By Dorothy Stubbe
Written by means of the educational director of Yale baby examine Center's world-renowned psychiatry application, this sensible instruction manual is a short, concise consultant for pros at the entrance traces of kid and adolescent psychological healthiness care. utilizing the conversational variety and medical vignettes present in all "Practical courses in Psychiatry" titles, Dr. Stubbe takes clinicians via each one step of the psychiatric care technique, supplying crucial quickly evidence and powerful sufferer care thoughts. Sections disguise psychiatric evaluate; issues visible in babies, youngsters, and young people; therapy modalities and remedy making plans; and specified situations together with psychiatric emergencies, baby forget and abuse, and family members concerns. Easy-to-use appendices comprise score scales and source information."The useful publications in Psychiatry" sequence offers quickly, concise details for pros at the entrance traces of psychological future health care. Written in an easy-to-read, conversational variety, those useful assets take you thru each one step of the psychiatric care strategy, supplying quickly proof and valuable thoughts that assist you supply powerful and compassionate care for your patients.
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Standard therapies are used for psychiatric comorbidities, with the careful and judicious use of medication, as appropriate. In-home behavioral services and respite care opportunities may also be indicated. It is important that the services are well coordinated and that there is good multidisciplinary collaboration in the care of children with complex and multiple disabilities. qxd 40 8/11/06 6:31 PM Page 40 Section II / AXIS I DISORDERS Prognosis is variable, depending on the type and severity of the mental retardation.
There are a few mental retardation symptoms that are associated with specific genetic syndromes and place a child at high risk of specific psychiatric disorders. Individuals with: Down syndrome are at higher risk for developing Alzheimer-type dementia; fragile X syndrome are at increased risk for ADHD and social phobia; Prader-Willi syndrome frequently demonstrate hyperphagia and obsessive and compulsive symptoms; William’s syndrome have high risk for anxiety disorders and ADHD. 2. Etiology of Mental Retardation Type Description Hereditary Familial or sporadic chromosomal aberrations Early alterations (embryonic development) Prenatal damage due to infection, toxins, and substance abuse, or etiology unknown Pregnancy, perinatal problems Fetal malnutrition, prematurity, hypoxia, viral and other infections, and trauma Medical conditions of infancy Infections (esp.
TIP Many parents ask if their child will “grow out of” the difficulties or express concerns that if they start medications their child will require medications for his or her lifetime. I take the tact that we cannot predict the future, but we do know that developmental scars may remain when a child does not receive the help he or she requires academically, socially, emotionally, or behaviorally. qxd 32 8/11/06 6:30 PM Page 32 Section I / GENERAL PRINCIPLES OF DEVELOPMENT long-term treatment for these issues, but it is crucial that they be addressed and taken seriously to allow the child to develop as optimally as possible.