American Psychiatric Association - DSM-5 Pocket Guide for Child and Adolescent Mental Health

This book is a compendium, in 300 pages, of practical clinical wisdom regarding the assessment and treatment of psychiatric problems in children and adolescents. It is a highly useful translation and expansion of DSM-5 for the pediatric population, where familial, developmental, environmental, and contextual factors make the diagnostic process especially challenging. Drs. Hilt and Nussbaums calm and exquisitely clear prose makes this volume a delight to read no matter what ones discipline or level of training.

Gregory K. Fritz, M.D., Professor and Director, Division of Child and Adolescent Psychiatry, and Vice Chair, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; Academic Director, E.P. Bradley Hospital; and Associate Chief and Director of Child Psychiatry, Rhode Island Hospital/Hasbro Childrens Hospital

This book takes an intensely practical approach to initial diagnosis and management of behavioral health problems in children and youth, making it useful for any clinician who provides care to children in an outpatient setting. It has the same degree of empathy for the clinicians using it that we all hope to provide for the children and families we care for.

Christopher Stille, M.D., M.P.H., Professor and Section Head, General Academic Pediatrics, University of Colorado School of Medicine/Childrens Hospital Colorado

Robert Hilt and Abraham Nussbaum have written an efficient and effective guide to the mental health interview and use of DSM-5 with children and adolescents. Together with the handy tables provided regarding treatments, this summary and explanation of the DSM-5 diagnostic criteria and detailed guide to the clinical interview will be useful to all clinicians working with youth, especially those in primary care. The authors emphasize that when evaluating a young patient, the practitioner must consider all aspects, not only of the patient, but also of the family, school, and community, and develop the relationship before launching into a symptom checklist.

Mina K. Dulcan, M.D., Head, Child and Adolescent Psychiatry, Ann & Robert H. Lurie Childrens Hospital of Chicago, and Professor of Psychiatry and Behavioral Sciences and Pediatrics, Northwestern University Feinberg School of Medicine

Hilt and Nussbaums DSM-5 Pocket Guide is an outstanding, user -friendly, clinically meaningful interpretation of disorders relevant to those of us evaluating and treating children and adolescents. It provides not only youth-specific information on the disorders; it provides very useful ways of soliciting the information as well as guidelines for treatment planning and psychopharmacologic and psychosocial treatments. Think of the volume as cutting the huge plate of child and adolescent diagnosis, psychopathology, and treatment into bite-sized and easy to swallow pieces! Clinicians caring for the mental health of children shouldnt be without it!

Gabrielle A. Carlson, M.D., Professor of Psychiatry and Pediatrics, Stony Brook University School of Medicine, Putnam Hall-South Campus

i DSM-5 POCKET GUIDE FOR CHILD AND ADOLESCENT MENTAL HEALTH ii

Robert J. Hilt, M.D., FAAP, FAACAP, FAPA

Associate Professor, Department of Psychiatry, University of Washington, and Director, Partnership Access Line, Seattle Childrens Hospital, Seattle, Washington

Abraham M. Nussbaum, M.D., FAPA

Director, Denver Health Adult Inpatient Psychiatry, and Assistant Professor, Department of Psychiatry, University of Colorado School of Medicine, Denver, Colorado

iv 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 standards, and that information concerning drug dosages, schedules, and routes of administration 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 Association Publishing represent the findings, conclusions, and views of the individual authors and do not necessarily represent the policies and opinions of American Psychiatric Association Publishing or the American Psychiatric Association.

If you wish to buy 50 or more copies of the same title, please go to www.appi.org/specialdiscounts for more information.

Copyright 2016 American Psychiatric Association Publishing

ALL RIGHTS RESERVED

DSM and DSM-5 are registered trademarks of the American Psychiatric Association. Use of these terms is prohibited without permission of the American Psychiatric Association.

Manufactured in the United States of America on acid-free paper
19 18 17 16 15 5 4 3 2 1
First Edition

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Library of Congress Cataloging-in-Publication Data

Hilt, Robert J., 1969, author.

DSM-5 pocket guide for child and adolescent mental health / by Robert J. Hilt, Abraham M. Nussbaum.

p. ; cm.

Pocket guide for child and adolescent mental health

Diagnostic and statistical manual of mental disorders-5 pocket guide for child and adolescent mental health

Diagnostic and statistical manual of mental disorders-five pocket guide for child and adolescent mental health

Includes bibliographical references and index.

ISBN 978-1-58562-494-2 (pb : alk. paper)

I. Nussbaum, Abraham M., 1975, author. II. American Psychiatric Association, issuing body. III. Title. IV. Title: Pocket guide for child and adolescent mental health. V. Title: Diagnostic and statistical manual of mental disorders-5 pocket guide for child and adolescent mental health. VI. Title: Diagnostic and statistical manual of mental disorders-five pocket guide for child and adolescent mental health.

[DNLM: 1. Diagnostic and statistical manual of mental disorders. 5th ed. 2. Mental DisordersdiagnosisHandbooks. 3. Mental DisorderstherapyHandbooks. 4. Adolescent. 5. Child. 6. Interview, PsychologicalmethodsHandbooks. WS 39]

RJ503

616.8900835dc23

2015031532

British Library Cataloguing in Publication Data

A CIP record is available from the British Library.

SECTION I
DIAGNOSING AND TREATING CHILDREN AND ADOLESCENTS

SECTION II
USING DSM-5 WITH CHILDREN AND ADOLESCENTS

vi SECTION III
ADDITIONAL TOOLS AND CLINICAL GUIDANCE

The release of ). Such an evaluation can seem impossible. After all, when you are determining whether a person is experiencing a mental disorder, you consider many aspects of a person, including his or her culture, ethnicity, faith, family history, gender, medical history, sexual orientation, and temperament. When making those determinations in children and adolescents, your evaluation is often even more complex. You must know both a persons age and his or her developmental age. You must know both a persons temperament and the temperament of his or her parents. You must know the health of a person and the health of his or her family.