Psychiatry of Intellectual Disability: A Practical Manual PDF
Preview Psychiatry of Intellectual Disability: A Practical Manual
Psychiatry of Intellectual Disability Psychiatry of Intellectual Disability A practical manual Edited by Julie P. Gentile, MD and Paulette M. Gillig, MD, PhD Thiseditionfirstpublished2012(cid:1)2012byJohnWiley&Sons,Ltd Registeredoffice: JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK Editorialoffices: 9600GarsingtonRoad,Oxford,OX42DQ,UK TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK 111RiverStreet,Hoboken,NJ07030-5774,USA For details of our global editorial offices, for customer services and for information about how to apply for permissiontoreusethecopyrightmaterialinthisbookpleaseseeourwebsiteatwww.wiley.com/wiley-blackwell TherightoftheauthortobeidentifiedastheauthorofthisworkhasbeenassertedinaccordancewiththeCopyright, DesignsandPatentsAct1988. 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Setin10/12ptTimesbyThomsonDigital,Noida,India PrintedinMalaysia FirstImpression2012 Contents Dedications vii Editor biographies ix List of contributors xi List of abbreviations xiii Foreword xv 1 Overview 1 AllisonE.Cowan,MDandJulieP.Gentile,MD 2 Psychiatric Assessment 14 AnnK.Morrison,MDandPauletteMarieGillig, MD,PhD 3 Medical Assessment 26 JulieP.Gentile,MDandMichelleA.Monro,DO 4 Neurologic Conditions 51 PauletteMarieGillig,MD,PhDandRichardSanders,MD 5 Traumatic Brain Injuries and Co-occurring Mental Illness 75 GretchenN.Foley,MD 6 Interviewing Techniques 90 JulieP.Gentile,MDandPauletteMarieGillig,MD,PhD 7 Mood Disorders 125 AnnK.Morrison,MDandChristinaWeston,MD vi Contents 8 Anxiety Disorders 146 KellyM.Blankenship,MD 9 Psychotic Disorders 161 AllisonE.Cowan,MD 10 Personality Disorders 191 JulieP.Gentile,MDandAllisonE.Cowan,MD 11 Aggression 210 JulieP.Gentile,MDandPauletteMarieGillig, MD,PhD 12 Psychotropic Medications 250 ChristopherT.Manetta,DOandJulieP.Gentile,MD 13 Psychotherapy 278 CarrollS.Jackson,LISW-SandJulieP.Gentile,MD 14 Behavioral Assessment and Interventions 309 BetseyA.Benson,PhD 15 Legal Issues for Treatment Providers and Evaluators 325 JeannetteCox,JD 16 Syndromes of Intellectual Disability 338 KellyM.Blankenship,MDandChristinaWeston,MD Index 366 Dedications Dr.GentilewouldliketodedicatethisbooktoherhusbandJohnforhisextraordinarylove andsupport;toherdaughtersSarahandJessandherson-in-lawSayreforbeingsourcesof inspirationandprideeveryday;andtoherparentsCharlie(RIP)andPatricia,whoalways believed the sky was the limit. She would like to thank her patients with intellectual disability, andthe peoplewho stand with them, for beingtruesurvivors. Dr.GilligwouldliketodedicatethisbooktothememoryofUncleAlPetre,PeterReilly andPattyWhibbs,childhoodfriendswithintellectualdisabilities.Wehadsomegoodtimes. Editor Biographies JulieP.Gentile,M.D.(jen-TILL-ee)isAssociateProfessorofPsychiatryattheBoonshoft School of Medicine, Wright State University, Dayton, Ohio and the Project Director/ Primary Investigator for Ohio’s Coordinating Center of Excellence in Mental Illness/ Intellectual Disability. She has been the Professor of Dual Diagnosis for the Ohio DepartmentofMentalHealth,theOhioDepartmentofDevelopmentalDisabilityandthe OhioDevelopmentalDisabilitiesCouncilsince2003,andtheMedicalDirectorforboththe Montgomery County Board of Developmental Disabilities Mental Health Program and ConsumerAdvocacyModel(treatingpatientswithtraumaticbraininjury,substanceuse, andmentalillness).Dr.Gentilehasevaluatedmorethan2,000individualswithco-occurring mentalillnessandintellectualdisability.SheistherecipientoftheAmericanPsychiatric Association’s Frank J. Menolascino Award for Excellence in Psychiatric Services for Developmental Disabilities, the Excellence in Contributions to Clinical Practice Award from the National Association for the Dually Diagnosed, and she is a member of Alpha OmegaAlphaMedicalHonorSociety.SheisarecipientoftheFacultyMentorAward,the GoldenAppleTeachingAward,theCareerAchievementAward,theOutstandingAchieve- ment in Medical Education and Research Award of the Academy of Medicine, and the NancyRoeske Award inMedical Education from the American Psychiatric Association. Dr.Gentilehasbeenawardedmorethan$3,000,000ingrantsandcontractstosupporther workindualdiagnosissince2003.SheistheDirectorofMedicalStudentMentalHealth Services at Wright State University, is a member of the editorial board for the journal Innovations in Clinical Neuroscience and has published articles and book chapters on various topicsinthe area of co-occurring mental illness/intellectual disability. PauletteMarieGillig,M.D.,Ph.D.isProfessorofPsychiatryattheBoonshoftSchoolof Medicine,WrightStateUniversity,Dayton,OhioandontheFacultyoftheGraduateSchool. She has been Ohio Department of Mental Health Professor of Rural and Underserved Populationssince1998,islistedinBestDoctorsinAmerica,Who’sWhoinAmerica,Who’s WhointheWorld,isDistinguishedFellowoftheAmericanPsychiatricAssociationandisa memberofAlphaOmegaAlphaMedicalHonorSociety.ShealsoisamemberoftheSociety ofNeuroscienceandtheRussellDeJongSociety.SheisarecipientoftheFacultyMentor AwardandtheGoldenAppleTeachingAward,theOutstandingAchievementinMedical EducationandResearchAwardoftheAcademyofMedicine,andtheNancyRoeskeAward inMedicalEducationfromtheAmericanPsychiatricAssociation.Dr.Gillighaspublished three books and over 60 articles and book chapters in the several areas of Community x EditorBiographies (Public)Psychiatry,Psychotherapy,andtheInterfacebetweenPsychiatryandNeurology. She is the Section Editor for the journal Innovations in Clinical Neuroscience. She has completedresidenciesinbothneurologyandinpsychiatryandshealsoholdsadoctorate inSocialPsychologyintheareaofcognitiveprocesses.SheisthepastArea4representative to the American Association of Community Psychiatrists and Chair of the Training Committee. She was the Chair of the Committee on Minorities and Under-represented GroupsfortheOhioPsychiatricAssociation,andamemberoftheCommitteeonPoverty and Homelessness of the American PsychiatricAssociation. List of Contributors Betsey A.Benson,PhD Associate Professor, The Ohio State University,Columbus,Ohio, USA Kelly M.Blankenship, MD Assistant Professor, Indiana University,Indianapolis,Indiana, USA Allison E. Cowan, MD Assistant Professor, Wright State University, Dayton, Ohio,USA Jeannette Cox, JD Associate Professor, University ofDaytonSchool ofLaw, Dayton, Ohio,USA Gretchen N.Foley, MD Assistant Professor, Wright State University, Dayton, Ohio,USA JulieP. Gentile,MD Associate Professor, Wright State University, Dayton,Ohio, USA Paulette Marie Gillig,MD, PhD Professor, Wright State University, Dayton, Ohio, USA CarrollS. Jackson,LISW-S Montgomery County Board of Developmental Disabilities, Dayton,Ohio, USA Christopher T. Manetta,DO Kirtland AirForceBase Medical Facility, Kirtland AFB, NewMexico,USA Michelle A. Monro, DO Edwards Air Force BaseMedical Facility,Edwards AFB, California, USA Ann K.Morrison, MD Associate Professor, Wright State University, Dayton,Ohio, USA RichardSanders, MD Associate Professor, Wright State University, Dayton,Ohio, USA Christina G.Weston,MD Associate Professor, Wright State University, Dayton,Ohio, USA List of Abbreviations AOC altered consciousness APD antisocialpersonality disorder ARND alcohol relatedneurodevelopmental disorder BD bipolar disorder BPD borderline personalitydisorder BPS biopsychosocial CBT cognitivebehavioral therapy CDC Center for Disease Control CT computerized tomography DBT dialectical behaviortherapy DC LD DiagnosticCriteria – Learning Disorders DM-ID DiagnosticManual– IntellectualDisability DS Downsyndrome DSM-IV-TR Diagnosticand Statistical Manual,FourthEdition TextRevision DZ dizygotic ED emergencydepartment EEG electroencephalogram EKG electrocardiogram EPS extrapyramidal side effects FAE fetal alcohol effects FAS fetal alcohol syndrome FASD fetal alcohol syndrome disorders FGA first generationantipsychotic FMR1 Fragile XMental Retardation 1 gene FXS Fragile Xsyndrome FXTAS Fragile Xtremorataxia syndrome GABA gamma Aminobutyricacid GAD generalized anxiety disorder GCS GlasgowComa Scale GMC general medication condition HPD histrionic personality disorder ID intellectual disability
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