By Christopher Gillberg, Richard Harrington, Hans-Christoph Steinhausen
Offering a accomplished evaluate of the most problems encountered via baby and adolescent psychiatrists in scientific perform, this authoritative scientific guide levels from consuming, sleep and affective problems to substance abuse, gender identification and sexual abuse. The process is evidence-based and emphasis is on solid medical perform and quality controls of sufferer care. unlike different books within the box, the authors' purpose isn't to hide exhaustively all of the proper technology, yet fairly to give in condensed shape any study findings which are major for medical perform.
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Extra resources for A Clinician's Handbook of Child and Adolescent Psychiatry
However, the development of tolerance and the risk of withdrawal symptoms, including increased seizures, limit the administration of benzodiazepines for the short term until SSRI take effect. Also, the behavioural toxicity of benzodiazepines in children with brain disorders needs to be kept in mind. Mood instability can be seen as a symptom of bipolar disorder, severe ADHD or intermittent explosive disorder. Mood stabilizers such as carbamazepine or valproic acid, or the recently developed AEDs, can have significant effects including better tolerance of stimulant treatment of ADHD.
Partial (focal, local) seizures Definition: The first clinical and/or EEG changes indicate initial involvement of part of one hemisphere. Partial seizures are classified on the basis of an impairment of consciousness A. Simple partial seizures (no impairment of consciousness) B. Complex partial seizures (with impairment of consciousness) C. Partial seizures with secondary generalization II. Generalized seizures Definition: The first clinical and/or EEG changes indicate initial involvement of both hemispheres.
As in other chronic illnesses, epilepsy poses a major challenge to the resources of the individual and the family. Deficient coping, parental psychopathology, disturbed family relationships, problem with the healthy siblings or teasing and social isolation outside the family may each have an additional detrimental effect on psychosocial adaptation of the child with epilepsy. The interactive association between epilepsy and these factors is evident in as much as the latter can be both the cause and the consequence of the former.
A Clinician's Handbook of Child and Adolescent Psychiatry by Christopher Gillberg, Richard Harrington, Hans-Christoph Steinhausen