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Practical Child and Adolescent Psychiatry for Pediatrics and Primary Care


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Table of Contents

Section I: Getting Ready; 1. How to Use This Book; 2. Setting Up Your Office; Section II: Approach to Common Chief Complaints; 3. Irritable or Out-of-Control Behavior; 4. Fatigue or Changes in Appetite; 5. School Refusal; 6. Recurrent Mild Medical Complaints; 7. Speech Problems or Refusing to Speak; 8. Sudden Personality Change or Confusion; 9. Excessive Worries; Section III: Psychiatric Diagnoses; 10. Adjustment Disorder; 11. Anxiety Disorders; 12. Attention Deficit Hyperactivity Disorder; 13. Autism and Pervasive Development Disorders; 14. Delirium; 15. Disruptive Behavior Disorders; 16. Eating Disorders; 17. Learning Disorders; 18. Mental Retardation; 19. Mood Disorders; 20. Psychotic Disorders; 21. Somatoform and Factitious Disorders; 22. Substance Use Disorders; Section IV: Toolbox of Interventions; Pharmacological Interventions; 23. Alpha Adrenergic Agonists; 24. Antidepressants; 25. Atypical Antipsychotics; 26. Benzodiazepines; 27. Mood Stabilizers; 28. Stimulants and Related ADHD Medications; Psychotherapeutic and Psychosocial Interventions; 29. Planning for Psychotherapeutic Interventions; 30. Planning for Psychosocial Interventions; Appendices; A. Comprehensive Psychiatric Evaluation; B. Suicide and Risk Assessment; C. Concise Overview of Pertinent DSM-IV-TR Diagnoses; D. Commonly Used DSM-IV-TR Diagnostic Codes; E. Suggested Rating Scales; F. References and Sources for Additional Information.


"It is increasingly clear that the majority of psychiatric problems will be treated in primary care or pediatric practice. This marvelous volume...addresses the growing need to have straightforward practical solution-focused actions that pediatricians and others in primary care practice with children can adopt to deal effectively with common mental health problems in children." William R. Beardslee, MD, Children's Hospital Boston, Boston, MA "This text is likely to become part of the essential library for the primary care office." Joseph F. Hagan, MD, FAAP, University of Vermont College of Medicine, Burlington, VT "An innovative volume that goes well beyond simply providing practical pointers for managing common child and adolescent mental health presentations in primary care settings. Their book is in fact an overarching algorithm that will help non-specialists move out of their erstwhile comfort zones and squarely into the psychiatric domain." Andres Martin, MD, MPH, Yale Child Study Center, New Haven, CT" "While the primary care practitioner may not have chosen to sub-specialize in child psychiatry, many child and adolescent patients will present in primary care settings with mental health concerns. ... This extremely user-friendly handbook... provides a very well organized and easy-to-follow guide through the process of evaluating, diagnosing, and treating pediatric mental health concerns in a primary care setting. The balanced focus on safety and timely referrals to psychiatrists and other mental health professionals when needed is appropriate. With this handbook on their bookshelves, primary care practitioners will be much better equipped to meet the growing needs of children with mental health concerns. ... The first section of the volume provides guidance on how to use the book. The second section focuses on common chief complaints of patients' presenting to a pediatrician, such as irritability, school refusal, excessive worrying, and refusing to speak. - The authors [ - ] guide the reader through a thoughtful differential diagnosis of each chief complaint using bulleted points and assessment algorithms. - The third section of the handbook consists of thirteen chapters covering psychiatric diagnoses ranging from adjustment disorders and autism to psychotic disorders and substance use disorders. The beginning of each chapter provides a brief introduction to the broad diagnostic category, and an assessment algorithm quickly follows." Stephanie Vetere Sims, MD in the Journal of Psychiatric Practice, Vol. 16, No. 2, 2010

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