Chapter 9 Tic Disorders Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence

 

 

Chapter 9 Tic Disorders Disorders Usually First Diagnosed in

Infancy, Childhood, or Adolescence

INTRODUCTION

In Chapter 3, “Obsessive-Compulsive Disorder in Children,” Lisa Coyne, Jennifer Freeman, Abbe

Garcia, and Henrietta Leonard describe the changes in our understanding of obsessive-compulsive

disorder. The current role of psychotherapy, modified to meet the new neurobiological

understanding of the disorder, is presented. Several of the cognitive-behavioral therapy approaches

are outlined, and pharmacological treatments, including clomipramine, fluvoxamine, other selective

serotonin reuptake inhibitors, and newer investigational agents, are also discussed.

In Chapter 4, Joseph Biederman, Thomas Spencer, and Timothy Wilens summarize the literature on

the treatment of attention-deficit/hyperactivity disorder (ADHD). They present drug dosages, side

effects, indications, and contraindications, including the differential use of first- through fourth-line

medications for ADHD.

In Chapter 5, Alayne Yates and John Draeger approach conduct disorder—one notoriously resistant

to interventions—by considering the pros and cons of each treatment in turn, including promising

psychopharmacological interventions.

In Chapter 6, “Autistic Disorders,” Bryna Siegel, Michelle Ficcaglia, Catherine Hayer, and Peter

Tanguay present behavioral and pharmacological interventions for autism and pervasive

developmental disorders that are supported by empirical research. They offer a model to the

clinician for formulating which interventions may be most suitable for which individual with a

pervasive developmental disorder.

In Chapter 7, “Psychiatric Disorders in Persons With Intellectual Disability,” James Harris outlines

The treatment of psychiatric disorders in infancy, childhood, and adolescence reflects advances in

the development of evidence-based, diagnosis-specific psychosocial and psychopharmacological

interventions since the third edition of Treatments of Psychiatric Disorders. In the following

chapters, our experts summarize briefly the natural history and clinical features of selected

DSM-IV-TR (American Psychiatric Association 2000) disorders and then focus on their

evidence-based treatment.

First, in Chapter 1, “Mood Disorders and Suicidal Behavior,” Elizabeth Weller, Roomana Sheikh, Seth

Laracy, and Ronald Weller discuss treatment strategies for depression, bipolar disorder, and

suicidal behavior. The authors present a comprehensive review of the existing data on a broad

range of psychopharmacological and psychosocial treatments for depression and bipolar disorder.

They then discuss the research that has been done on a number of suicide prevention and crisis

intervention techniques.

In Chapter 2, “Anxiety Disorders in Children and Adolescents,” Tami Benton and Laura Sanchez

consider the wide range of symptoms presenting in children with anxiety disorders in developing a

formulation that includes specific individual goals. Their review of empirically researched

pharmacological agents is followed by a comprehensive consideration of the various

psychotherapies (e.g., cognitive and other behavioral techniques, psychoanalysis, psychodynamic

therapies, family therapy).

the treatment of psychiatric disorders in persons with intellectual disabilities, who may have bothPrint: Disorders Usually First Diagnosed in Infancy, Childhood, or Ado… http://www.psychiatryonline.com/popup.aspx?aID=265101&print=yes…

2 of 2

10/05/2009 16:55

cognitive difficulties and problems with social adaptive functioning, in the context of the most

recent understanding from the neurosciences.

In Chapter 8, “Learning Disorders,” Arlene Young and Joseph Beitchman present the latest

understanding of learning disorders and their subtypes in this rapidly changing field. Emphasizing a

multimodal, multidisciplinary approach to treatment, they address both the core deficit in each type

of learning disorder and the need to develop coping strategies to compensate for that deficit.

Robert King, Kenneth Towbin, Lawrence Scahill, and James Leckman review the treatment of tic

disorders in Chapter 9. They describe behavioral intervention programs for home and school, as

well as indications and guidelines for psychotherapy and family therapy. In reviewing the range of

psychopharmacological interventions, the authors consider special medication issues (e.g., related

disorders that may be alternative expressions of the same underlying genetic etiology) and address

the controversy about whether stimulants exacerbate tics.

In summary, we believe the authors of these chapters have assembled the most current and

comprehensive set of evidence-based treatment approaches available in the field today for some of

the most common psychiatric disorders of childhood and adolescence.

Reference

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text

Revision. Washington, DC, American Psychiatric Association, 2000

Copyright © 2009 American Psychiatric Publishing, Inc. All Rights Reserved.