTING | 97 | ||
| MANAGEMENT | 98 | ||
| Acute Symptoms | 98 | ||
| Persistent Symptoms | 99 | ||
| PHARMACOTHERAPY | 101 | ||
| Supplements | 101 | ||
| General Approach: Symptom Clusters | 102 | ||
| HEADACHES OR SOMATIC SYMPTOMS | 102 | ||
| Analgesics | 102 | ||
| Amitriptyline | 102 | ||
| COGNITIVE SYMPTOMS | 102 | ||
| Amantadine | 102 | ||
| Methylphenidate | 103 | ||
| EMOTIONAL SYMPTOMS | 103 | ||
| Selective Serotonin Reuptake Inhibitors | 103 | ||
| SLEEP DISTURBANCE | 104 | ||
| Sleep Hygiene | 104 | ||
| Melatonin | 104 | ||
| PHARMACOTHERAPY: BOTTOM LINE | 104 | ||
| RETIREMENT FROM SPORTS | 104 | ||
| PREVENTION STRATEGIES | 104 | ||
| THE FUTURE | 104 | ||
| SUMMARY POINTS | 105 | ||
| REFERENCES | 105 | ||
| Everywhere and Nowhere | 109 | ||
| Key points | 109 | ||
| THEORIES AND MODELS OF GRIEF: STAGES VERSUS TASKS | 111 | ||
| DEFINITION OF TERMS | 112 | ||
| Bereavement | 112 | ||
| Mourning | 112 | ||
| Grief | 112 | ||
| Acute Grief | 112 | ||
| Integrated Grief | 112 | ||
| Uncomplicated Grief | 112 | ||
| GRIEF AND DEVELOPMENTAL STAGES | 114 | ||
| COMPLICATED GRIEF | 115 | ||
| ANTICIPATORY GRIEF/MOURNING | 115 | ||
| DISENFRANCHISED GRIEF | 118 | ||
| CHILDHOOD TRAUMATIC GRIEF | 118 | ||
| GRIEF IN SOMATIC SYMPTOM AND CONVERSION DISORDERS | 119 | ||
| TREATMENT INTERVENTIONS FOR GRIEF IN CHILDREN AND ADOLESCENTS | 119 | ||
| SUMMARY | 121 | ||
| REFERENCES | 123 | ||
| The Medical Transition from Pediatric to Adult-Oriented Care | 125 | ||
| Key points | 125 | ||
| BACKGROUND | 125 | ||
| BARRIERS | 126 | ||
| GUIDELINES AND RESOURCES | 127 | ||
| SPECIAL CONSIDERATIONS FOR CHILD PSYCHIATRISTS | 128 | ||
| Pro Tip 1: Do Not Assume Patients Are Following Up with Other Providers | 129 | ||
| Pro Tip 2: Try to Coordinate Transition Efforts with Patients’ Other Providers | 129 | ||
| Pro Tip 3: Aim to Have Transfer Occur During a Time of Stability | 130 | ||
| SUMMARY | 130 | ||
| REFERENCES | 130 |