Description: Although a first edition, this book continues the work of Clinical Manual of Pediatric Psychosomatic Medicine: Mental Health Consultation with Physically Ill Children and Adolescents , by the same authors (American Psychiatric Publishing, 2006).
Purpose: The goal was to create a book that was of practical use, with chapters dedicated to each of the most common mental health consultation questions in the pediatric setting. The purpose is to help articulate the current evidence base for pediatric psychosomatic medicine and to establish the clinical and economic benefits of mental health intervention in the medical setting. This book fulfills its purpose with its compilation of a series of review papers focusing primarily on evidence-based work in the field in the most common clinical areas.
Audience: Physicians and therapists who work and collaborate with pediatric specialists in the care of children are the intended audience. This is an excellent reference for students, physicians, and therapists who have ever had any consultation and liaison experience. It targets the most common clinical areas in which psychiatrists and child psychiatrists are consulted on pediatric patients, namely patients with comorbid psychiatric and physical illnesses that complicate each other's management, patients with somatoform and functional disorders, and patients with psychiatric symptoms that are a direct consequence of a primary physical illness or its treatment.
Features: The four chapters in part 1 provide a general introduction to the specialty of pediatric psychosomatic medicine, a discussion of the areas of adaptation and coping, an exploration of assessment, and an examination of legal and forensic concerns. Part 2 covers the common psychiatric consultation requests in the inpatient and outpatient setting, including delirium, mood disorders, anxiety symptoms and disorders, somatoform disorders, pediatric pain, eating disorders, pediatric feeding disorders, Munchausen by proxy, and treatment adherence. Part 3 addresses the most common pediatric subspecialties, namely critical care, oncology, palliative care, sickle cell disease, gastrointestinal disorders, endocrine and metabolic disorders, respiratory illness, heart disease, organ transplantation, renal disease, rheumatology, infectious diseases, neurological diseases, and traumatic brain injury. The final section on treatment discusses evidence-based treatments of the physically ill child. In each section, the authors discuss epidemiology, clinical features, assessment, including DSM IV criteria, as well as treatment, including different types of therapies. Chapter 8 on somatoform disorders discusses risk factors for pediatric somatization, specifically somatization disorder, conversion disorder, hypochondriasis, and body dysmorphic disorder. This chapter discusses the epidemiology and clinical features, the DSM-IV criteria for each illness as well as how to make an assessment of these illnesses, instruments used, and, in the treatment section, how to educate the family, therapies, and psychopharmacological treatment. Because of the organization of this book, it is easy to read and understand as well as easy to find common clinical scenarios that any physician or therapist working in a pediatric setting, inpatient or outpatient, would find helpful in determining the diagnosis and treatment of specific illnesses.
Assessment: This is an excellent tool for physicians in primary care and psychiatry, residents, students, and therapists to use as a reference as well as standard textbook for treating pediatric patients.