Showing papers in "Child and Adolescent Psychiatric Clinics of North America in 2002"

TL;DR: Depressed youth who present with psychosis, psychomotor retardation, pharmacological induced hypomania/mania, and/or family history of bipolar disorder are at high risk to develop bipolar disorder.

TL;DR: The article commences with the difference in male perceptions of body image and dieting behaviors, and reviews subgroups of boys who are at higher risk for developing eating disorders.

TL;DR: Each of the six feeding disorders described presents with specific symptoms, has a different origin, and responds to different interventions, so it is important to establish an accurate diagnosis and use the appropriate intervention for the specific feeding disorder.

TL;DR: Children of parents who suffer from bipolar disorder are largely ignored by psychiatric services despite the fact that they constitute a population at very high risk for major depression and bipolar disorder in adulthood and a wide variety of disorders in childhood and adolescence.

TL;DR: Findings from the Oregon Adolescent Depression Project regarding full-syndrome and subthreshold bipolar disorder in adolescence and young adulthood showed significant continuity across developmental periods and was associated with adverse outcomes during young adulthood.

TL;DR: The fact that eating disorders emerge primarily during adolescence and often run a protracted course can deprive the afflicted individual of the core social, emotional, and biologic developmental processes that normally occur during this time of life.

TL;DR: It is argued that primary care offers underutilized potential for reaching out to youth and improving access to high-quality care for depression, and Collaborative models of service delivery seem to be promising.

TL;DR: In this article the authors have tried to outline some key treatment principles that should be carried throughout the entire program of recovery for adolescents with eating disorders: from medical evaluation, through inpatient stay, partial hospitalization, intensive outpatient program, and follow-up outpatient therapy.

TL;DR: In this article, the Maudsley approach for family treatment of adolescents with BN was described and the empirical evidence supporting its use in this population was presented, however, substantial data to support its being the best approach for adolescents with AN are lacking.

TL;DR: A case report of the single blind use of repetitive transcranial magnetic stimulation in a patient with BN has been reported, but its safe use in children and adolescents remains to be established.

TL;DR: Improved screening and treatment require better interagency collaboration, established standards of care, and continuing research on the mental health needs of youth in the juvenile justice system.

TL;DR: Clinical features reported regarding the atypical childhood-onset eating disorders generally concur, although empirical testing of these features has yet to be developed.

TL;DR: Many adolescents and children with bipolar disorder do not respond to any of the first-line pharmacologic treatments; therefore, studies with novel agents should be extended to patients in this age range and resultant drug-drug interactions also should be systematically studied.

TL;DR: Prevention strategies for suicidal behavior should incorporate methods to identify children and adolescents who suffer from major depressive, dysthymic, and bipolar disorders, and such strategies should identify children or adolescents who have a history of suicidal ideation and/or suicide attempts.

TL;DR: Children's rights do not seem to evolve--they respond to modern issues and concerns that are often fed by the media and resolved by politicians who serve adult constituencies.

TL;DR: After conducting an evaluation, it is usually possible to make recommendations regarding custody, parenting arrangements, and forms of counseling and therapy that should be helpful to the family members.

TL;DR: The history of bipolar disorder, beginning from its early history in ancient Greece through 1980, when diagnostic criteria for children were being considered, is reviewed.

TL;DR: The forensic evaluator needs to assess the validity of complaints, including the possibility of malingering and the child's ability to describe symptoms accurately, the connection between the symptoms and a given incident, and the potential long-term sequelae of a trauma.

TL;DR: Preliminary studies of adolescent and young adult twins suggest a significant correspondence between the genetic contributions to some regional brain volumes and early-onset mood disorders.

TL;DR: A group therapy approach that integrates art therapy, psychodrama, and verbal therapy offers an innovative alternative to traditional group therapy as mentioned in this paper, which is often not effective with this population, particularly in the acute stages of the diseases.

TL;DR: Clinician awareness is needed of the complex relationship between mood disorders and aggression to heighten clinician awareness of the multiple failures in life of aggressive, depressed children and adolescents.

TL;DR: What is known and what needs to be learned about the somatic treatment of pediatric depression are reviewed.

TL;DR: Treatment interventions that focus on achieving ideal body weight and use various family therapy approaches are most likely to be effective.

TL;DR: The detection of eating disorders in medical practice and their medical complications and the psychopharmacologic treatment of patients with eating disorders are covered.

TL;DR: Seven common elements relevant in developing and administering school-based mental health services, whether in an SBHC or ISBMHP, have been identified: funding, assessment and resources, program structure, staffing and training, partnership and collaboration, quality assurance, and evaluation.

TL;DR: Group interventions seem to be as effective as the more traditional individual therapy in the treatment of juvenile depression and parents may be critical to the success of interventions with depressed children and should be regarded as potentially important agents of change.

TL;DR: It is important for patients, families, and health care professionals to understand the health insurance issues that are involved in the treatment of eating disorders and learn strategies that may help to overcome the obstacles that these issues present.

TL;DR: The two cardinal principles for the clinician in avoiding and defending malpractice suits are to practice in accordance with his or her best clinical judgment and to document care, particularly in areas in which an unexpected adverse result may lead to a lawsuit.

TL;DR: It is concluded that there is no single cause or etiologic agent common to all sexual offenders, and sexual offending is likely caused by multiple causation and interactive factors.

TL;DR: New developments in psychiatry, including the use of the Internet for E-mail and telepsychiatry, require continuing vigilance by the profession so that ethical standards can evolve to cover new circumstances at the frontiers of psychiatric practice.