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DSM-IV-TR Casebook and Treatment Guide for Child Mental Health

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In the United States, approximately 20% of children and adolescents have diagnosable mental health problems, with eleven percent significantly impaired. Sadly, most of these afflicted youth are not appropriately diagnosed and treated. For the editors of DSM-IV-TR® Casebook and Treatment Guide for Child Mental Health, this gap in services represents a crisis to which this outstanding volume is their powerful response. Working with an impressive team of contributors, the editors have created an indispensable reference and teaching tool for trainees, trainers, and clinicians of child and adolescent psychiatry, including social workers, psychiatrists, psychologists, and nurse clinicians.

The book's foundation is its thirty compelling and carefully narrated cases. Each case has three field leading commentators who describe how they conceptualize the case diagnostically and how they would approach treatment if the child presented to their practice. The book is organized into four parts: Classic Cases, where the diagnosis is fairly clear; Comorbid Complexity, where the diagnosis may be complicated by co-existing conditions; Toughest Cases, where the diagnosis is unclear or the patient has been unresponsive to treatment; and, finally, Kids in Crisis, where the patient's psychopathology exists in the context of extreme social stressors.

The volume offers an array of features that place it in a class by itself: • Editors' introduction at the beginning of each part introduces and contextualizes the information to come, providing a framework for understanding and building bridges to the other sections.• Three expert commentaries accompanying every case, simulating the experience of meeting with a panel of supervisors or -- depending on the reader's training level -- consultants who are among the best in the field. Thus, the case and commentary are a great starting point for clinicians considering how to approach assessment and treatment of patients in their practice.• The commentaries are cross-disciplinary and thus offer a diversity of approaches. The first is always written from a psychotherapeutic perspective, the second, from a psychopharmacological perspective, and the third is integrative, ranging across etiologic and therapeutic perspectives. These were written without reading the other commentaries resulting in a range of opinion that reflects the realities of clinical practice.• Chapters on research and clinical perspectives and diagnostic decision making focusing the clinician on developmental and cultural issues and explaining how a stronger, more nuanced understanding of clinical decision making leads to improved diagnosis and treatment.• Descriptions and comparisons of an abundance of screening tools and rating scales in the Appendix, along with information on acquiring them for use in a clinical setting.• A concise, research-based, and clinically pragmatic approach that child and adolescent psychiatrists studying for their board exams will find very useful.

Thoughtful, comprehensive, and reflective of the realities of clinical practice, the DSM-IV-TR® Casebook and Treatment Guide for Child Mental Health will be prized by trainees and clinicians alike.

American Psychiatric Publishing

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Editorial Reviews

Doody's Review Service
Reviewer: Christine J. Choe, MD (Rush University Medical Center)
Description: As the title indicates, this is a collection of cases in child and adolescent psychiatry with accompanying diagnostic formulations and treatment recommendations.
Purpose: The overall purpose of the book is to help clinicians address some of the diagnostic and treatment challenges in children and adolescents with psychiatric disorders. It is also intended to be useful in preparation for the child and adolescent psychiatry board exams. This is the most comprehensive collection of child and adolescent cases based on the DSM-IV-TR that I know of.
Audience: The intended audience is quite broad, from trainees to more experienced clinicians, in multiple disciplines. The level of expertise represented by the 90 contributing authors is outstanding. Readers have the opportunity to learn how leaders in the field might approach these cases.
Features: Each case contains three separate sets of formulations and recommendations: one written from a psychopharmacological perspective, another from a psychotherapeutic perspective, and an integrative formulation and treatment plan offered by the case writer. The 30 cases are divided into four sections focusing on classic cases, comorbidity, diagnostic and treatment dilemmas, and the effect of social stressors. Two concluding chapters detail the process of diagnostic and treatment decision-making. This book is excellent as a teaching tool because of the consistency of the format and the comprehensive, multidisciplinary approach. Each discussion demonstrates how the case might be approached rationally and is well integrated with scientific evidence and suggestions for how assessment tools might be used for each particular case. The discussions tend to be quite insightful and practical. What's fascinating are the frequent discrepancies in the conclusions reached by different contributing authors, which might be expected in any intelligent discussion among multiple clinicians approaching a case. The editors briefly address the discrepancies in introductions to each of the four major sections.
Assessment: This is a well-constructed, well-conceived book that appears to be successful as a teaching and learning tool for trainees and potentially more experienced clinicians. The case-based format is used particularly well to instruct readers on how to approach cases rationally and how to integrate assessment tools and scientific evidence into the process of decision-making. It also would be quite useful for child and adolescent psychiatrists preparing for the oral board exam as a way to practice and improve their skills in formulation and treatment planning.
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Product Details

  • ISBN-13: 9781585623105
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 4/23/2009
  • Edition description: New Edition
  • Pages: 744
  • Sales rank: 856,363
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.80 (d)

Meet the Author

Cathryn A. Galanter, M.D., is Assistant Professor of Clinical Psychiatry in the Division of Child and Adolescent Psychiatry at Columbia University/New York State Psychiatric Institute in New York, New York.

Peter S. Jensen, M.D., is President and Chief Executive Officer of the REACH Institute (Resource for Advancing Children's Health) in New York, New York.

American Psychiatric Publishing

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Table of Contents

Preface. Introduction: our conceptualization of the cases. Part I: Classic Cases. Introduction to classic cases. Trouble paying attention: attention-deficit/hyperactivity disorder. Trouble with transitions: does my child have autism? Living in her parents' shadow: separation anxiety disorder. Chatterbox at home: selective mutism. Everything bothers her: major depressive disorder. Excessively silly: bipolar disorder. Life of the party: chronic marijuana use. My mind is breaking: psychosis. She just won't eat a thing: anorexia nervosa. The blinker: tourette's disorder. She never falls asleep: disordered sleep in an adolescent. The world is a very dirty place: obsessive-compulsive disorder. Part II: Comorbid Complexity. Introduction to comorbid complexity. Stealing the car: disruptive behavior in an adolescent. Zero tolerance: threats to harm a teacher in elementary school. Anxious adolescent in the emergency room: possible abuse of prescription medications. The worried child: a child with multiple anxiety disorders. Affective storms: a careful assessment of rage attacks. Failing out of school: language and reading weaknesses. Functional abdominal pain in a child with inflammatory bowel disease. Part III: Toughest Cases: Diagnostic and Treatment Dilemmas. Introduction to toughest cases. Frequent tantrums: oppositional behavior in a young child. Toddler with temper tantrums: a careful assessment of a dysregulated toddler. Won't leave his room: clinical high risk for developing psychosis. I just want to die: double depression. Cutting helps me feel better: nonsuicidal self-injury. From foster care to the state hospital: psychotic symptoms in a child who is the victim of neglect. Part IV: Kids in Crisis Psychopathology in the Context of Social Stressors. Introduction to kids in crisis. Suicidal ideation after supervised visits with biological mom: depressed mood in a child in foster care. The legacy of war: irritability and anger in an adolescent refugee. Moody child: depressed in the context of parental divorce. It should have been me: childhood bereavement. Won't settle down: disinhibited attachment in a toddler. Part V: Diagnostic Decision Making. Diagnostic decision making. Research and clinical perspectives on diagnostic and treatment decision making: whence the future? Appendix: Screening tools and rating scales useful in the screening, assessment and monitoring of children and adolescents. Subject index. Index of cases by diagnosis.

American Psychiatric Publishing

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Sort by: Showing all of 8 Customer Reviews
  • Anonymous

    Posted August 19, 2010

    Title is wrong. This is NOT the DSM-IV-TR

    Check the Summary.

    7 out of 8 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted January 14, 2011

    This is not the DSM, but is instead case studies of children.

    This is not the actual DSM, but is instead a compilation of case studies of children.

    5 out of 5 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted January 31, 2011

    This is NOT DSM-IV-TR

    It was not what I expected I'm glad there was a sample download available before I purchased the book.

    4 out of 4 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted May 9, 2013


    You didn't look like it.. and srsly kendal is a guy name!

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted February 13, 2011

    No text was provided for this review.

  • Anonymous

    Posted October 27, 2010

    No text was provided for this review.

  • Anonymous

    Posted February 13, 2011

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  • Anonymous

    Posted February 10, 2011

    No text was provided for this review.

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