Clinical Child Psychiatry, 3rd Edition

Clinical Child Psychiatry, 3rd Edition

by William M. Klykylo, Jerald Kay

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Making a psychiatric diagnosis in children can be challenging: some clinicians say the incidence of some childhood disorders, such as bipolar disorder and ADHD, is over-diagnosed while others saying they are undiagnosed, undertreated, and are a large burden on society.  The drug treatment of child psychiatric disorders can also be controversial in children and


Making a psychiatric diagnosis in children can be challenging: some clinicians say the incidence of some childhood disorders, such as bipolar disorder and ADHD, is over-diagnosed while others saying they are undiagnosed, undertreated, and are a large burden on society.  The drug treatment of child psychiatric disorders can also be controversial in children and adolescents. This book fulfills the need for an objective, clinically relevant source to dispel this confusion.

Clinical Child Psychiatry is a textbook of current clinical practice in child and adolescent psychiatry. It is designed as a reference for clinicians that is both easily usable and authoritative, a “chairside” reference for the consultation room.

This book addresses a defined series of clinical entities that represent the bulk of current treatment modalities and disorders encountered in 21st century practice. It is authoritative in the areas addressed while at the same time being rapidly accessible in format. To facilitate access, it presents disorders in declining order of frequency. The authors believe that worthwhile clinical work must be informed by both evidence-based practice and by psychiatry’s traditional attention to internal and interpersonal dynamics. They are committed to an approach that is broadly biopsychosocial while based on current clinical evidence for a pragmatic, clinical focus.  The book is divided into four sections. The first, Fundamentals of Child and Adolescent Psychiatric Practice, addresses assessment, treatment modalities, and planning. Common Child and Adolescent Psychiatric Disorders and Developmental Disorders cover the diagnosis and treatment of the large majority of disease entities encountered in practice. The final section, Special Problems in Child and Adolescent Psychiatry, includes a variety of topics such as foster care and adoption, loss and grief, and forensics. The book also includes:

  • New evidence relating to the areas of depression, psychosis, trauma. 
  • New insights from genetics, genomics, and proteomics cleverly integrated into chapters on the individual disease with focus on their clinical application. 
  • New chapter on consultation and collaboration within systems of care

The book addresses a need for clinicians, many of whom are beginners, non-psychiatrists, or psychiatrists entering unfamiliar territory, to come up to speed rapidly in providing more than perfunctory service to needy populations. This challenge grows ever greater.

The book has a companion website with questions to facilitate learning.


Editorial Reviews

Doody's Review Service
Reviewer: Seleena M. Shrestha, MD (Rush University Medical Center)
Description: This concise, practical textbook on child and adolescent psychiatry is divided into four broad sections which cover not only commonly encountered psychiatric disorders, but also tries to cover most of the practical problems that the clinician or treatment team may face while caring for a child with mental illness. The chapters are illustrated with tables, charts, and several case vignettes for better conceptualization and include comprehensive references, which may be useful to get in-depth information on a certain topic.
Purpose: The book provides clinical information that is essential for any healthcare professional involved in the care of mentally ill children. The basic purpose is to equip readers with information on the assessment of children with mental illness; common psychiatric diagnoses; biological and psychosocial approaches to treatment; and practical approaches to deal with difficult situations that may arise during the course of treatment. It also provides relevant information on forensic aspects of child psychiatry.
Audience: It targets clinicians working with children with mental illness, including psychiatrists, pediatricians, and family practitioners. It also can be a very good resource for social workers and therapists working with children. There is no doubt that this book will be an informative resource for child psychiatry fellows, psychiatry, pediatrics, and family medicine residents, and medical students who may have an interest in this area.
Features: The four broad sections cover most of the important areas of child and adolescent psychiatry. The assessment chapters rightly focus on the importance of data collection, including a detailed developmental history during initial evaluation. It also provides illustrative data on major developmental milestones, which will be very helpful in clinical practice. The authors have attempted to simplify the explanation of psychological assessment by listing various tests that one should be familiar with in a tabular format. They provide illustrative diagrams and images to explain neurobiology, making a difficult topic easy to understand. All the chapters consist of case studies, which are practical and informative. In section II, the book discusses common disorders in an organized and concise fashion. Providing a brief history of each disorder, listing DSM IV-TR criteria, presenting the most recent data on incidence and prevalence as well as recent practice parameters seems to be characteristic of the whole book. Another helpful feature is the way the book provides practical explanations of differential diagnoses of various disorders, some in tables and some in text. It also provides references from the American Academy of Child & Adolescent Psychiatry's practice parameters, which is certainly a plus. Discussions of proposed DSM V criteria in some chapters are informative. Also included are good tables on FDA-approved psychotropics and intense literature reviews. Additional resources that can be very useful in clinical practice include online resources and several tables with comparisons between medications (viz., table consisting of psychostimulant medications with equivalent dosing). The book also discusses major studies relevant to child and adolescent psychiatry. However, it has very limited information on child and adolescent pediatric consultation-liaison psychiatry, which is a shortcoming.
Assessment: This introduction to important aspects of child and adolescent psychiatry presents systematic, evidence-based approaches to the diagnosis and treatment of mental illness in children. The practical approach, organization, and clarity make it easy to read. Although concise, the book has plenty of resources for further information. It provides the knowledge base for beginners and up-to-date, evidence-based information. The inclusion of current treatment protocols for most common disorders makes it a good book for quick reference. It provides some information regarding other areas, like psychological assessment and a few forms of psychotherapy as well, but it does not provide much information on psychopharmacology. The book seems to focus on a systems approach and on making clinicians aware of their responsibility for their patients' well-being. The book does provide adequate information on common child psychiatric disorders for day-to-day practice, but other comprehensive textbooks should be consulted for in-depth information.

Product Details

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What People are saying about this

From the Publisher
"This will be useful as a reference guide. For those entering the field, it is a good book to begin with…it is easy to read and the methods used to employ this information enhance the text." (Doody's Health Services)

Meet the Author

William M. Klykylo, M.D. is Professor and Director of the Division of Child and Adolescent Psychiatry at the Boonshoft School of Medicine of Wright State University in Dayton, Ohio. He attended the University of Michigan Medical School and trained in General and Child and Adolescent Psychiatry at the University of Cincinnati. He served at the Cincinnati Children’s Hospital Medical Center and as a residency training director at Cincinnati and Wright State for twenty-seven years. His academic interests include developmental disabilities, pervasive developmental disorders, medical education, ethics, and health care delivery systems.

Dr. Kay is a Fellow of the American College of Psychiatrists and Distinguished Life Fellow of the American Psychiatric Association and has served as the chair of the APA Committee on Medical Student Education, the Council on Medical Education and Career Development, the Vestermark Award Board, and the Committee on the Practice of Psychotherapy. He chairs the World Psychiatric Association Task Force on Undergraduate and Post Graduate Curriculum as well as the APA Committee on College Mental Health. Dr. Kay is the immediate past chair of the Psychiatry Residency Review Committee of the ACGME and the Founding Editor of the Journal of Psychotherapy Practice and Research and Associate Editor of the American Journal of Psychotherapy. He has published extensively on the topics of medical and psychiatric education, medical ethics, child psychiatry, psychoanalysis, psychotherapy, the neurobiology of psychotherapy, and psychosocial aspects of AIDS and of cardiac transplantation. Dr. Kay serves as the Associate Director of the Comprehensive Neuroscience Center at Wright State University. He received the 2001 APA Seymour Vestermark Award for contributions to psychiatric education.

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