Clinical Manual of Pediatric Consultation

Cover Page
Title Page
Copyright Page
Contents
Preface
Acknowledgments

PART I. Overview
1. Pediatric Consultation-Liaison Psychiatry
Building a Collaborative Care Bridge to Pediatrics
Roles of the Consultant
Practice Patterns in Pediatric Consultation-Liaison Psychiatry
Conclusion
References

2. Coping and Adaptation in Physically Ill Children
Conceptualization of Physical Illness: Categorical Versus Noncategorical
Correlates of Adjustment to Physical Illness
Conclusion
References

3. Assessment in Pediatric Consultation-Liaison Psychiatry
The Consultation Process
References
Appendix: Questions to Consider Asking Children and Adolescents Facing a Physical Illness

4. Legal and Forensic Issues
Consent for Treatment
Treatment Without Parental Consent: Exceptions
Limits of Parental Authority
Refusal of Treatment by an Adolescent
Consent for Children of Divorced or Separated Parents
Payment for Treatment
Confidentiality and Privilege
Assessment for Parenting Capacity and Medical Neglect
Conclusion
References

PART II. Specific Psychiatric Symptoms and Disorders
5. Delirium
Clinical Characteristics
Epidemiology
Pathophysiology
Differential Diagnosis
Assessment
Management
Conclusion
References

6. Neurocognitive Disturbances
Catatonia
Neuroleptic Malignant Syndrome
Serotonin Syndrome
Autoimmune Encephalitis
Pediatric Acute-Onset Neuropsychiatric Syndrome
References

7. Depressive Symptoms and Disorders
Clinical Considerations in the Physically Ill Child
Differential Diagnosis of Depressive Illness in the Physically Ill Child or Adolescent
Assessment
Treatment
References

8. Anxiety Symptoms and Trauma/Stress Reactions
Primary Anxiety Disorders
Anxiety Symptoms as Psychological Reaction: Trauma/Stress Reactions
Anxiety Symptoms Due to Direct Physiological Effects
Assessment
Treatment
References

9. Somatic Symptom and Related Disorders
Risk Factors for Pediatric Somatization
Somatic Symptom and Related Disorders
Assessment
Treatment
References

10. Pediatric Pain
Classification
Epidemiology
Developmental Factors
Measurement of Pain
Psychiatric Assessment
Principles of Pain Management
Nonpharmacological Management
Pharmacological Management
References

11. Fabricated or Induced Illness Symptoms
Background and Diagnostic Criteria
Clinical Features
Etiology
Differential Diagnosis
Assessment
Legal Issues
Treatment
References

12. Solid Organ Transplantation
Overview of Solid Organ Transplantation
Pretransplant Psychiatric Assessment
Assessment of Living Donors
Transplant Process
Conclusion
References

13. Pediatric Cancer, Stem Cell Transplantation, and Palliative Care
Pediatric Cancer
Stem Cell Transplantation
Palliative Care
Conclusion
References

14. Treatment Adherence
Epidemiology
Consequences of Nonadherence
Risk Factors
Developmental Influences
Psychiatric Factors Affecting Adherence
Assessment of Treatment Adherence
Treatment Interventions
References

PART III. Treatment and Intervention
15. Psychotherapy in the Pediatric Setting
Models of Psychotherapy
Selection of a Psychotherapeutic Strategy
Therapeutic Use of Play
Selected Psychotherapy Issues in Pediatric Illness
Countertransference Issues for Consultants
References

16. Family Interventions
Illness Course
Family Life Cycle
Factors Affecting Family Adjustment
Impact of Illness on Family Functioning
Reactions of Siblings
Working Relationship With the Pediatric Team
Family Intervention Guidelines
References

17. Psychopharmacological Approaches and Considerations
Pharmacokinetics
Drug-Drug Interactions
Psychotropic Medication Use in Specific Physical Illnesses
Medication Selection and Target Symptoms
Conclusion
References

18. Preparation for Procedures
Effective Preparation for Procedures
Assessment of Adaptation and Coping
Preparation Through Education
Preparation Through Modeling
Preparation Through Exposure
Coping Skills Training
Pediatric Hypnosis
Conclusion
References
Index