Child Psychiatric Treatment

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Child and Adolescent Behavioral Health

Author : Edilma L. Yearwood
Publisher : John Wiley & Sons
ISBN 13 : 1119487560
Total Pages : 611 pages
Book Rating : 4.1/5 (194 download)

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Book Synopsis Child and Adolescent Behavioral Health by : Edilma L. Yearwood

Download or read book Child and Adolescent Behavioral Health written by Edilma L. Yearwood and published by John Wiley & Sons. This book was released on 2021-03-09 with total page 611 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research has shown that a range of adult psychiatric disorders and mental health problems originate at an early age, yet the psychiatric symptoms of an increasing number of children and adolescents are going unrecognized and untreated—there are simply not enough child psychiatric providers to meet this steadily rising demand. It is vital that advanced practice registered nurses (APRNs) and primary care practitioners take active roles in assessing behavioral health presentations and work collaboratively with families and other healthcare professionals to ensure that all children and adolescents receive appropriate treatment. Child and Adolescent Behavioral Health helps APRNs address the mental health needs of this vulnerable population, providing practical guidance on assessment guidelines, intervention and treatment strategies, indications for consultation, collaboration, referral, and more. Now in its second edition, this comprehensive and timely resource has been fully updated to include DSM-5 criteria and the latest guidance on assessing, diagnosing, and treating the most common behavioral health issues facing young people. New and expanded chapters cover topics including eating disorders, bullying and victimization, LGBTQ identity issues, and conducting research with high-risk children and adolescents. Edited and written by a team of accomplished child psychiatric and primary care practitioners, this authoritative volume: Provides state-of-the-art knowledge about specific psychiatric and behavioral health issues in multiple care settings Reviews the clinical manifestation and etiology of behavioral disorders, risk and management issues, and implications for practice, research, and education Offers approaches for interviewing children and adolescents, and strategies for integrating physical and psychiatric screening Discusses special topics such as legal and ethical issues, cultural influences, the needs of immigrant children, and child and adolescent mental health policy Features a new companion website containing clinical case studies to apply concepts from the chapters Designed to specifically address the issues faced by APRNs, Child and Adolescent Behavioral Health is essential reading for nurse practitioners and clinical nurse specialists, particularly those working in family, pediatric, community health, psychiatric, and mental health settings. *Second Place in the Child Health Category, 2021 American Journal of Nursing Book of the Year Awards*

Child and Adolescent Behavioral Health

Author : Edilma L. Yearwood
Publisher : John Wiley & Sons
ISBN 13 : 0813807867
Total Pages : 593 pages
Book Rating : 4.8/5 (138 download)

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Book Synopsis Child and Adolescent Behavioral Health by : Edilma L. Yearwood

Download or read book Child and Adolescent Behavioral Health written by Edilma L. Yearwood and published by John Wiley & Sons. This book was released on 2012-04-24 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: As an increasing number of children and adolescents with psychiatric symptoms go unrecognized in our current healthcare system, the ability to identify and treat these issues in multiple healthcare settings has become vitally important. With access to primary care providers increasing and a shortage of child psychiatric providers, collaboration between psychiatric, pediatric and family advanced practice nurses is essential to improving care for this vulnerable population. Child and Adolescent Behavioral Health provides a practical reference to aid in this endeavour. Written and reviewed by over 70 nurse experts, it is a must-have reference for all practitioners caring for children and adolescents.

Dulcan's Textbook of Child and Adolescent Psychiatry, Third Edition

Author : Mina K. Dulcan, M.D.
Publisher : American Psychiatric Pub
ISBN 13 : 1615373276
Total Pages : 1190 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Dulcan's Textbook of Child and Adolescent Psychiatry, Third Edition by : Mina K. Dulcan, M.D.

Download or read book Dulcan's Textbook of Child and Adolescent Psychiatry, Third Edition written by Mina K. Dulcan, M.D. and published by American Psychiatric Pub. This book was released on 2021-10-18 with total page 1190 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Dulcan's Textbook of Child and Adolescent Psychiatry provides in-depth, DSM-5-aligned evidence-based clinical guidance in such areas as neurodevelopmental and other psychiatric disorders; psychosocial treatments; pediatric psychopharmacology; and special topics, including cultural considerations, youth suicide, legal and ethical issues, and gender and sexual diversity. This third edition includes expanded information on telehealth, e-mental health, and pediatric consultation-liaison psychiatry"--

Day Treatment for Children with Emotional Disorders

Author : G.K. Farley
Publisher : Springer Science & Business Media
ISBN 13 : 1461567963
Total Pages : 242 pages
Book Rating : 4.4/5 (615 download)

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Book Synopsis Day Treatment for Children with Emotional Disorders by : G.K. Farley

Download or read book Day Treatment for Children with Emotional Disorders written by G.K. Farley and published by Springer Science & Business Media. This book was released on 2013-11-11 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: The life span of day treatment for children in the United States is relatively short, covering a period of about 50 years. Although the first 20 years saw little growth in the number of centers operating around the country, the concept of day treatment was recognized by the Joint Commission on Mental Illness and Health in 1961 as the most significant treatment innovation of this century. Enthusiasm for this treatment modality gained impetus from growing dissatisfaction among many mental health care providers who had no choice but to place children in a highly restrictive hospital environment. Day treat ment did not carry the stigma associated with inpatient placement. The children could now remain with their own families and within their own communities. The parents could be actively included in their child's treatment. This new modality avoided the short- and long-term negative effects of institutionalization, and there was a fa vorable cost discrepancy between day and inpatient mental health services. In more recent years, there has been growing evidence of the efficacy of day treatment as an intensive therapeutic environment for children and their parents. Despite these advantages, day treatment has continued to be underutilized in favor of inpatient treatment by both the psychiatric community and third-party payers. Only recently is it being acknowledged by some insurers as a therapeutically sound and financially advantageous alternative to inpatient services. Conse quently, it is showing signs of intense growth nationally.

DSM-5® Casebook and Treatment Guide for Child Mental Health

Author : Cathryn A. Galanter, M.D.
Publisher : American Psychiatric Pub
ISBN 13 : 158562490X
Total Pages : 454 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis DSM-5® Casebook and Treatment Guide for Child Mental Health by : Cathryn A. Galanter, M.D.

Download or read book DSM-5® Casebook and Treatment Guide for Child Mental Health written by Cathryn A. Galanter, M.D. and published by American Psychiatric Pub. This book was released on 2016-06-21 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: DSM-5® Casebook and Treatment Guide for Child Mental Health updates the previous companion to DSM-IV-TR with new cases and advances from DSM-5 and evidence-based assessment and treatment in child and adolescent mental health. The book presents 29 cases written by experts in the field to provide readers with realistic examples of the types of patients that clinicians encounter in practice. Each case is accompanied by two commentaries from leading clinicians (including child and adolescent psychiatrists, psychologists, social workers, developmental behavioral pediatricians and nurses), who provide their perspective on diagnostic formulation and treatment recommendations, focusing either on psychotherapy or psychopharmacology. Experts draw from a combination of evidence-based assessment and interventions, biopsychosocial approaches, a systems perspective, and commonsense thinking. Thus each chapter provides an opportunity to see how field leaders would approach the diagnosis and treatment of a child or adolescent. The collaboration among the case authors and commentators yields an approach that is flexible and expansive enough to be of help to clinicians of varied disciplines working in child and adolescent mental health. Down-to-earth and engaging, DSM-5® Casebook and Treatment Guide for Child Mental Health is a rich repository of clinical wisdom that seasoned practitioners, clinicians early in training, and child and adolescent psychiatrists studying for their board exams will find extremely useful.

Personalized Psychiatry

Author : Bernhard Baune
Publisher : Academic Press
ISBN 13 : 0128131772
Total Pages : 604 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Personalized Psychiatry by : Bernhard Baune

Download or read book Personalized Psychiatry written by Bernhard Baune and published by Academic Press. This book was released on 2019-10-16 with total page 604 pages. Available in PDF, EPUB and Kindle. Book excerpt: Personalized Psychiatry presents the first book to explore this novel field of biological psychiatry that covers both basic science research and its translational applications. The book conceptualizes personalized psychiatry and provides state-of-the-art knowledge on biological and neuroscience methodologies, all while integrating clinical phenomenology relevant to personalized psychiatry and discussing important principles and potential models. It is essential reading for advanced students and neuroscience and psychiatry researchers who are investigating the prevention and treatment of mental disorders. Combines neurobiology with basic science methodologies in genomics, epigenomics and transcriptomics Demonstrates how the statistical modeling of interacting biological and clinical information could transform the future of psychiatry Addresses fundamental questions and requirements for personalized psychiatry from a basic research and translational perspective

IICAPS

Author : Joseph L. Woolston
Publisher : Yale University Press
ISBN 13 : 9780300112498
Total Pages : 198 pages
Book Rating : 4.1/5 (124 download)

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Book Synopsis IICAPS by : Joseph L. Woolston

Download or read book IICAPS written by Joseph L. Woolston and published by Yale University Press. This book was released on 2007-01-01 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a model of mental health treatment for children with serious psychiatric illnesses. The IICAPS (Intensive In-Home Child and Adolescent Psychiatric Services) program, initially implemented by the authors in 1996, offers an alternative treatment paradigm for families. Adopted at thirteen sites across Connecticut, IICAPS has proven effective in reducing the need for inpatient and other institutional-based services. Intended for health providers and planners, this book addresses the service system issues that confront child and adolescent mental health providers today. The authors fully explain and outline the IICAPS treatment approach. They conclude with a discussion of some of the unresolved challenges related to home-based care for children with serious psychiatric disorders.

Diagnosing and Treating Children and Adolescents

Author : Brandé Flamez
Publisher : John Wiley & Sons
ISBN 13 : 1118917928
Total Pages : 547 pages
Book Rating : 4.1/5 (189 download)

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Book Synopsis Diagnosing and Treating Children and Adolescents by : Brandé Flamez

Download or read book Diagnosing and Treating Children and Adolescents written by Brandé Flamez and published by John Wiley & Sons. This book was released on 2015-10-05 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide to treating mental health issues in children and adolescents Diagnosis and Treatment of Children and Adolescents: A Guide for Mental Health Professionals is a resource tailored to the particular needs of current and future counselors, behavioral healthcare clinicians, and other helping professionals working with this vulnerable population. With in-depth content broken into two sections, this book first provides a foundation in the diagnostic process by covering the underlying principles of diagnosis and treatment planning, and then applies this framework to the DSM-5 categories related to children and adolescents. With research continually reshaping our understanding of mental health, it is critical mental health professionals make decisions based on evidence-based pathways that include the specialized research around children and adolescents. The leading experts who contributed to this book share contemporary perspectives on developmental considerations, assessment information, presenting symptoms, comorbidity, levels of severity, prevalence data, and other relevant factors. Structured content of chapters provides a crosswalk between the DSM-5 and this book Updated content based upon the changes, additions, and revisions to the DSM-5 that affect diagnosis, assessment, and treatment Pedagogical features, such as learning objectives, case studies, guided practice exercises, and additional resources, to support effective learning Diagnosis and Treatment of Children and Adolescents: A Guide for Clinical and School Settings is a critical resource for mental health practitioners and graduate students working toward a career in a mental health profession.

Helping Kids in Crisis

Author : Fadi Haddad
Publisher : American Psychiatric Pub
ISBN 13 : 1585625477
Total Pages : 230 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Helping Kids in Crisis by : Fadi Haddad

Download or read book Helping Kids in Crisis written by Fadi Haddad and published by American Psychiatric Pub. This book was released on 2015-04-01 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides expert guidance to practitioners responding to high-stakes situations, such as children considering or attempting suicide, cutting or injuring themselves purposely, and becoming aggressive or violently destructive. Children experiencing behavioral crises frequently reach critical states in venues that were not designed to respond to or support them -- in school, for example, or at home among their highly stressed and confused families. Professionals who provide services to these children must be able to quickly determine threats to safety and initiate interventions to deescalate behaviors, often with limited resources. The editors and authors have extensive experience at one of the busiest and best regional referral centers for children with psychiatric emergencies, and have deftly translated their expertise into this symptom-based guide to help non-psychiatric clinicians more effectively and compassionately care for this challenging population. The book is designed for ease of use and its structure and features are helpful and supportive: The book is written for practitioners in hospital or community-based settings, including physicians in training, pediatricians who work in office-based or emergency settings, psychologists, social workers, school psychologists, guidance counselors, and school nurses -- professionals for whom child psychiatric resources are few. Clear risk and diagnostic assessment tools allow clinicians working in settings without access to child mental health professionals to think like trained emergency room child psychiatrists--from evaluation to treatment. The content is symptom-focused, enabling readers to swiftly identify the appropriate chapter, with decision trees and easy-to-read tables to use for quick de-escalation and risk assessment. A guide to navigating the educational system, child welfare system, and other systems of care helps clinicians to identify and overcome systems-level barriers to obtain necessary treatment for their patients. Finally, the book provides an extensive review of successful models of emergency psychiatric care from across the country to assist clinicians and hospital administrators in program design. An abundance of case examples of common emergency symptoms or behaviors provides professionals with critical, concrete tools for diagnostic evaluation, risk assessment, decision making, de-escalation, and safety planning. Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a vital resource for clinicians facing high-risk challenges on the front lines to help them intervene effectively, relieve suffering, and keep their young patients safe.

The Handbook of Child and Adolescent Systems of Care

Author : Andres J. Pumariega
Publisher : John Wiley & Sons
ISBN 13 : 0787962392
Total Pages : 582 pages
Book Rating : 4.7/5 (879 download)

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Book Synopsis The Handbook of Child and Adolescent Systems of Care by : Andres J. Pumariega

Download or read book The Handbook of Child and Adolescent Systems of Care written by Andres J. Pumariega and published by John Wiley & Sons. This book was released on 2003-02-17 with total page 582 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Child and Adolescent Systems of Care is a groundbreaking volume that presents the latest thinking in the field of child and adolescent psychiatry written by a stellar panel of child and adolescent psychiatrists. The Handbook shows that the best way to help at-risk children is not in isolated doctor and patient treatment rooms but with community-based systems of care (SOC) that incorporate an interagency integration of services based on a client-centered and family empowering orientation. This important resource offers psychiatrists, psychologists, social workers, counselors, pediatricians, nurses, educators, lawyers and judges, politicians, child advocates, parents, and families a guide to this dynamic new theory and practice. Comprehensive in scope, The Handbook of Child and Adolescent Systems of Care includes vital information on a wide variety of topics including Developmental and cognitive psychology in systems of care (SOCs) Social sciences, neurobiology, and prevention in SOC The best way to use psychopharmacology Family- and community-based interventions Culturally diverse populations Youth in juvenile justice and child welfare, school-based services Partnerships among parents, consumers, and clinicians

Designing Mental Health Services for Children and Adolescents

Author : J. Gerald Young
Publisher : Taylor & Francis
ISBN 13 : 1134940459
Total Pages : 502 pages
Book Rating : 4.1/5 (349 download)

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Book Synopsis Designing Mental Health Services for Children and Adolescents by : J. Gerald Young

Download or read book Designing Mental Health Services for Children and Adolescents written by J. Gerald Young and published by Taylor & Francis. This book was released on 2013-03-07 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: An exceptional opportunity is being missed. A chance to alleviate suffering and to achieve health care cost reductions for society is available, but is being ignored. There is an explosion of new knowledge about the emotional and intellectual development of children, and the causes and treatment of psychiatric disorders of children and adolescents. Research from diverse disciplines such as the developmental neurosciences, psychoanalysis, psychopharmacology, developmental psychology, and genetics propels us forward,. However, the effects of this new knowledge reach children and adolscents slowly, or not at all. The long history of neglect of the mental health of children and adolescents is now exaggurated by sudden, disruptive economic and political influences on mental health services for children and adolescents in most countries. Prevention and treatment of emotional and intellectual problems in childhood and adolescence have vastly improved, but utilization of these advantages lags behind. This disappointing incongruity stimulates a need to document our knowledge about these services and systems and to make it more broadly available. This is the primary aim of this new volume by a team of distinguished contributors. It reviews the causes and prevalences of psychiatric disorders in children and adolescents, the problem of health care financing for these services, the underutilization of these services, our current understanding of the outcomes of treatment, and the new models for both treatment and prevention. The book also provides a survey of current mental health services and sytems for children and adolescents in countries across the world. Information drawn from these multiple perspectives is has been used by a group of international experts to develop the Venice Declaration, providing specific guidelines for families, clinicians, administrators, and policy-makers who are concerned with the development of children and adolescents, and are committed to a more efficient economic approach to mental health services.

Pediatric Integrated Care, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book

Author : Tami D. Benton
Publisher : Elsevier Health Sciences
ISBN 13 : 0323546579
Total Pages : pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Pediatric Integrated Care, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book by : Tami D. Benton

Download or read book Pediatric Integrated Care, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book written by Tami D. Benton and published by Elsevier Health Sciences. This book was released on 2017-09-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Child and Adolescent Psychiatric Clinics of North America, edited by Drs. Gregory Fritz, Tami Benton, and Gary Maslow, will focus on issues surrounding Integrated Care in child and adolescent psychiatry. Topics covered in these articles will include: Telephonic Service and Telemedicine; the Massachusetts Access Program; Integrated Care Model for Adolescent Substance Use; Combined Training for Pediatrics and Psychiatry; Integrated care within a rural setting; Interdisciplinary Training for Integrated Care; Emergency Department Interventions; Economic Considerations for Integrated Care; A Lifespan Approach to Integrated Care; and Essential Elements of a Collaborative Mental Health Training Program for Primary Care, among others.

Clinical Child Psychiatry

Author : William M. Klykylo
Publisher : John Wiley & Sons
ISBN 13 : 0470022108
Total Pages : 587 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis Clinical Child Psychiatry by : William M. Klykylo

Download or read book Clinical Child Psychiatry written by William M. Klykylo and published by John Wiley & Sons. This book was released on 2006-01-04 with total page 587 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Child Psychiatry, Second Edition is the successor of the successful textbook edited by Drs Klykylo and Kay in 1998. This book comprises a textbook of current clinical practice in child and adolescent psychiatry. It is midway in size between the small handbooks that provide mainly a list of disorders and treatments, and the large, often multi-volume texts that are comprehensive but not easily accessible.

Electroconvulsive Therapy in Children and Adolescents

Author : Neera Ghaziuddin
Publisher : Oxford University Press
ISBN 13 : 0199937893
Total Pages : 311 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Electroconvulsive Therapy in Children and Adolescents by : Neera Ghaziuddin

Download or read book Electroconvulsive Therapy in Children and Adolescents written by Neera Ghaziuddin and published by Oxford University Press. This book was released on 2013-12 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a pioneering book about the use of ECT in adolescents who are diagnosed with severe, disabling psychiatric disorders or fail conventional treatment. Included are a review of the literature, firsthand experience of the authors and case descriptions making it an invaluable guide to treatment.

Disease Control Priorities, Third Edition (Volume 4)

Author : Vikram Patel
Publisher : World Bank Publications
ISBN 13 : 1464804281
Total Pages : 307 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Disease Control Priorities, Third Edition (Volume 4) by : Vikram Patel

Download or read book Disease Control Priorities, Third Edition (Volume 4) written by Vikram Patel and published by World Bank Publications. This book was released on 2016-03-10 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental, neurological, and substance use disorders are common, highly disabling, and associated with significant premature mortality. The impact of these disorders on the social and economic well-being of individuals, families, and societies is large, growing, and underestimated. Despite this burden, these disorders have been systematically neglected, particularly in low- and middle-income countries, with pitifully small contributions to scaling up cost-effective prevention and treatment strategies. Systematically compiling the substantial existing knowledge to address this inequity is the central goal of this volume. This evidence-base can help policy makers in resource-constrained settings as they prioritize programs and interventions to address these disorders.

Pharmacotherapy for Child and Adolescent Psychiatric Disorders

Author : David Rosenberg
Publisher : CRC Press
ISBN 13 : 0824743857
Total Pages : 713 pages
Book Rating : 4.8/5 (247 download)

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Book Synopsis Pharmacotherapy for Child and Adolescent Psychiatric Disorders by : David Rosenberg

Download or read book Pharmacotherapy for Child and Adolescent Psychiatric Disorders written by David Rosenberg and published by CRC Press. This book was released on 2002-08-27 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Second Edition of Pharmacotherapy for Child and Adolescent Psychiatric Disorders contains new and expanded chapters on combination therapy pharmacoepidemiology pharmacoeconomics current social, ethical, and legal issues surrounding the administration of psychostimulants and antidepressants to children and teenagers serotonin reuptake inhibitors and discusses techniques to select the most appropriate drug and dosing schedule methods to adjust safely and tailor medical treatments for children during various stages of growth and development the effect of psychoactive drugs on cardiac function Offering nearly 3000 contemporary references to facilitate further research, Pharmacotherapy for Child and Adolescent Psychiatric Disorders, Second Edition is a timely and authoritative guide suitable for psychiatrists, psychologists, pediatricians, pharmaceutical and behavioral scientists, clinical neurologists, primary care physicians, social workers, and graduate and medical school students in these disciplines.

Co-occurring Medical Illnesses in Child and Adolescent Psychiatry: Updates and Treatment Considerations, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book

Download Co-occurring Medical Illnesses in Child and Adolescent Psychiatry: Updates and Treatment Considerations, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book PDF Online Free

Author : Matthew D. Willis
Publisher : Elsevier Health Sciences
ISBN 13 : 0323581870
Total Pages : pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Co-occurring Medical Illnesses in Child and Adolescent Psychiatry: Updates and Treatment Considerations, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book by : Matthew D. Willis

Download or read book Co-occurring Medical Illnesses in Child and Adolescent Psychiatry: Updates and Treatment Considerations, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book written by Matthew D. Willis and published by Elsevier Health Sciences. This book was released on 2017-11-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Child and Adolescent Psychiatric Clinics, edited by Dr. Matthew Willis, will cover management of Pediatric Medical Illnesses with a focus on clinical updates and treatment considerations for the child and adolescent psychiatrist Topics covered in the issue include, but are not limited to: Eating Disorders; Obesity and Insulin Resistance; Transitioning from Pediatric to Adult Care in Young Adults with Medical Issues; Concussive syndrome: Acute Management and Chronic Post-Concussive Issues; Functional Abdominal Pain; Nonepileptic Seizures in Pediatric Patients: Diagnosis and Comorbidites; Domestic Minor Sex Trafficking (DMST); and Grief as an etiological factor in pediatric emotional and physical clinical presentations.