Kaplan and Sadock’s Concise Textbook of Child and Adolescent Psychiatry

252 Pages·2008·2.68 MB·English

by  Benjamin J. Sadock

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KAPLAN & SADOCK’S
Concise
Textbook of
Child and Adolescent Psychiatry
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CONSULTING EDITOR
CarolyS.Pataki,M.D.
ClinicalProfessorofPsychiatryandBehavioralSciences,andDivisionChief,Childand
AdolescentPsychiatry,KeckSchoolofMedicineattheUniversityofSouthern
California,LosAngeles,California.
CONTRIBUTING EDITOR
SamoonAhmad,M.D.
ClinicalAssociateProfessorofPsychiatryandCo-directorofContinuing
MedicalEducation,DepartmentofPsychiatry,NYUSchoolofMedicine,
NYULangoneMedicalCenter,AttendingPsychiatrist,TischHospital,
BellevueHospital,NewYork,NewYork.
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KAPLAN & SADOCK’S
Concise
Textbook of
Child and Adolescent Psychiatry
Benjamin James Sadock, M.D.
MenasS.GregoryProfessorofPsychiatryandViceChairman
DepartmentofPsychiatry,NewYorkUniversitySchoolofMedicine,NYULangone
MedicalCenter;
AttendingPsychiatrist,TischHospital;
AttendingPsychiatrist,BellevueHospitalCenter;
ConsultingPsychiatrist,LenoxHillHospital,
NewYork,NewYork
Virginia Alcott Sadock, M.D.
ProfessorofPsychiatry,DepartmentofPsychiatry,
NewYorkUniversitySchoolofMedicine,NYULangoneMedicalCenter;
AttendingPsychiatrist,TischHospital;
AttendingPsychiatrist,BellevueHospitalCenter,
NewYork,NewYork
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Allrightsreserved.Thisbookisprotectedbycopyright.Nopartofthisbookmaybereproduced
inanyformorbyanymeans,includingphotocopying,orutilizedbyanyinformationstorage
andretrievalsystemwithoutwrittenpermissionfromthecopyrightowner,exceptforbrief
quotationsembodiedincriticalarticlesandreviews.Materialsappearinginthisbookprepared
byindividualsaspartoftheirofficialdutiesasU.S.governmentemployeesarenotcoveredby
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PrintedinUSA
LibraryofCongressCataloging-in-PublicationData
Sadock,BenjaminJ.,1933–
Kaplan&Sadock’sconcisetextbookofchildandadolescentpsychiatry/BenjaminJames
Sadock,VirginiaAlcottSadock.
p.;cm.
Anupdatedandclinicalpresentationofmaterialfrom:Kaplan&Sadock’ssynopsisof
psychiatry.10thed.2007.
Includesbibliographicalreferencesandindex.
ISBN-13:978-0-7817-9387-2(alk.paper)
ISBN-10:0-7817-9387-4(alk.paper)
1.Childpsychiatry. 2.Adolescentpsychiatry/ I.Sadock,VirginiaA. II.Kaplan,
HaroldI.,1927– III.Sadock,BenjaminJ.,1933–Kaplan&Sadock’ssynopsisofpsychiatry.
IV.Title. V.Title:Concisetextbookofchildandadolescentpsychiatry. VI.Title:Kaplan
andSadock’sconcisetextbookofchildandadolescentpsychiatry.
[DNLM:1.MentalDisorders—diagnosis. 2.MentalDisorders—therapy. 3.Adolescent.
4.Child. WS350S126k2009]
RJ499.S182009
616.89—dc22
2008026359
Carehasbeentakentoconfirmtheaccuracyoftheinformationpresentedandtodescribe
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To
Emily and Celia
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Preface
Thisbook,ConciseTextbookofChildandAdolescentPsychi- clinical disorders in children and adults to provide a compact
atry,coversthediagnosisandtreatmentofmentaldisordersin overview of all known mental disorders. Finally, the Compre-
childrenandadolescents.Thereaderwillfinddetailedinforma- hensiveGlossaryofPsychiatryandPsychologyprovidessimply
tionaboutthediagnosisandtreatmentofeverychildhoodand written definitions of all terms used in psychiatry including a
adolescentmentaldisorderlistedinthelatestfourthrevisededi- completeglossaryofsignsandsymptoms.Takentogether,those
tionoftheAmericanPsychiatricAssociation’sDiagnosticand seven books create a multipronged approach to the teaching,
Statistical Manual of Mental Disorders (DSM-IV-TR). This study,andlearningofpsychiatry.Thistextisanewadditionto
book evolved from our experience editing a larger volume, ourteachingsystem.
Kaplan and Sadock’s Synopsis of Psychiatry, tenth edition,
whichcoversthebehavioralsciencesandallclinicalpsychiatric
disordersinchildrenandadults.Theeliminationofthesections NEW AND REVISED AREAS
onthebehavioralsciencesandadultpsychiatryaccountsforthis
book’ssmallerandmoremanageablesize.Itisdesignedtomeet Everysectiononclinicalpsychiatryhasbeenupdatedtoinclude
the needs of the reader who requires a compact but thorough thelatestinformationaboutdiagnosingandtreatingmentalill-
coverageofthefieldofchildandadolescentpsychiatry. nessinchildrenandadolescents.Newadvancessincethepubli-
cationofSynopsisofPsychiatryin2007havebeenadded,partic-
ularlyintheever-changingareaofchildpsychopharmacology.
TEACHING SYSTEM The reader will find completely updated material on medica-
tionsuchasdosages,methodsofuse,warningsandside-effects,
This textbook forms one part of a comprehensive system we
including information about all drugs approved since the last
havedevelopedtofacilitatetheteachingofpsychiatryandthe
editionwaspublished.Dataaboutposttraumaticstressdisorders
behavioralsciences.AttheheadofthesystemistheCompre-
inchildrenincludesthelatestinformationaboutthepsycholog-
hensive Textbook of Psychiatry, which is global in depth and
icaleffectsonchildrenexposedtoterroristactivitiesandnatu-
scope. It is designed for and used by psychiatrists, behavioral
raldisasters.ThesectiononAnxietyDisordersinChildrenand
scientists, and all workers in the mental health field. Synopsis
Adolescentswascompletelyreorganized.
ofPsychiatryisarelativelycompact,highlymodified,original,
and current text useful for medical students, psychiatric resi-
dents,practicingpsychiatrists,andmentalhealthprofessionals.
AnotherpartofthesystemisStudyGuideandSelf-Examination FORMAT
ReviewofPsychiatry,whichconsistsofmultiple-choiceques-
Case Histories
tionsandanswers.Itisdesignedforstudentsofpsychiatrywho
arepreparingforavarietyofexaminations.Otherpartsofthesys- Casehistoriesareanintegralpartofthisbookandareincluded
temarethepockethandbooks:PocketHandbookofClinicalPsy- tomaketheclinicaldisordersmoreinterestingandvitalforthe
chiatry, Pocket Handbook of Psychiatric Drug Treatment, and student.Allcasesinthiseditionarenew,derivedfromvarious
Pocket Handbook of Emergency Psychiatric Medicine. Those sources:ICD-10Casebook,DSM-IV-TRCasebook,DSM-IV-TR
bookscoverthediagnosisandthetreatmentofpsychiatricdis- CaseStudies,fromcontributorstotheComprehensiveTextbook
orders, psychopharmacology, and psychiatric emergencies, re- ofPsychiatry,andfromtheauthors’clinicalexperienceatNew
spectively,andarecompactlydesignedandconciselywrittento York’sBellevueHospitalCenter.Weespeciallywishtothankthe
becarriedinthepocketbyclinicalclerksandpracticingphysi- AmericanPsychiatricPressandtheWorldHealthOrganization
cians,whatevertheirspecialty,toprovideaquickreference.An- forpermissiontousemanyoftheircases.Casesappearintinted
otherbook,ConciseTextbookofClinicalPsychiatrycoversall typetohelpthereaderfindthemeasily.
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viii Preface
References
To conserve space, references were not included at the end thefactthatmodern-dayreadersconsultinternetsources,such
of each section. The interested reader can find a complete as PsychInfo and Medline, to stay abreast of the most current
bibliographyforeachsectionbyreferringtoeitherSynopsisof literatureandencouragethattrend.
PsychiatryortheComprehensiveTextbookofPsychiatry.Those
textswillalsoprovideanin-depth,thorough,anddetaileddis- B.J.S.
cussion of all the topics in this book. We also are mindful of V.A.S.
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Acknowledgments
Wedeeplyappreciatetheworkofourdistinguishedcollaborator, areas of expertise: emergency adult and emergency pediatric
CarolyPataki,M.D.,whowasresponsiblefororganizing,updat- medicine,respectively.WealsothankAlanandMarilynZublatt
ingandrevisingthesectiononchildhoodandadolescentdisor- fortheirgeneroussupportandtheirfriendship.
dersinmanyofourbooksincludingthecurrentnintheditionof Wewanttotakethisopportunitytoacknowledgethosewho
theComprehensiveTextbookofPsychiatryandthetenthedition havetranslatedthisandotherKaplan&Sadockbooksintofor-
ofSynopsisofPsychiatryforwhichsheisconsultingandcon- eignlanguages,includingChinese,Croatian,French,German,
tributingeditor.SheisProfessorofPsychiatryandDivisionChief Greek, Indonesian, Italian, Japanese, Polish, Portuguese, Ro-
ofChildandAdolescentPsychiatryatKeckSchoolofMedicine manian,Russian,Spanish,andTurkish,inadditiontoaspecial
at the University of Southern California in Los Angeles, Asianandinternationalstudentedition.
California,andanextraordinarytalentededucatorandclinician. Additionally,wewishtoacknowledgeourgreatandobvious
Wethankherforhertremendoushelpinthisarea. debttothemorethan2,000psychiatristsandbehavioralscientists
Samoon Ahmad, M.D. deserves special thanks for his role who contributed to the various editions of the Comprehensive
as Consulting Editor in the field of biological psychiatry and TextbookofPsychiatry,especiallytothoseinthefieldofchildand
pharmacology. adolescentmentalhealthwhoallowedustosynopsizetheirwork
NitzaJonesplayedakeyandinvaluableroleasProjectEditor, forthisbook.Atthesametime,wemustacceptresponsibility
as she has for many of our other books. Her vast knowledge forthemodificationsandchangesinthenewwork.
ofeveryaspectofbookpublishingwasindispensable,andshe ThestaffatLippincottWilliams&Wilkinswasmostefficient.
contributed heavily to editing the text. We also want to thank WewishtothankSirkkaHowesatLWW.ChrisMilleratAptara
SaraBrownwhowasextraordinarilyhelpful.Theyworkedwith alsodeservesourthanks.JoyceMurphy,AssociateDirectorof
enthusiasm, alacrity, and intelligence. We thank Dorice Viera, Development,andCharleyMitchell,Publisher,havebeenloyal
Associate Curator of the Frederick L. Ehrman Medical Li- friendsovertheyearsandtheirencouragementandenthusiasm
braryattheNewYorkUniversitySchoolofMedicine,forher havebeenmostwelcome.
assistance.
We also wish to acknowledge the contributions of James B.J.S.
Sadock,M.D.,andVictoriaGregg,M.D.,fortheirhelpintheir V.A.S.
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