Treating Adolescents E-Book

Hans Steiner

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 761

Veröffentlichungsjahr: 2015

Beschreibung

A unique guide to adolescent psychopathology, using a developmental approach Treating Adolescents is a comprehensive guide to adolescent mental health care, synthesizing evidence-based practice and practice-based perspectives to give providers the best advice available. By limiting the discussion to disorders which appear during adolescence, this useful manual can delve more deeply into each to present extensive evidence and practice-based rationales for approaching a range of psychopathologies. This edition has been revised to reflect the changes in the DSM-5 and the ICD-10, with entirely new chapters on ADHD, learning and executive function, bipolar and mood disorders, sleep disorders, and suicide and self-injury. Coverage includes non-therapy interventions, such as pharmacological and environmental. The discussion of schizophrenia and psychotic disorders includes adolescent presentations of Pervasive Developmental Disorders and their relationship to classical schizophrenia. In a developmental approach to adolescent psychopathology, different treatments are carefully integrated and matched to pathogenic processes in an effort to disrupt causal loops. This book provides in-depth guidance for providers seeking well-rounded treatment plans, with detailed explanations and expert insight. * Understand disruptive behaviors and ADHD more deeply * Treat anxiety, depression, and mood disorders more effectively * Handle psychiatric traumas and related psychopathologies * Delve into substance abuse, self-harm, eating disorders, and more Current scholarship favors developmental approaches to psychopathology and supports an emphasis on integrated treatment packages, including environmental, biologic, and psychological interventions. With full integration of practice and research, Treating Adolescents is a comprehensive reference for constructing a complete treatment strategy.

Leseprobe

CONTENTS

Cover

Title Page

Copyright

Dedication

Introduction

Contributors

Chapter 1: General Principles

Basic Concepts of Adolescent Development

Special Features of Psychopathology in Adolescence

Issues in Diagnosis: Distinguishing Between Normal Adolescent Behavior and Psychopathology

The Course of Treatment

Practice in Our Clinics

Suggested Readings

References

Chapter 2: Disruptive Behavior Disorders

Introduction

Adaptive Significance

Epidemiology

Cardinal Symptoms

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Lifetime Trajectory of Disruptive Behavior Disorders

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 3: Attention-Deficit/Hyperactivity Disorder (ADHD)

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Lifetime Trajectory of ADHD

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 4: Learning and Executive Cognitive Functions

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses To Be Ruled Out and Concurrent Pathology

Lifetime Trajectories of Learning Disorders

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

Chapter 5: Substance Use Disorders in Adolescence

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Lifetime Trajectory of Substance Use Disorder

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 6: Anxiety Disorders, Tics, and Trichotillomania

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Lifetime Trajectory of Anxiety Disorders

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Trichotillomania (Hair-Pulling Disorder) and Tics and Tourette's Disorder

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 7: Depression

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Lifetime Trajectory of Depressive Disorders

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 8: Bipolar and Mood Disorders in Adolescents

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses To Be Ruled Out and Concurrent Pathology

Lifetime Trajectory of Bipolar Disorder

Evidenced-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 9: Psychiatric Trauma and Related Psychopathologies

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Evidence-Based Treatment

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 10: Self-Harm and Suicidal Behavior

Adaptive Significance

Epidemiology and Cardinal Symptoms

Diagnosis

Concurrent Pathology

Lifetime Trajectory of Suicidal Behavior and NSSI

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 11: Somatic Symptom and Related Disorders*

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 12: Eating Disorders in Adolescents

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Lifetime Trajectory of Eating Disorders

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 13: Schizophrenia, Psychosis, and Autism Spectrum Disorders

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses To Be Ruled Out and Concurrent Pathology

Lifetime Trajectory of Schizophrenia

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Chapter 14: Sleep Disorders

Adaptive Significance

Epidemiology

Cardinal Symptoms

Diagnosis

Related Diagnoses to Be Ruled Out and Concurrent Pathology

Lifetime Trajectories of Sleep Disorders

Evidence-Based Treatment Interventions

Clinical Practice: Practice-Based Evidence

Prognosis and Outcomes

A Look Into the Future

Cross-Referencing

Suggested Readings

References

Author Index

Subject Index

End User License Agreement

List of Tables

Table 1.1

Table 13.1

Table 13.2

Table 13.3

List of Illustrations

Figure 1.1

Figure 1.2

Figure 1.3

Figure 1.4

Figure 1.5

Figure 11.1

Guide

Cover

Table of Contents

Begin Reading

Chapter 1

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Treating Adolescents

Second Edition

Hans Steiner with Rebecca Hall

Cover design: Wiley

Cover image: @mrfiza/Shutterstock

This book is printed on acid-free paper.

Copyright © 2015 by John Wiley & Sons, Inc. All rights reserved.

Published by John Wiley & Sons, Inc., Hoboken, New Jersey.

Published simultaneously in Canada.

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Library of Congress Cataloging-in-Publication Data:

Treating adolescents / [edited by] Hans Steiner, with Rebecca Hall. – Second edition.

p. ; cm.

Includes bibliographical references and index.

ISBN 978-1-118-88198-9 (pbk) – ISBN 978-1-118-96169-8 (pdf) – ISBN 978-1-118-96170-4 (epub)

I. Steiner, Hans, 1946- , editor. II. Hall, Rebecca, 1985- , editor.

[DNLM: 1. Mental Disorders–therapy. 2. Mental Disorders. 3. Adolescent. 4. Psychotherapy. WS 463]

RJ503

616.89′140835–dc23

2015001088

Dedication

Fuer Anny Steiner, deren Liebe zum Leben und zu Kindern

eine persistente Inspiration fuer mich waren. Mit ihr hat alles begonnen.

13.Juni 2014

Introduction

Hans Steiner and Rebecca Hall

You have to have chaos within you to give birth to a dancing star.

—Friedrich Nietzsche

We are happy to present the second edition of Treating Adolescents. As in the first edition, this book covers mental health problems as they emerge during adolescence. The book retains its commitment to a theoretical base in development, psychology, and psychiatry. It is written for the frontline clinician, the young professional, and the educated lay person in an effort to reach as many people as possible in order to help our youth traverse this complicated stage of development, reduce suffering, and restore growth. The format of this book follows the current model of teaching in the Stanford University School of Medicine: All the information offered is empirically based as much as is possible, drawing on two streams of information: (1) evidence-based medicine, and (2) practice-based evidence. The information is presented in representative cases, which allow for the combination of empirical evidence and clinical wisdom. The reader is invited to follow the reasoning and practice of these experts as they prepare to handle their own cases.

In the 20 years since the first edition was published, there have been many gratifying developments in the field of Developmental Psychiatry. We now have at our disposal an ever growing body of empirical knowledge, which allows us to delineate, define, and treat problems in much more effective ways. Progress has been made in all basic sciences that contribute to developmental psychiatry: biology, especially neuroscience; psychology; and sociology. In 2015, the practitioner is in a better position than ever to draw on these diverse strands of information and tailor them to suit a particular patient's needs. There are still pockets where we wish we had more information, but even then we are better able now than ever to draw on practice-based evidence in the form of systematic approaches to patients, case reports, case series, distilled clinical wisdom, practice guidelines, and meta-analyses.

Along with this expanded database also comes a new responsibility for clinicians to avail themselves of these materials, stay current, and acquire the art of skillful integration of information as they approach the patients, their families, and their social environment. It is in this spirit that our authors, who are mostly at Stanford University School of Medicine, have graduated from our training program or are professionally linked to our professoriate, approach the updated chapters in this book. We have given a detailed summary of our approach in previous publications, as listed in our suggested reading at the end of this introduction (Steiner, 2004, 2011).

Compared to when I (Hans Steiner) began my training in psychiatry some 30 years ago, many more people today have a much better understanding of psychiatric practice and avail themselves with much greater ease of the services it can offer. This most likely is a result of the maturation of our profession, as reflected in its increasing reliance on the principles of evidence-based medicine, and along with it the ongoing destigmatization of psychiatric disorders and their care. In the past 30-some years, we have indeed come a long way.