Table Of Content

DSM-IV-TR Casebook and Treatment Guide for Child Mental Health This page intentionally left blank DSM-IV-TR Casebook and Treatment Guide for Child Mental Health E DITED BY C A. G , M.D. ATHRYN ALANTER P S. J , M.D. ETER ENSEN Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical stan- dards, and that information concerning drug dosages, schedules, and routes of admin- istration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. If you would like to buy between 25 and 99 copies of this or any other APPI title, you are eligible for a 20% discount; please contact APPI Customer Service at appi@ psych.org or 800-368-5777. If you wish to buy 100 or more copies of the same title, please e-mail us at [email protected] for a price quote. Copyright © 2009 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 13 12 11 10 09 5 4 3 2 1 First Edition Typeset in Adobe Electra and ITC Highlander. American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data DSM-IV-TR casebook and treatment guide for child mental health / edited by Cathryn A. Galanter, Peter S. Jensen. — 1st ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-58562-310-5 (alk. paper) 1. Child psychiatry—Case studies. I. Galanter, Cathryn A., 1968– II. Jensen, Peter S. III. Diagnostic and statistical manual of mental disorders. [DNLM: 1. Diagnostic and statistical manual of mental disorders. 4th ed., text revision. 2. Mental Disorders—diagnosis—Case Reports. 3. Adolescent. 4. Child. 5. Diagnosis, Differential—Case Reports. 6. Mental Disorders—therapy— Case Reports. WS 350 D811 2009] RJ499.D758 2009 618.92′89—dc22 2008044429 British Library Cataloguing in Publication Data A CIP record is available from the British Library. Contents Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xvii Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxi Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxiii Cathryn A. Galanter, M.D. Peter S. Jensen, M.D. Introduction: Our Conceptualization of the Cases. . . .xxxvii Peter S. Jensen, M.D. Cathryn A. Galanter, M.D. Part I: Classic Cases Introduction to Classic Cases . . . . . . . . . . . . . . . . . . . . . . . 3 Peter S. Jensen, M.D. (cid:1) Cathryn A. Galanter, M.D. 0 1 Trouble Paying Attention: Attention-Deficit/ Hyperactivity Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Stephen P. Hinshaw, Ph.D. Psychotherapeutic Perspective . . . . . . . . .12 William E. Pelham, Jr., Ph.D., A.B.P.P. James Waxmonsky, M.D. Psychopharmacologic Perspective. . . . . . .15 Laurence L. Greenhill, M.D. Integrative Perspective . . . . . . . . . . . . . . .18 Stephen P. Hinshaw, Ph.D. (cid:1) 0 2 Trouble With Transitions: Does My Child Have Autism?. . . .25 Susan Bacalman, M.S.W. Robert L. Hendren, D.O. Psychotherapeutic Perspective . . . . . . . . 29 Laura Schreibman, Ph.D. Psychopharmacologic Perspective. . . . . . 32 Lawrence Scahill, M.S.N., Ph.D. Integrative Perspective. . . . . . . . . . . . . . . 36 Susan Bacalman, M.S.W. (cid:1) Robert L. Hendren, D.O. 0 3 Living in Her Parents’ Shadow: Separation Anxiety Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . .43 Andrea M. Victor, Ph.D. Gail A. Bernstein, M.D. Psychotherapeutic Perspective . . . . . . . . 46 Jami M. Furr, M.A. Sarah A. Crawley, M.A. Philip C. Kendall, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . . 49 Rachel G. Klein, Ph.D. Integrative Perspective. . . . . . . . . . . . . . . 53 Andrea M. Victor, Ph.D. (cid:1) Gail A. Bernstein, M.D. 0 4 Chatterbox at Home: Selective Mutism . . . . . . . . . . . . . . . .59 Bruce Black, M.D. Psychotherapeutic Perspective . . . . . . . . 62 Anne Marie Albano, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . . 67 Courtney Pierce Keeton, Ph.D. John T. Walkup, M.D. Integrative Perspective. . . . . . . . . . . . . . . 70 Bruce Black, M.D. (cid:1) 5 Everything Bothers Her: Major Depressive Disorder. . . . . . . 77 John S. March, M.D., M.P.H. Psychotherapeutic Perspective . . . . . . . . .80 Greg Clarke, Ph.D. Psychopharmacologic Perspective. . . . . . .83 Graham J. Emslie, M.D. Integrative Perspective . . . . . . . . . . . . . . .87 (cid:1) John S. March, M.D., M.P.H. 0 6 Excessively Silly: Bipolar Disorder. . . . . . . . . . . . . . . . . . . . . 97 Mary Kay Gill, R.N., M.S.N., J.D. Boris Birmaher, M.D. Psychotherapeutic Perspective . . . . . . . .101 Mary A. Fristad, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . .104 Robert A. Kowatch, M.D., Ph.D. Integrative Perspective . . . . . . . . . . . . . .108 Mary Kay Gill, R.N., M.S.N., J.D. (cid:1) Boris Birmaher, M.D. 0 7 Life of the Party: Chronic Marijuana Use . . . . . . . . . . . . . 115 Paula Riggs, M.D. Psychotherapeutic Perspective . . . . . . . .118 Yifrah Kaminer, M.D., M.B.A. Psychopharmacologic Perspective. . . . . .122 Oscar G. Bukstein, M.D., M.P.H. Integrative Perspective . . . . . . . . . . . . . .126 (cid:1) Paula Riggs, M.D. 0 8 My Mind Is Breaking: Psychosis. . . . . . . . . . . . . . . . . . . . . . 129 Julia W. Tossell, M.D. Judith L. Rapoport, M.D. Psychopharmacologic Perspective. . . . . .133 Sanjiv Kumra, M.D., M.S. Kathryn R. Cullen, M.D. Integrative Perspective . . . . . . . . . . . . . .136 Julia W. Tossell, M.D. Judith L. Rapoport, M.D. (cid:1) 0 9 She Just Won’t Eat a Thing: Anorexia Nervosa. . . . . . . . . .143 E. Blake Finkelson, B.A. B. Timothy Walsh, M.D. Psychotherapeutic Perspective . . . . . . . 147 Daniel le Grange, Ph.D. Psychopharmacologic Perspective. . . . . 151 Angela S. Guarda, M.D. Integrative Perspective. . . . . . . . . . . . . . 156 B. Timothy Walsh, M.D. (cid:1) E. Blake Finkelson, B.A. 10 The Blinker: Tourette’s Disorder. . . . . . . . . . . . . . . . . . . . . .163 Daniel A. Gorman, M.D., F.R.C.P.C. Bradley S. Peterson, M.D. Psychotherapeutic Perspective . . . . . . . 167 Douglas W. Woods, Ph.D. Christine A. Conelea, M.S. Psychopharmacologic Perspective. . . . . 170 Barbara J. Coffey, M.D., M.S. Integrative Perspective. . . . . . . . . . . . . . 174 Daniel A. Gorman, M.D., F.R.C.P.C. (cid:1) Bradley S. Peterson, M.D. 11 She Never Falls Asleep: Disordered Sleep in an Adolescent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181 Ronald E. Dahl, M.D. Allison G. Harvey, Ph.D. Psychotherapeutic Perspective . . . . . . . 184 Jodi A. Mindell, Ph.D., C.B.S.M. Psychopharmacologic Perspective. . . . . 187 Judith A. Owens, M.D., M.P.H., D’A.B.S.M. Integrative Perspective. . . . . . . . . . . . . . 190 Ronald E. Dahl, M.D Allison G. Harvey, Ph.D. (cid:1) 12 The World Is a Very Dirty Place: Obsessive-Compulsive Disorder. . . . . . . . . . . . . . . . . . . . . . . 197 Susan E. Swedo, M.D. Psychotherapeutic Perspective . . . . . . . .200 John Piacentini, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . .204 Mark A. Riddle, M.D. Integrative Perspective . . . . . . . . . . . . . .207 Susan E. Swedo, M.D. Part II: Comorbid Complexity Introduction to Comorbid Complexity. . . . . . . . . . . . . . . 215 Peter S. Jensen, M.D. Cathryn A. Galanter, M.D. (cid:1) 13 Stealing the Car: Disruptive Behavior in an Adolescent . . . 219 Peter S. Jensen, M.D. Psychotherapeutic Perspective . . . . . . . .223 Scott W. Henggeler, Ph.D. Psychopharmacologic Perspective. . . . . .225 Richard P. Malone, M.D. Integrative Perspective . . . . . . . . . . . . . .228 Peter S. Jensen, M.D. (cid:1) 14 Zero Tolerance: Threats to Harm a Teacher in Elementary School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235 Karen C. Wells, Ph.D. Psychotherapeutic Perspective . . . . . . . .238 Caroline Lewczyk Boxmeyer, Ph.D. Nicole Powell, Ph.D., M.P.H. John E. Lochman, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . .241 Robert L. Findling, M.D. Integrative Perspective . . . . . . . . . . . . . .244 Karen C. Wells, Ph.D.

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Imbued with a shared passion for children s mental health, the DSM-IV-TR® Casebook and Treatment Guide for Child Mental Health reflects its editors and contributors conviction that through the meticulous presentation and careful study of cases, diagnosis and treatment can be vastly improved. The bo
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DSM-IV-TR Casebook and Treatment Guide for Child Mental Health This page intentionally left blank DSM-IV-TR Casebook and Treatment Guide for Child Mental Health E DITED BY C A. G , M.D. ATHRYN ALANTER P S. J , M.D. ETER ENSEN Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical stan- dards, and that information concerning drug dosages, schedules, and routes of admin- istration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. If you would like to buy between 25 and 99 copies of this or any other APPI title, you are eligible for a 20% discount; please contact APPI Customer Service at appi@ psych.org or 800-368-5777. If you wish to buy 100 or more copies of the same title, please e-mail us at [email protected] for a price quote. Copyright © 2009 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 13 12 11 10 09 5 4 3 2 1 First Edition Typeset in Adobe Electra and ITC Highlander. American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data DSM-IV-TR casebook and treatment guide for child mental health / edited by Cathryn A. Galanter, Peter S. Jensen. — 1st ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-58562-310-5 (alk. paper) 1. Child psychiatry—Case studies. I. Galanter, Cathryn A., 1968– II. Jensen, Peter S. III. Diagnostic and statistical manual of mental disorders. [DNLM: 1. Diagnostic and statistical manual of mental disorders. 4th ed., text revision. 2. Mental Disorders—diagnosis—Case Reports. 3. Adolescent. 4. Child. 5. Diagnosis, Differential—Case Reports. 6. Mental Disorders—therapy— Case Reports. WS 350 D811 2009] RJ499.D758 2009 618.92′89—dc22 2008044429 British Library Cataloguing in Publication Data A CIP record is available from the British Library. Contents Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xvii Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxi Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxiii Cathryn A. Galanter, M.D. Peter S. Jensen, M.D. Introduction: Our Conceptualization of the Cases. . . .xxxvii Peter S. Jensen, M.D. Cathryn A. Galanter, M.D. Part I: Classic Cases Introduction to Classic Cases . . . . . . . . . . . . . . . . . . . . . . . 3 Peter S. Jensen, M.D. (cid:1) Cathryn A. Galanter, M.D. 0 1 Trouble Paying Attention: Attention-Deficit/ Hyperactivity Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Stephen P. Hinshaw, Ph.D. Psychotherapeutic Perspective . . . . . . . . .12 William E. Pelham, Jr., Ph.D., A.B.P.P. James Waxmonsky, M.D. Psychopharmacologic Perspective. . . . . . .15 Laurence L. Greenhill, M.D. Integrative Perspective . . . . . . . . . . . . . . .18 Stephen P. Hinshaw, Ph.D. (cid:1) 0 2 Trouble With Transitions: Does My Child Have Autism?. . . .25 Susan Bacalman, M.S.W. Robert L. Hendren, D.O. Psychotherapeutic Perspective . . . . . . . . 29 Laura Schreibman, Ph.D. Psychopharmacologic Perspective. . . . . . 32 Lawrence Scahill, M.S.N., Ph.D. Integrative Perspective. . . . . . . . . . . . . . . 36 Susan Bacalman, M.S.W. (cid:1) Robert L. Hendren, D.O. 0 3 Living in Her Parents’ Shadow: Separation Anxiety Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . .43 Andrea M. Victor, Ph.D. Gail A. Bernstein, M.D. Psychotherapeutic Perspective . . . . . . . . 46 Jami M. Furr, M.A. Sarah A. Crawley, M.A. Philip C. Kendall, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . . 49 Rachel G. Klein, Ph.D. Integrative Perspective. . . . . . . . . . . . . . . 53 Andrea M. Victor, Ph.D. (cid:1) Gail A. Bernstein, M.D. 0 4 Chatterbox at Home: Selective Mutism . . . . . . . . . . . . . . . .59 Bruce Black, M.D. Psychotherapeutic Perspective . . . . . . . . 62 Anne Marie Albano, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . . 67 Courtney Pierce Keeton, Ph.D. John T. Walkup, M.D. Integrative Perspective. . . . . . . . . . . . . . . 70 Bruce Black, M.D. (cid:1) 5 Everything Bothers Her: Major Depressive Disorder. . . . . . . 77 John S. March, M.D., M.P.H. Psychotherapeutic Perspective . . . . . . . . .80 Greg Clarke, Ph.D. Psychopharmacologic Perspective. . . . . . .83 Graham J. Emslie, M.D. Integrative Perspective . . . . . . . . . . . . . . .87 (cid:1) John S. March, M.D., M.P.H. 0 6 Excessively Silly: Bipolar Disorder. . . . . . . . . . . . . . . . . . . . . 97 Mary Kay Gill, R.N., M.S.N., J.D. Boris Birmaher, M.D. Psychotherapeutic Perspective . . . . . . . .101 Mary A. Fristad, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . .104 Robert A. Kowatch, M.D., Ph.D. Integrative Perspective . . . . . . . . . . . . . .108 Mary Kay Gill, R.N., M.S.N., J.D. (cid:1) Boris Birmaher, M.D. 0 7 Life of the Party: Chronic Marijuana Use . . . . . . . . . . . . . 115 Paula Riggs, M.D. Psychotherapeutic Perspective . . . . . . . .118 Yifrah Kaminer, M.D., M.B.A. Psychopharmacologic Perspective. . . . . .122 Oscar G. Bukstein, M.D., M.P.H. Integrative Perspective . . . . . . . . . . . . . .126 (cid:1) Paula Riggs, M.D. 0 8 My Mind Is Breaking: Psychosis. . . . . . . . . . . . . . . . . . . . . . 129 Julia W. Tossell, M.D. Judith L. Rapoport, M.D. Psychopharmacologic Perspective. . . . . .133 Sanjiv Kumra, M.D., M.S. Kathryn R. Cullen, M.D. Integrative Perspective . . . . . . . . . . . . . .136 Julia W. Tossell, M.D. Judith L. Rapoport, M.D. (cid:1) 0 9 She Just Won’t Eat a Thing: Anorexia Nervosa. . . . . . . . . .143 E. Blake Finkelson, B.A. B. Timothy Walsh, M.D. Psychotherapeutic Perspective . . . . . . . 147 Daniel le Grange, Ph.D. Psychopharmacologic Perspective. . . . . 151 Angela S. Guarda, M.D. Integrative Perspective. . . . . . . . . . . . . . 156 B. Timothy Walsh, M.D. (cid:1) E. Blake Finkelson, B.A. 10 The Blinker: Tourette’s Disorder. . . . . . . . . . . . . . . . . . . . . .163 Daniel A. Gorman, M.D., F.R.C.P.C. Bradley S. Peterson, M.D. Psychotherapeutic Perspective . . . . . . . 167 Douglas W. Woods, Ph.D. Christine A. Conelea, M.S. Psychopharmacologic Perspective. . . . . 170 Barbara J. Coffey, M.D., M.S. Integrative Perspective. . . . . . . . . . . . . . 174 Daniel A. Gorman, M.D., F.R.C.P.C. (cid:1) Bradley S. Peterson, M.D. 11 She Never Falls Asleep: Disordered Sleep in an Adolescent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181 Ronald E. Dahl, M.D. Allison G. Harvey, Ph.D. Psychotherapeutic Perspective . . . . . . . 184 Jodi A. Mindell, Ph.D., C.B.S.M. Psychopharmacologic Perspective. . . . . 187 Judith A. Owens, M.D., M.P.H., D’A.B.S.M. Integrative Perspective. . . . . . . . . . . . . . 190 Ronald E. Dahl, M.D Allison G. Harvey, Ph.D. (cid:1) 12 The World Is a Very Dirty Place: Obsessive-Compulsive Disorder. . . . . . . . . . . . . . . . . . . . . . . 197 Susan E. Swedo, M.D. Psychotherapeutic Perspective . . . . . . . .200 John Piacentini, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . .204 Mark A. Riddle, M.D. Integrative Perspective . . . . . . . . . . . . . .207 Susan E. Swedo, M.D. Part II: Comorbid Complexity Introduction to Comorbid Complexity. . . . . . . . . . . . . . . 215 Peter S. Jensen, M.D. Cathryn A. Galanter, M.D. (cid:1) 13 Stealing the Car: Disruptive Behavior in an Adolescent . . . 219 Peter S. Jensen, M.D. Psychotherapeutic Perspective . . . . . . . .223 Scott W. Henggeler, Ph.D. Psychopharmacologic Perspective. . . . . .225 Richard P. Malone, M.D. Integrative Perspective . . . . . . . . . . . . . .228 Peter S. Jensen, M.D. (cid:1) 14 Zero Tolerance: Threats to Harm a Teacher in Elementary School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235 Karen C. Wells, Ph.D. Psychotherapeutic Perspective . . . . . . . .238 Caroline Lewczyk Boxmeyer, Ph.D. Nicole Powell, Ph.D., M.P.H. John E. Lochman, Ph.D., A.B.P.P. Psychopharmacologic Perspective. . . . . .241 Robert L. Findling, M.D. Integrative Perspective . . . . . . . . . . . . . .244 Karen C. Wells, Ph.D.

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Imbued with a shared passion for children s mental health, the DSM-IV-TR® Casebook and Treatment Guide for Child Mental Health reflects its editors and contributors conviction that through the meticulous presentation and careful study of cases, diagnosis and treatment can be vastly improved. The bo
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