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Clinical Manual of Pediatric Consultation-Liaison Psychiatry, Second Edition

Richard J. Shaw, M.B., B.S., and David R. DeMaso, M.D.

  • ISBN 978-1-61537-231-7
  • Item #37231

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Clinical Manual of Pediatric Consultation-Liaison Psychiatry offers a comprehensive guide for mental health clinicians, trainees, and students to pediatric consultation-liaison psychiatry (CLP), a specialized area of psychiatry whose practitioners have particular expertise in the diagnosis and management of psychiatric disorders in complex physically ill children and adolescents. Patients commonly fall into one of three descriptive categories: those with comorbid emotional and physical illnesses that complicate each other's management; those with distressing somatic symptoms plus abnormal thoughts, feelings, and behavior in response to these symptoms; and those with psychiatric symptoms that are a direct consequence of a physical illness and/or its treatment. The text, authored by two luminaries in pediatric psychiatry, thoroughly explores the challenges faced by these patients and pediatric practitioners and mental health professionals who together care for them, addressing, in a concrete and practical manner, the wide variety of issues encountered in the pediatric hospital. These concerns range from how to address treatment nonadherence in children to how to conduct a psychosocial assessment of a solid organ transplant recipient.

The text's carefully chosen features and valuable content include:

  • Historical context for the evolution of pediatric psychosomatic medicine to pediatric consultation-liaison psychiatry, ensuring an accurate, up-to-date representation of the field and proper integration with DSM-5 classification.
  • Detailed clinical assessment protocols, with guidance for exploring interrelated domains such as illness factors, emotional impact, family functioning, and social relationships. These practical, step-by-step guides assist the consultant in conducting a comprehensive psychiatric/psychological assessment.
  • A target symptom-oriented chapter on psychopharmacology in the physically ill child, which offers guidance on management of acute agitation, insomnia, fatigue, depression, and anxiety. The treatment algorithms presented are designed to be easily understood by non-psychiatric clinicians.
  • Guidance on the use of practical interventions to help physically ill children undergoing traumatic medical procedures, including hypnosis, progressive muscle relaxation, and breathing techniques. These specific techniques will help the clinician in assisting distressed patients.

The previous edition was considered the gold standard for books in the field. This new, thoroughly revised iteration of Clinical Manual of Pediatric Consultation-Liaison Psychiatry will doubtless inspire similar acclaim for its rigor, accessibility, and clinical wisdom.


  • Preface
  • Acknowledgments
  • Part I. Overview

  • Chapter 1. Pediatric Consultation-Liaison Psychiatry
  • Chapter 2. Coping and Adaptation in Physically Ill Children
  • Chapter 3. Assessment in Pediatric Consultation-Liaison Psychiatry
  • Chapter 4. Legal and Forensic Issues
  • Part II. Specific Psychiatric Symptoms and Disorders

  • Chapter 5. Delirium
  • Chapter 6. Neurocognitive Disturbances
  • Chapter 7. Depressive Symptoms and Disorders
  • Chapter 8. Anxiety Symptoms and Trauma/Stress Reactions
  • Chapter 9. Somatoform Symptoms and Related Disorders
  • Chapter 10. Pediatric Pain
  • Chapter 11. Fabricated or Induced Illness Symptoms
  • Chapter 12. Solid Organ Transplantation
  • Chapter 13. Pediatric Cancer, Stem Cell Transplantation, and Palliative Care
  • Chapter 14. Treatment Adherence
  • Part III. Treatment and Intervention

  • Chapter 15. Psychotherapy in the Pediatric Setting
  • Chapter 16. Family Interventions
  • Chapter 17. Psychopharmacological Approaches and Considerations
  • Chapter 18. Preparation for Procedures
  • Index

About the Authors

Richard J. Shaw, M.B., B.S., is Professor of Psychiatry and Pediatrics at Stanford University School of Medicine and Medical Director of the Pediatric Psychiatry Consult Service at Lucile Packard Children's Hospital in Stanford, California.

David R. DeMaso, M.D., is Psychiatrist-in-Chief and Leon Eisenberg Chair in Psychiatry at Boston Children's Hospital; and George P. Gardner–Olga E. Monks Professor of Child Psychiatry & Professor of Pediatrics at Harvard Medical School in Boston, Massachusetts.

Shaw and DeMaso's first edition of this book in 2006 filled a much needed void, providing a concise yet comprehensive source of clinically important information regarding the psychiatric needs of physically ill children and their families. Their work exemplified a truly biopsychosocial approach, focusing on the patient, family, and system of care. It has been a long wait for the second edition from these two most distinguished leaders in pediatric consultation-liaison psychiatry, but here it is, updated throughout, with two entirely new chapters on neurocognitive disorders and pediatric condition falsification. Child and adolescent psychiatrists and psychiatric nurse practitioners, pediatricians, child psychologists, pediatric social workers, and adult consultation-liaison psychiatrists can all benefit from this book.—James L. Levenson, M.D., Rhona Arenstein Professor of Psychiatry, Virginia Commonwealth University

This masterfully written updated manual is a must-have for anyone interested in helping children and families confronting co-occurring medical and psychiatric concerns. As the authors promise, the Clinical Manual of Pediatric Consultation-Liaison Psychiatry is a concise and pragmatic summary of the basic principles of psychiatric assessment and management of physically ill youth. The book also summarizes comprehensive treatment approaches and the best available evidence-based interventions in integrated pediatric and psychiatric care. Easy to read, understand and full of practical guidance, this is the right book at the right time for practitioners of the flourishing field of pediatric consultation liaison psychiatry.—Maryland Pao, M.D., FAACAP, FACLP, FAPA, Child and Adolescent Psychiatrist, Pediatric Consultation Liaison Subspecialist

This text is superb. It is thorough and comprehensive, seamless, clearly organized, and written in a clear and accessible style. It is especially remarkable for being both deeply scholarly and clinically useful at the same time; the authors provide the conceptual and knowledge base of this field along with wise and helpful clinical guidance. Throughout, the authors' thoughtful, sensitive and knowledgeable approach to ill children comes through. This excellent text exemplifies the biopsychosocial approach in the very best sense of the term.—Arthur J. Barsky, M.D., Professor of Psychiatry, Harvard Medical School; Vice Chair for Academic Affairs, Department of Psychiatry, Brigham & Women's Hospital

Since the first edition of the Clinical Manual was published thirteen years ago, interest in the field of pediatric consultation-liaison psychiatry has continued to grow and the knowledge base has expanded considerably. With this timely second edition, Drs. Shaw and DeMaso have provided clinicians with a substantially updated version while retaining the practical, thorough, and user-friendly features that make the manual such a gem for anyone working with physically ill children and adolescents.—Gregory K. Fritz, M.D. is Professor of Psychiatry in the Department of Psychiatry and Behavioral Sciences at the Warren Alpert Medical School of Brown University

The Clinical Manual of Pediatric Consultation-Liaison Psychiatry provides a perspective on the development of modern consultation-liaison psychiatry that gives the reader an understanding of the history of the field and how it reflects and often anticipates advances in psychiatry and clinical care. The book is so thoroughly researched and referenced that it is a resource for both the clinician and researcher. It is remarkable for its clarity.

Particularly useful are the definition of terms that hopefully will allow for more precision in the discussion of disorders associated with consultation-liaison psychiatry. The chapters on treatment adherence, family intervention and the preparation for procedures should have an audience far wider than that of psychiatrists and should be accessed by pediatricians, nurses, social workers and others who see and intervene with children and adolescents with a range of disorders seen under the umbrella of psychosomatic medicine.

Shaw and DeMaso's Clinical Manual of Pediatric Consultation-Liaison Psychiatry can now be considered the classic standard in the field of psychiatry and beyond.—Myron L. Belfer, M.D., MPA, Professor of Psychiatry, Harvard Medical School

In a clear, concise, well-written and organized format, this book is an authoritative resource for the practitioner involved in pediatric psychiatry consultative-liaison services. Written by two highly esteemed child and adolescent psychiatrists who are at the forefront in consultative-liaison services, this revised edition presents the latest information regarding clinical diagnoses, the socio-emotional challenges of the medically complex youth, medico-legal considerations in consultative practice, and the use of evidence-based interventions. As such, this book will become an invaluable and handy resource for child and adolescent psychiatrists as well as for other behavioral health professionals serving the pediatric community.—Eugene J. D'Angelo, PhD, ABPP, Chief, Division of Psychology, Linda and Timothy O'Neill Chair in Psychology, Department of Psychiatry, Boston Children's Hospital; Associate Professor of Psychology, Department of Psychiatry, Harvard Medical School

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