Clinical Manual of Pediatric Psychosomatic Medicine

Mental Health Consultation With Physically Ill Children and Adolescents

  • 2006
  • 425 pages

ISBN 978-1-58562-187-3
Item #62187

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  • Description

    The mental health assessment and treatment of youngsters with physical symptoms and illnesses commonly pose unique and often complex challenges to clinicians. Clinical Manual of Pediatric Psychosomatic Medicine is the only complete text on the subject, describing an integrative approach to behavioral health problems in children and adolescents who are physically ill, have emotional illness masquerading as physical illness, and have comorbid emotional and physical conditions that complicate the management of each. It brings together information regarding consultation-liaison or psychosomatic work with children into a succinct guide that provides the practitioner with pragmatic ways of organizing the key issues that arise in psychiatric consultation with physically ill children, and it features a set of unique templates to help guide clinical assessment and management.

    The authors offer a practical method of mental health consultation in the medical setting and cover topics not included in standard child psychiatry and psychology texts, such as treatment adherence and organ transplantation. Overview chapters include a hands-on approach to the consultation process and pragmatic assessment guidelines. Succeeding chapters then address specific clinical situations, from delirium and mood disorders to organ transplantation and cancer. Additional chapters consider issues related to treatment and intervention: both individual and family psychotherapy, including coping strategies for family members, psychopharmacology, and techniques such as medical hypnosis to help children prepare for procedures. Among the book's other helpful features are:

    • Templates with specific questions for both general psychiatric assessment and specific issues, such as pre-transplant assessment, treatment adherence, and somatoform disorders
    • Intensive coverage of pediatric pain assessment and management, including the use of adjunctive psychiatric medications to treat children with chronic pain
    • Unique considerations tailored to each topic, such as anxiety symptoms related to specific physical conditions and end-of-life strategies for cancer patients
    • Consideration of legal and forensic issues, including consent, confidentiality, and assessment for parenting capacity
    • An abundance of quick-reference tables—including psychopharmacological agents used in a wide range of conditions, with indications, doses, and side effects—and flow charts describing step-by-step approaches to pain and somatoform disorders

    This practical manual is useful to a wide range of professionals who work with children and adolescents in medical settings. And because psychosomatic medicine has recently received subspecialty status with the American Board of Psychiatry and Neurology, it offers an excellent resource for board examinations.

  • Contents

    Preface
    References
    Chapter 1. Pediatric Psychosomatic Medicine
    Chapter 2. Coping and Adaptation in Physically Ill Children
    Chapter 3. Pediatric Consultation Psychiatry Assessment
    Chapter 4. Legal and Forensic Issues
    Chapter 5. Delirium
    Chapter 6. Mood Disorders
    Chapter 7. Anxiety Symptoms and Disorders
    Chapter 8. Somatoform Disorders
    Chapter 9. Pediatric Pain
    Chapter 10. Solid Organ Transplantation
    Chapter 11. Treatment Adherence
    Chapter 12. Pediatric Cancer, Bone Marrow Transplantation, and Palliative Care
    Chapter 13. Individual Psychotherapy in the Pediatric Setting
    Chapter 14. Family Therapy
    Chapter 15. Psychopharmacological Approaches and Considerations
    Chapter 16. Preparation for Procedures
    Appendix
    Index

  • Customer Reviews
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  • Editorial Reviews

    This volume is terrific! It is a reference book, a history book and a textbook, all rolled into one. Most remarkably, it is entirely written by the two authors themselves, and their expertise is evident on every page. The end-of-chapter tables, assessment instruments, differential diagnoses, protocols, etc., are especially practical and user friendly. This book will be the standard for mental health professionals working in children’s hospitals for years to come.—Gregory K. Fritz, M.D., Professor and Director of Child & Adolescent Psychiatry, Brown Medical School, Medical Director, E.P. Bradley Hospital, Director of Child and Family Psychiatry, Rhode Island Hospital/Hasbro Childrens Hospital, Providence, Rhode Island


    The mental health needs of the medically ill child are often ignored. This book helps to correct that problem. Drs. Shaw and DeMaso have written a book that will become the standard text for all health professions who see such children and adolescents. It should be on the shelves of pediatricians, child psychiatrists, and other mental health professionals who work with such populations. The information in this comprehensive text will greatly improve the lives of the sick child or teen. It is a terrific book that has no overlap with current volumes available.—Thomas N. Wise, M.D., Professor of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland


    Clinical Manual of Pediatric Psychosomatic Medicine lays out the role of the psychiatric consultant and defines an approach that the pediatrician and the psychiatrist can follow around a number of specific situations, such as delusions, mood disorders, anxiety disorders, somatoform disorders, and syndromes. The in depth discussions of patients with oncologic diseases and transplant recipients will serve as a unique resource for medical specialists in these disciplines.—Gary R. Fleisher, M.D., Egan Family Foundation Professor, Department of Pediatrics, Harvard Medical School, Pediatrician-in-Chief and Chair, Department of Medicine, Children's Hospital Boston

  • Contributors

  • About the Author

    Richard J. Shaw, M.D., is Medical Director of the Pediatric Consultation-Liaison Service at Lucile Packard Children's Hospital and Associate Professor of Psychiatry and Pediatrics at Stanford University School of Medicine in Stanford, California.

    David R. DeMaso, M.D., is Psychiatrist-in-Chief at Children's Hospital Boston and Professor of Psychiatry and Pediatrics at Harvard Medical School in Boston, Massachusetts.

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