Clinical Manual of Pediatric Psychosomatic Medicine: Mental by Richard J. Shaw

By Richard J. Shaw

The psychological health and wellbeing evaluation and therapy of children with actual signs and health problems usually pose certain and infrequently advanced demanding situations to clinicians. scientific guide of Pediatric Psychosomatic medication is the single entire textual content at the topic, describing an integrative method of behavioral illnesses in young ones and young people who're bodily ailing, have emotional disorder masquerading as actual ailment, and feature comorbid emotional and actual stipulations that complicate the administration of every. It brings jointly information about consultation-liaison or psychosomatic paintings with childrens right into a succinct advisor that offers the practitioner with pragmatic methods of organizing the most important concerns that come up in psychiatric session with bodily ailing kids, and it incorporates a set of exact templates to aid consultant scientific evaluation and administration. The authors provide a realistic approach to psychological healthiness session within the scientific environment and canopy issues no longer integrated in normal baby psychiatry and psychology texts, similar to therapy adherence and organ transplantation. evaluation chapters contain a hands-on method of the session strategy and pragmatic evaluate guidance. Succeeding chapters then deal with particular scientific occasions, from delirium and temper issues to organ transplantation and melanoma. extra chapters contemplate concerns relating to therapy and intervention: either person and family members psychotherapy, together with coping thoughts for relations; psychopharmacology; and strategies reminiscent of clinical hypnosis to assist teenagers arrange for tactics. one of the book's different important beneficial properties are: -Templates with particular questions for either common psychiatric evaluate and particular matters, comparable to pre-transplant review, therapy adherence, and somatoform problems -Intensive insurance of pediatric ache evaluation and administration, together with using adjunctive psychiatric medicinal drugs to regard youngsters with power discomfort -Unique issues adapted to every subject, corresponding to nervousness signs relating to particular actual stipulations and end-of-life innovations for melanoma sufferers -Consideration of felony and forensic matters, together with consent, confidentiality, and overview for parenting capability -An abundance of quick-reference tablesAincluding psychopharmacological brokers utilized in a variety of stipulations, with symptoms, doses, and facet effectsAand movement charts describing step by step techniques to discomfort and somatoform issues This functional guide comes in handy to a variety of execs who paintings with youngsters and kids in scientific settings. and since psychosomatic medication has lately acquired subspecialty prestige with the yankee Board of Psychiatry and Neurology, it bargains a superb source for board examinations.

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Edited by Adams FH, Emmanouilides GC, Riemenschneider TA. Baltimore, MD, Williams & Wilkins, 1989, pp 984–991 Fishman B, Cook E, Hammock S, et al: Familial transmission of fear: effects of maternal anxiety and presence on children’s response to dental treatment. Paper presented at the Florida Conference on Child Health Psychology, Gainesville, FL, April 1989 Folkman S, Lazarus RS: The relationship between coping and emotion: implications for theory and research. Soc Sci Med 26:309–317, 1988 Gil KM, Williams DA, Thompson RJ, et al: Sickle cell disease in children and adolescents: the relation of child and parent pain coping strategies to adjustment.

What has been the impact of the illness on the healthy siblings? , absence at important events and functions)? Has there been an inequitable distribution of parental and financial resources? The Pediatric Consultation Psychiatry Assessment 45 Table 3–2. Protocol for the psychiatric assessment of the physically ill child (continued) 2. What have been the emotional reactions of the healthy siblings? , physical appearance, stigma of illness) What is the impact of the illness on social and peer relationships?

However, children with chronic physical illnesses have an increased risk of subthreshold or subclinical mental health problems. The rate of emotional disorders in children younger than age 18 with medical illnesses has been found to be approximately 25%, as compared with 18%–20% in medically healthy children (Wallander and Thompson 1995). Moreover, research suggests that children with chronic physical illness primarily have internalizing syndromes (Thompson et al. 1990). In addition, research suggests that psychiatric problems, when they are present in chronically ill children, persist over time; one study found that nearly two-thirds of children with chronic 24 Clinical Manual of Pediatric Psychosomatic Medicine physical illnesses who had been classified as “severely psychiatrically impaired” were still impaired 5 years later (Breslau and Marshall 1985).

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