Clinical Child Psychiatry 3e
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More About This Title Clinical Child Psychiatry 3e


Making a psychiatric diagnosis in children can be challenging: some clinicians say the incidence of some childhood disorders, such as bipolar disorder and ADHD, is over-diagnosed while others say they are undiagnosed, undertreated, and are a large burden on society.  The drug treatment of child psychiatric disorders can also be controversial in children and adolescents. Clinical Child Psychiatry fills the need for an objective, clinically relevant source to dispel this confusion.


William M. Klykylo, M.D. is Professor and Director of the Division of Child and Adolescent Psychiatry at the Boonshoft School of Medicine of Wright State University in Dayton, Ohio. He attended the University of Michigan Medical School and trained in General and Child and Adolescent Psychiatry at the University of Cincinnati. He served at the Cincinnati Children’s Hospital Medical Center and as a residency training director at Cincinnati and Wright State for twenty-seven years. His academic interests include developmental disabilities, pervasive developmental disorders, medical education, ethics, and health care delivery systems. 


Dr. Kay is a Fellow of the American College of Psychiatrists and Distinguished Life Fellow of the American Psychiatric Association and has served as the chair of the APA Committee on Medical Student Education, the Council on Medical Education and Career Development, the Vestermark Award Board, and the Committee on the Practice of Psychotherapy. He chairs the World Psychiatric Association Task Force on  Undergraduate and Post Graduate Curriculum as well as the APA Committee on College Mental Health.  Dr. Kay is the immediate past chair of the Psychiatry Residency Review Committee of the ACGME and the Founding Editor of the Journal of Psychotherapy Practice and Research and Associate Editor of the American Journal of Psychotherapy. He has published extensively on the topics of medical and psychiatric education, medical ethics, child psychiatry, psychoanalysis, psychotherapy, the neurobiology of psychotherapy, and psychosocial aspects of AIDS and of cardiac transplantation. Dr. Kay serves as the Associate Director of the Comprehensive Neuroscience Center at Wright State University. He received the 2001 APA Seymour Vestermark Award for contributions to psychiatric education.


List of Contributors ix

Preface to Clinical Child Psychiatry, Third Edition xiii

Section I The Fundamentals of Child and Adolescent Psychiatric Practice 1

Chapter 1 The Initial Psychiatric Evaluation 3
William M. Klykylo

Chapter 2 Psychological Assessment of Children 20
Antoinette S. Cordell

Chapter 3 Neurobiological Assessment 46
George Realmuto, Bonnie Klimes-Dougan

Chapter 4 Educational Assessment and School Consultation 64
Dorothyann Feldis

Chapter 5 Psychiatric Assessment in Medically Ill Children 73
James H. Duffee, William M. Klykylo, David M. Rube

Chapter 6 How to Plan and Tailor Treatment: An Overview of Diagnosis and Treatment Planning 90
Brian J. McConville, Sergio V. Delgado

Chapter 7 Assessment of Infants and Toddlers 107
Martin J. Drell

Chapter 8 Play Therapy 120
Susan C. Mumford

Chapter 9 Cognitive Behavioral Therapy 130
Christina C. Clark

Section II Common Child and Adolescent Psychiatric Disorders 151

Chapter 10 Attention-Deficit Hyperactivity Disorder 153
David M. Rube, Tejal Kaur

Chapter 11 Disruptive Behavior Disorders 175
Jennifer P. Edidin, Niranjan S. Karnik, Scott J. Hunter, Hans Steiner

Chapter 12 Child and Adolescent Affective Disorders and their Treatment 189
Rick T. Bowers, Christina G. Weston, Julia Jackson

Chapter 13 Anxiety Disorders in Childhood and Adolescence 215
Craig L. Donnelly, Jesse C. Rhoads

Chapter 14 Substance Use in Adolescents 243
Jacqueline Countryman

Chapter 15 Childhood Trauma 255
Julia Huemer, Sidney Edsall, Niranjan S. Karnik, Hans Steiner

Chapter 16 Attachment and its Disorders 274
Jerald Kay

Chapter 17 The Eating Disorders 289
Randy A. Sansone, Lori A. Sansone

Chapter 18 Elimination Disorders: Enuresis and Encopresis 305
Ryan C. Mast, Andrew B. Smith

Chapter 19 Sexual Development and the Treatment of Sexual Disorders in Children and Adolescents 325
James Lock, Jennifer Couturier

Section III Developmental Disorders 343

Chapter 20 Learning and Communications Disorders 345
Pamela A. Gulley

Chapter 21 The Autistic Spectrum Disorders 353
Russell Tobe, Young Shin Kim, Thomas B. Owley, Bennett L. Leventhal

Chapter 22 Intellectual Disability (Mental Retardation) 377
L. Lee Carlisle, Bryan H. King, Arthur Maerlender

Chapter 23 Movement Disorders: Tics and Tourette's Disorder 399
Kevin Lam, Barbara J. Coffey

Chapter 24 Psychotic Disorders 418
Michael T. Sorter, Daniel A. Vogel

Chapter 25 Neuropsychological Assessment and the Neurologically Impaired Child 435
Scott D. Grewe, Keith Owen Yeates

Chapter 26 The Somatoform Disorders 458
Patricia I. Ibeziako, David Ray DeMaso

Chapter 27 Sleep Disorders 475
Martin B. Scharf, Christine V. Wellborn

Section IV Special Problems in Child and Adolescent Psychiatry 493

Chapter 28 Loss: Divorce, Separation, and Bereavement 495
Jamie Snyder

Chapter 29 Foster Care and Adoption 508
Jill D. McCarley, Christina G. Weston

Chapter 30 Child Psychiatry and the Law 518
Douglas Mossman

Index 539

Companion website

The book is accompanied by a companion resources site:

With interactive multiple-choice questions for each chapter.