1,206 results match your criteria Child and Adolescent Psychiatric Clinics of North America[Journal]


Acts of Medical Kindness for People with Autism.

Child Adolesc Psychiatr Clin N Am 2020 Jul 23;29(3):xi-xiv. Epub 2020 Apr 23.

Sheppard Pratt Health System, 6501 North Charles Street, Baltimore, MD 21204, USA. Electronic address:

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http://dx.doi.org/10.1016/j.chc.2020.03.005DOI Listing

Facial Expression Production and Recognition in Autism Spectrum Disorders: A Shifting Landscape.

Child Adolesc Psychiatr Clin N Am 2020 Jul 9;29(3):557-571. Epub 2020 Apr 9.

School of Psychology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. Electronic address:

Social "difficulties" associated with ASD may be a product of neurotypical-autistic differences in emotion expression and recognition. Research suggests that neurotypical and autistic individuals exhibit expressive differences, with autistic individuals displaying less frequent expressions that are rated lower in quality by non-autistic raters. Autistic individuals have difficulties recognizing neurotypical facial expressions; neurotypical individuals have difficulties recognizing autistic expressions. Read More

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http://dx.doi.org/10.1016/j.chc.2020.02.006DOI Listing

Sexuality and Gender Issues in Individuals with Autism Spectrum Disorder.

Child Adolesc Psychiatr Clin N Am 2020 Jul 3;29(3):543-556. Epub 2020 Apr 3.

Department of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia. Electronic address:

This article reviews relevant literature on sexuality in individuals with autism spectrum disorder (ASD). Findings reveal a growing awareness of desire for sexual and intimate relationships in individuals with ASD. However, core impairments of ASD lead to difficulties establishing requisite knowledge and skills necessary to attain a healthy sexuality and facilitate relationships. Read More

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http://dx.doi.org/10.1016/j.chc.2020.02.007DOI Listing

Assessment and Treatment of Emotion Regulation Impairment in Autism Spectrum Disorder Across the Life Span: Current State of the Science and Future Directions.

Child Adolesc Psychiatr Clin N Am 2020 Jul 3;29(3):527-542. Epub 2020 Apr 3.

Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O'Hara Street, Webster Hall Suite 300, Pittsburgh, PA 15213, USA.

Emotion regulation (ER) is the ability to modify arousal and emotional reactivity to achieve goals and maintain adaptive behaviors. ER impairment in autism spectrum disorder (ASD) is thought to underlie many problem behaviors, co-occurring psychiatric symptoms, and social impairment, and yet is largely unaddressed both clinically and in research. There is a critical need to develop ER treatment and assessment options for individuals with ASD across the life span, given the multitude of downstream effects on functioning. Read More

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http://dx.doi.org/10.1016/j.chc.2020.02.003DOI Listing

The Impact of Applied Behavior Analysis to Address Mealtime Behaviors of Concern Among Individuals with Autism Spectrum Disorder.

Authors:
Benjamin Sarcia

Child Adolesc Psychiatr Clin N Am 2020 Jul 29;29(3):515-525. Epub 2020 Apr 29.

Healthy Beginnings Feeding Therapy Program, Verbal Beginnings, LLC, 7090 Samuel Morse Drive, Suite 100, Columbia, MD 21046, USA. Electronic address:

Feeding difficulties among individuals with autism spectrum disorder are common. The science of applied behavior analysis (ABA) has been employed to address these difficulties. Ample publications exist that demonstrate that ABA is consistently effective in increasing the consumption of new foods and drinks, increasing chewing and swallowing behavior, decreasing problem behavior at mealtime, and improving skills such as self-feeding. Read More

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http://dx.doi.org/10.1016/j.chc.2020.03.004DOI Listing

Gastrointestinal Issues and Autism Spectrum Disorder.

Child Adolesc Psychiatr Clin N Am 2020 Jul 2;29(3):501-513. Epub 2020 Apr 2.

Department of Pediatrics, Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, 622 West 168th Street, New York, NY 10025, USA; Institute of Human Nutrition, Columbia University Irving Medical Center, 630 West 168th Street, PH1512E, New York, NY 10032, USA. Electronic address:

Gastrointestinal disorders are one of the most common medical conditions that are comorbid with autism spectrum disorders. These comorbidities can cause greater severity in autism spectrum disorder symptoms, other associated clinical manifestations, and lower quality of life if left untreated. Clinicians need to understand how these gastrointestinal issues present and apply effective therapies. Read More

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http://dx.doi.org/10.1016/j.chc.2020.02.005DOI Listing

Seizures and Epilepsy in Autism Spectrum Disorder.

Child Adolesc Psychiatr Clin N Am 2020 Jul 3;29(3):483-500. Epub 2020 Apr 3.

East London NHS Foundation Trust, 5-7 Rush Court, Bedford MK40 3JT, UK.

Epilepsy and autism frequently co-occur. Epilepsy confers an increased risk of autism and autism confers an increased risk of epilepsy. Specific epilepsy syndromes, intellectual disability, and female gender present a particular risk of autism in individuals with epilepsy. Read More

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http://dx.doi.org/10.1016/j.chc.2020.02.002DOI Listing

Autism Spectrum Disorder and Substance Use Disorder: A Dual Diagnosis Hiding in Plain Sight.

Child Adolesc Psychiatr Clin N Am 2020 Jul 29;29(3):467-481. Epub 2020 Apr 29.

Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, USA. Electronic address:

Individuals with autism spectrum disorder (ASD) have a significantly higher risk for developing a substance use disorder (SUD) than the general population yet literature addressing cooccurring ASD and SUD is scarce. This article explores connections between ASD and SUD and the impact on development, screening and treatment. The article proposes culturally constructed narratives associated with both diagnoses may be responsible for the dearth of research and literature. Read More

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http://dx.doi.org/10.1016/j.chc.2020.03.002DOI Listing

Use of Electroconvulsive Therapy in Autism.

Child Adolesc Psychiatr Clin N Am 2020 Jul 5;29(3):455-465. Epub 2020 May 5.

Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287, USA.

The mechanism of action of electroconvulsive therapy (ECT) is not fully elucidated, with prevailing theories ranging from neuroendocrinological to neuroplasticity effects of ECT or epileptiform brain plasticity. Youth with autism can present with catatonia. ECT is a treatment that can safely and rapidly resolve catatonia in autism and should be considered promptly. Read More

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http://dx.doi.org/10.1016/j.chc.2020.03.003DOI Listing

Catatonia in Patients with Autism Spectrum Disorder.

Child Adolesc Psychiatr Clin N Am 2020 Jul;29(3):443-454

University of Michigan, University of Michigan Medical Center, 4250 Plymouth Road, Ann Arbor, MI 48109, USA.

Catatonia was first described by Karl Ludwig Kahlbaum in 1874, occurring in association with other psychiatric and medical disorders. However, in the nineteenth century the disorder was incorrectly classified as a subtype of schizophrenia. This misclassification persisted until the publication of DSM-5 in 2013 when important changes were incorporated. Read More

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http://dx.doi.org/10.1016/j.chc.2020.03.001DOI Listing

Bipolar Disorder and Psychosis in Autism.

Child Adolesc Psychiatr Clin N Am 2020 Jul 4;29(3):433-441. Epub 2020 Apr 4.

University of Michigan, University of Michigan Medical Center, 4250 Plymouth Road, Ann Arbor, MI 48109, USA.

Autism seldom occurs in its pure form. Often labeled as behavioral disorders or psychological reactions, comorbid psychiatric disorders are common. Bipolar disorder is one of the most common psychiatric disorders that occur in persons with autism across their life spans. Read More

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http://dx.doi.org/10.1016/j.chc.2020.02.004DOI Listing

Autism Spectrum Disorder Grows Up.

Child Adolesc Psychiatr Clin N Am 2020 Apr;29(2):xiii-xvi

Sheppard Pratt Health System, 6501 North Charles Street, Baltimore, MD 21204, USA. Electronic address:

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http://dx.doi.org/10.1016/j.chc.2020.02.001DOI Listing

Erratum.

Authors:

Child Adolesc Psychiatr Clin N Am 2020 Apr;29(2):xi

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http://dx.doi.org/10.1016/j.chc.2019.12.006DOI Listing

Obsessive-Compulsive Disorder in Autism Spectrum Disorder Across the Lifespan.

Child Adolesc Psychiatr Clin N Am 2020 Apr 31;29(2):419-432. Epub 2020 Jan 31.

Sheppard Pratt Health System, 6501 North Charles Street, Baltimore, MD 21204, USA. Electronic address:

Obsessive-compulsive disorder is a relatively common disorder seen in autism spectrum disorder across the lifespan. Many obsessive-compulsive disorder symptoms can present similarly to the core features of autism spectrum disorder and it is often difficult to differentiate between obsessive-compulsive disorder and stereotypic behaviors or restricted interests in autism spectrum disorder. However, there are differences between the 2 disorders. Read More

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http://dx.doi.org/10.1016/j.chc.2019.12.003DOI Listing

Intersection of Eating Disorders and the Female Profile of Autism.

Child Adolesc Psychiatr Clin N Am 2020 Apr 7;29(2):409-417. Epub 2020 Jan 7.

Deakin University, School of Psychology, Faculty of Health, 221 Burwood Highway, Burwood, Victoria 3125, Australia. Electronic address:

There is a moderate degree of comorbidity between autism and eating disorders, particularly anorexia nervosa in female individuals. Research indicates that up to 30% of patients with anorexia are autistic, or display high levels of autistic traits. Frequently, an autism diagnosis is secondary to an eating disorder diagnosis, which brings concomitant issues into treatment efficacy and outcomes for both conditions. Read More

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http://dx.doi.org/10.1016/j.chc.2019.11.002DOI Listing

Transitioning from Adolescence to Adulthood with Autism Spectrum Disorder: An Overview of Planning and Legal Issues.

Child Adolesc Psychiatr Clin N Am 2020 Apr 25;29(2):399-408. Epub 2020 Jan 25.

Neiswanger Institute for Bioethics, Loyola University Chicago Stritch School of Medicine, 2160 South First Avenue, Maywood, IL 60153, USA. Electronic address: https://twitter.com/kayhanparsi.

The transition to adulthood is complex. It is defined by many objective and subjective milestones. Transition from adolescence to young adulthood is challenging for both neurotypical individuals and individuals with autism spectrum disorders. Read More

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http://dx.doi.org/10.1016/j.chc.2019.11.003DOI Listing

Competitive Integrated Employment for Youth and Adults with Autism: Findings from a Scoping Review.

Child Adolesc Psychiatr Clin N Am 2020 Apr 31;29(2):373-397. Epub 2020 Jan 31.

Department of Counseling and Special Education, Rehabilitation Research and Training Center, Autism Center for Excellence, School of Education, Virginia Commonwealth University, 1314 West Main Street, Box 842011, Richmond, VA 23284-2011, USA.

A scoping review was conducted to map existing literature on effective interventions for competitive employment for individuals with autism spectrum disorder. Empirical database searches were conducted. A filter for level of methodological rigor was implemented. Read More

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http://dx.doi.org/10.1016/j.chc.2019.12.001DOI Listing

Social Skills Training in Autism Spectrum Disorder Across the Lifespan.

Child Adolesc Psychiatr Clin N Am 2020 Apr 30;29(2):359-371. Epub 2020 Jan 30.

University of California, Los Angeles, Los Angeles, CA, USA.

Social skills training programs for individuals with autism spectrum disorder are effective in improving social competence, although effects are frequently not robust across all outcomes measured. When aggregating across the social skills training programs with the strongest evidence, common elements can be identified in both the treatment delivery method and the social skills content targeted. However, social skills training programs continue to remain limited in their generalizability and scope. Read More

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http://dx.doi.org/10.1016/j.chc.2019.11.001DOI Listing

The Transition to Adulthood for Young People with Autism Spectrum Disorder.

Child Adolesc Psychiatr Clin N Am 2020 Apr 31;29(2):345-358. Epub 2020 Jan 31.

Sheppard Pratt Health System, 6501 North Charles Street, Baltimore, MD 21204, USA.

The transition to adulthood for individuals with autism spectrum disorder is difficult and outcomes are suboptimal. Social cognition deficits and executive dysfunction continue to be barriers to young people's success, lack of societal acceptance and loss of previous support can exacerbate the condition, and mental health issues increase. All areas of adult functioning are affected. Read More

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http://dx.doi.org/10.1016/j.chc.2019.12.002DOI Listing

Autism and Education.

Child Adolesc Psychiatr Clin N Am 2020 Apr 17;29(2):319-343. Epub 2020 Feb 17.

Neuropsychiatry Outpatient Program, Adult Developmental Neuropsychiatry Clinic, Adult Inpatient Intellectual Disability and Autism Unit, Sheppard Pratt Autism Registry, Ethics Committee, Sheppard Pratt Hospital, 6501 North Charles Street, Baltimore, MD 21285, USA. Electronic address:

Determining the most effective strategies to educate children and youth with autism spectrum disorder (ASD) can be daunting. Dr Stephen Shore, an autism advocate who is on the spectrum, said, "If you've met one person with autism, you've met one person with autism." Individuals diagnosed with ASD present with unique strengths and difficulties and experience characteristics of their disability in different ways. Read More

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http://dx.doi.org/10.1016/j.chc.2019.12.005DOI Listing

Current Approaches to the Pharmacologic Treatment of Core Symptoms Across the Lifespan of Autism Spectrum Disorder.

Child Adolesc Psychiatr Clin N Am 2020 Apr 31;29(2):301-317. Epub 2020 Jan 31.

Janssen Research & Development, LLC, 1125 Trenton Harbouron Road, Titusville, NJ 08560, USA.

There are no approved medications for autism spectrum disorder (ASD) core symptoms. However, given the significant clinical need, children and adults with ASD are prescribed medication off label for core or associated conditions, sometimes based on limited evidence for effectiveness. Recent developments in the understanding of biologic basis of ASD have led to novel targets with potential to impact core symptoms, and several clinical trials are underway. Read More

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http://dx.doi.org/10.1016/j.chc.2019.12.004DOI Listing

The Role of Diagnostic Instruments in Dual and Differential Diagnosis in Autism Spectrum Disorder Across the Lifespan.

Child Adolesc Psychiatr Clin N Am 2020 Apr 17;29(2):275-299. Epub 2020 Feb 17.

Division of Clinical Behavioral Neuroscience, Department of Pediatrics, University of Minnesota 2540 Riverside Ave S., RPB 550, Minneapolis, MN 55454, USA.

The heterogeneity inherent in autism spectrum disorder (ASD) makes the identification and diagnosis of ASD complex. We survey a large number of diagnostic tools, including screeners and tools designed for in-depth assessment. We also discuss the challenges presented by overlapping symptomatology between ASD and other disorders and the need to determine whether a diagnosis of ASD or another diagnosis best explains the individual's symptoms. Read More

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http://dx.doi.org/10.1016/j.chc.2020.01.002DOI Listing

Diagnosis of Autism Spectrum Disorder Across the Lifespan.

Child Adolesc Psychiatr Clin N Am 2020 Apr 17;29(2):253-273. Epub 2020 Feb 17.

Emory Autism Center, 1551 Shoup Court, Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Decatur, GA 30033, USA.

Although autism spectrum disorder (ASD) is one of the most common neurodevelopmental disorders it is also one of the most heterogeneous conditions, making identification and diagnosis complex. The importance of a stable and consistent diagnosis cannot be overstated. An accurate diagnosis is the basis for understanding the individual and establishing an individualized treatment plan. Read More

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http://dx.doi.org/10.1016/j.chc.2020.01.001DOI Listing

Psychosis in Children and Adolescents: A Guide for Clinicians.

Child Adolesc Psychiatr Clin N Am 2020 Jan 16;29(1):xv-xvi. Epub 2019 Oct 16.

First Episode and Early Psychosis Program, Massachusetts General Hospital, 32 Fruit Street, Yawkey 6A, Boston, MA 02114, USA. Electronic address:

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http://dx.doi.org/10.1016/j.chc.2019.09.001DOI Listing
January 2020

Affective Disorders with Psychosis in Youth: An Update.

Child Adolesc Psychiatr Clin N Am 2020 Jan 9;29(1):91-102. Epub 2019 Oct 9.

Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California Los Angeles, 546 16th Street, Los Angeles, CA 90402, USA. Electronic address:

Mood disorders, including major depression and mania, can present with psychotic features. In youth psychotic-like phenomena such as "seeing faces in the dark" or "hearing noises" are fairly common. Rates of lifetime psychotic symptoms are much higher than rates of psychosis during a "current" episode of mania or depression in youth. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.011DOI Listing
January 2020

Childhood-Onset Schizophrenia and Early-onset Schizophrenia Spectrum Disorders: An Update.

Child Adolesc Psychiatr Clin N Am 2020 Jan;29(1):71-90

National Institutes Health (NIH), Building 10-CRC, Room 6-5332, 10 Center Drive, Bethesda, MD 20814, USA.

The clinical severity, impact on development, and poor prognosis of childhood-onset schizophrenia may represent a more homogeneous group. Positive symptoms in children are necessary for the diagnosis, and hallucinations are more often multimodal. In healthy children and children with a variety of other psychiatric illnesses, hallucinations are not uncommon and diagnosis should not be based on these alone. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.017DOI Listing
January 2020

The Prodrome of Psychotic Disorders: Identification, Prediction, and Preventive Treatment.

Child Adolesc Psychiatr Clin N Am 2020 Jan 9;29(1):57-69. Epub 2019 Oct 9.

Orygen, The National Centre of Excellence in Youth Mental Health, The University of Melbourne, Parkville, Victoria 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road (Locked Bag 10), Parkville, Victoria 3052, Australia.

Twenty-five years ago "at risk" for psychosis criteria were introduced to the field. Prediction studies have identified a range of risk factors involved in transition from "at risk" status to first episode psychotic illness, with recent interest in dynamic and multimodal prediction models. Treatment studies have indicated that risk of transition to psychotic disorder can at least be delayed in this clinical population. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.001DOI Listing
January 2020
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Medical Etiologies of Secondary Psychosis in Children and Adolescents.

Child Adolesc Psychiatr Clin N Am 2020 Jan 9;29(1):29-42. Epub 2019 Oct 9.

Department of Child and Adolescent Psychiatry, Vanderbilt University Medical Center, 1500 21st Avenue South, Suite 2200, Nashville, TN 37212, USA. Electronic address:

This is an updated review of child and adolescent somatic disorders associated with psychosis/psychotic symptoms, organized into neurologic, infectious, genetic, inborn errors of metabolism, autoimmune, rheumatologic, endocrine, nutritional, metabolic, and iatrogenic categories. When possible clinical manifestations or types of psychotic symptoms and proposed neuropathogenesis causing the neuropsychiatric symptoms are included. In some cases, the psychiatric symptoms may be the first presentation of the disease. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.005DOI Listing
January 2020

School-Based Approaches in Youth with Psychosis.

Child Adolesc Psychiatr Clin N Am 2020 Jan 9;29(1):241-252. Epub 2019 Oct 9.

Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 1 Bowdoin Square, Seventh Floor, Boston, MA 02114, USA. Electronic address:

A major recovery milestone for youth affected by psychosis is reintegration back into a school setting, an important, attainable, treatment goal. The emergence of psychosis often results in either an onset or exacerbation of prior neurocognitive and learning challenges for affected students. Gold standard practice in clinical care for psychosis comprises comprehensive supportive educational services explicitly focused on successful academic reintegration and achievement. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.014DOI Listing
January 2020

Community Rehabilitation for Youth with Psychosis Spectrum Disorders.

Child Adolesc Psychiatr Clin N Am 2020 Jan 9;29(1):225-239. Epub 2019 Oct 9.

Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA. Electronic address:

Recovery-oriented treatment for youth with psychosis goes beyond a symptom and deficit-amelioration model, promoting engagement and functioning within the community. Given the challenges young people with psychosis face, early psychosis treatment programs often integrate rehabilitative components targeting functional outcomes. The current article reviews 4 community rehabilitation programs in early psychosis: care coordination, cognitive rehabilitation, supported education and employment, and peer support. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.012DOI Listing
January 2020

Evidence-Based Psychosocial Treatment for Individuals with Early Psychosis.

Child Adolesc Psychiatr Clin N Am 2020 Jan 9;29(1):211-223. Epub 2019 Oct 9.

Massachusetts General Hospital, Center of Excellence in Psychosocial and Systemic Research, 151 Merrimac Street, 6th Floor, Boston, MA 02114, USA; Harvard Medical School, Boston, MA, USA.

Coordinated specialty care (CSC) first-episode models are an evidence-based practice in the treatment of first-episode psychosis. Group, individual, and family therapies in CSC aim to help the client and family understand and cope with the experience of psychosis, promote symptomatic and functional recovery and improve quality of life, and support the pursuit of personally meaningful goals of the client. Common elements to these interventions include building a therapeutic alliance, recovery orientation, education, and skills training, which can be directed to a range of targets, including problem-solving, communication, social skills, and social cognition. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.013DOI Listing
January 2020

Psychopharmacologic Treatment of Schizophrenia in Adolescents and Children.

Child Adolesc Psychiatr Clin N Am 2020 Jan 11;29(1):183-210. Epub 2019 Oct 11.

Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 1800 Orleans Street, Bloomberg Children's Center, Suite 12344, Baltimore, MD 21287, USA.

An increasing number of antipsychotic medications have demonstrated efficacy in randomized placebo-controlled trials in the treatment of children and adolescents with schizophrenia. This review summarizes and synthesizes relevant antipsychotic medication studies, with particular emphasis on second-generation agents, and discusses other clinical considerations that may influence medication selection. With the exception of clozapine demonstrating superior efficacy in the improvement of psychotic symptoms in treatment-resistant patients, many antipsychotic agents have been shown to be similarly efficacious, including first-generation medications. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.009DOI Listing
January 2020

Cognition, Social Cognition, and Functional Capacity in Early-Onset Schizophrenia.

Child Adolesc Psychiatr Clin N Am 2020 Jan 23;29(1):171-182. Epub 2019 Sep 23.

University of Miami Miller School of Medicine, 1120 Northwest 14th Street, Suite 1450, Miami, FL 33136, USA.

Cognitive impairments are a central feature of schizophrenia. These impairments are present across the course of the illness, from prodromal to more chronic patients. Social cognitive deficits, now known to be related to social outcomes in the real world, are also impaired in cases with early-onset psychosis. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.008DOI Listing
January 2020

Genetics of Childhood-onset Schizophrenia 2019 Update.

Child Adolesc Psychiatr Clin N Am 2020 Jan 17;29(1):157-170. Epub 2019 Oct 17.

Department of Psychiatry & Biobehavioral Sciences, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA 90095, USA; Department of Psychology, University of California, Los Angeles, 502 Portola Plaza Los Angeles, CA 90095, USA; Brain Research Institute, University of California, Los Angeles, 695 Charles E Young Dr S, Los Angeles, CA 90095, USA. Electronic address:

The genetic architecture of schizophrenia is complex and highly polygenic. This article discusses key findings from genetic studies of childhood-onset schizophrenia (COS) and the more common adult-onset schizophrenia (AOS), including studies of familial aggregation and common, rare, and copy number variants. Extant literature suggests that COS is a rare variant of AOS involving greater familial aggregation of schizophrenia spectrum disorders and a potentially higher occurrence of pathogenic copy number variants. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6954004PMC
January 2020

First Episode Psychosis Medical Workup: Evidence-Informed Recommendations and Introduction to a Clinically Guided Approach.

Child Adolesc Psychiatr Clin N Am 2020 Jan;29(1):15-28

Department of Psychiatry and Behavioral Sciences, Consult-Liaison Psychiatry, Vanderbilt University Medical Center, 1601 23rd Avenue South, Nashville, TN 37212, USA.

Evaluating the patient with first episode psychosis (FEP) requires a careful assessment that includes a thorough history, examination, and workup. This begins with a thoughtful consideration of the differential diagnoses and is followed and supported by laboratory, encephalographic, and imaging studies where appropriate. This article presents some of the diagnostic considerations for a patient presenting with psychosis with an emphasis on the secondary causes and proposes a tiered approach to the workup of FEP that is clinically guided. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.010DOI Listing
January 2020

The Changing Legal Landscape of Cannabis Use and Its Role in Youth-onset Psychosis.

Child Adolesc Psychiatr Clin N Am 2020 Jan 9;29(1):145-156. Epub 2019 Oct 9.

Harvard Medical School, Boston, MA USA; Massachusetts General Hospital, Center for Addiction Medicine, 101 Merrimac Street, Boston, MA 02114, USA.

The rapidly changing landscape of cannabis in terms of availability, potency, and routes of administration, as well as the decrease in risk perception and changing norms, have contributed to an increase in the popularity of cannabis. Cannabis use is associated with a poorer recovery from a psychotic disorder, increasing the risk of relapse, rehospitalization, and lower social functioning. Data are mixed regarding cannabis use as a component cause of psychosis in people at risk for psychotic disorder. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.016DOI Listing
January 2020

Substance-induced Psychosis in Youth.

Child Adolesc Psychiatr Clin N Am 2020 Jan 23;29(1):131-143. Epub 2019 Sep 23.

Addiction Recovery Management Service, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street YAW 6A, Boston, MA 02114, USA.

Youth experiencing psychosis also frequently misuse substances, making it clinically challenging to differentiate substance-induced psychosis (SIP) from a primary psychotic disorder (PPD), which has important implications for management and prognosis. This article presents practical considerations related to differentiating SIP from PPD, including information on substances associated with symptoms of psychosis. Recommendations for management of SIP are also reviewed, including screening for and treating comorbid substance use disorders and using evidence-based medication and psychosocial interventions. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.006DOI Listing
January 2020

Childhood Trauma and Psychosis: An Updated Review.

Child Adolesc Psychiatr Clin N Am 2020 Jan 23;29(1):115-129. Epub 2019 Sep 23.

Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. Electronic address:

There is growing evidence to support the link between childhood trauma and psychosis. Childhood trauma increases the risk for psychosis and affects severity and type of psychotic symptoms, and frequency of comorbid conditions, including depression and substance use. Childhood trauma is linked to more severe functional impairment in individuals with psychosis. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.004DOI Listing
January 2020

Autism, Psychosis, or Both? Unraveling Complex Patient Presentations.

Child Adolesc Psychiatr Clin N Am 2020 Jan 18;29(1):103-113. Epub 2019 Sep 18.

Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2608 Erwin Road, Suite 300, Durham, NC 27705, USA.

Autism spectrum disorders (ASDs) and schizophrenia spectrum disorders co-occur at elevated rates. Although these conditions are diagnostically distinct, they share multiple clinical features and genetic risk factors. This article describes the epidemiologic features and clinical manifestations of psychosis in individuals with ASDs, while also discussing shared genetic risk factors and affected brain regions. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.003DOI Listing
January 2020

Assessing Youth with Psychotic Experiences: A Phenomenological Approach.

Child Adolesc Psychiatr Clin N Am 2020 Jan 25;29(1):1-13. Epub 2019 Sep 25.

First Episode and Early Psychosis Program, Massachusetts General Hospital, 32 Fruit Street, Yawkey 6A, Boston, MA 02114, USA.

Psychotic experiences may be part of normal development or indicate a wide range of mental disorders. This article shows how a systematic, domain-based, phenomenological approach to assessing psychotic symptoms in youth facilitates the gathering of the nuanced clinical information necessary to understand a child's specific experience. Mapping this information onto a narrative timeline, while understanding the evolution and developmental context of psychotic experiences, is essential in making an accurate diagnostic formulation and appropriate treatment plan for youth presenting with psychotic experiences. Read More

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http://dx.doi.org/10.1016/j.chc.2019.08.002DOI Listing
January 2020
4 Reads

Treating Eating Disorders in Children and Adolescents: An Update.

Child Adolesc Psychiatr Clin N Am 2019 10 10;28(4):xiii-xiv. Epub 2019 Jul 10.

Psychiatry and Behavioral Sciences, Comprehensive Care Program, Division of Child and Adolescent Psychiatry, Stanford University School of Medicine, 401 Quarry Road, MC 5719, Stanford, CA 94305, USA. Electronic address:

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http://dx.doi.org/10.1016/j.chc.2019.06.001DOI Listing
October 2019
1 Read

Use of Technology in the Assessment and Treatment of Eating Disorders in Youth.

Child Adolesc Psychiatr Clin N Am 2019 10 4;28(4):653-661. Epub 2019 Jul 4.

Baruch Ivcher School of Psychology, Interdisciplinary Center, Kanfei Nesharim 1, Herzliya 4610101, Israel; Center for m(2)Health, Palo Alto University, Palo Alto, CA, USA. Electronic address:

For countless young people, technology plays an essential role in their lives. However, its many advantages have not yet been widely applied to the treatment of youth with eating disorders. This article looks at how smartphone applications, Web conferencing, and other developments could widen the range of care available in a field where suitable support can be hard to find. Read More

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http://dx.doi.org/10.1016/j.chc.2019.05.011DOI Listing
October 2019

Eating Disorders in Males.

Child Adolesc Psychiatr Clin N Am 2019 10 11;28(4):641-651. Epub 2019 Jul 11.

Department of Psychiatry, University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, USA. Electronic address:

Eating disorders are serious psychiatric disorders, associated with significant psychiatric and medical consequences. Although traditionally considered a female disorder, more recent evidence has determined that EDs among males are not uncommon and are equally severe in symptom presentation. Among youth and adolescent males, certain factors increase the risk for ED, including muscularity-focused body image concerns and sexual orientation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10564993193006
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http://dx.doi.org/10.1016/j.chc.2019.05.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785984PMC
October 2019
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The Neurobiology of Eating Disorders.

Child Adolesc Psychiatr Clin N Am 2019 10 4;28(4):629-640. Epub 2019 Jul 4.

Department of Psychiatry, University of Colorado Anschutz Medical Campus, School of Medicine, Children's Hospital Colorado, Gary Pavilion A036/B-130, 13123 East 16th Avenue, Aurora, CO 80045, USA.

Eating disorders are severe psychiatric illnesses with a typical age of onset in adolescence. Brain research in youth and young adults may help us identify specific neurobiology that contributes to onset and maintenance of those disorders. This article provides a state-of-the-art review of our current understanding of the neurobiology of anorexia nervosa and bulimia nervosa. Read More

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http://dx.doi.org/10.1016/j.chc.2019.05.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709695PMC
October 2019
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The Role of Puberty and Ovarian Hormones in the Genetic Diathesis of Eating Disorders in Females.

Child Adolesc Psychiatr Clin N Am 2019 10 10;28(4):617-628. Epub 2019 Jul 10.

Department of Psychology, Michigan State University, 316 Physics Road, Room 107B, East Lansing, MI 48824-1116, USA. Electronic address:

Puberty is a critical risk period for eating disorders (EDs). ED incidence increases across the pubertal period and becomes female predominant, and genetic influences on disordered eating significantly increase. Surges of ovarian hormones, particularly estrogen, may drive this increasing genetic effect for EDs in pubertal girls and contribute to differential phenotypic presentations beyond puberty. Read More

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http://dx.doi.org/10.1016/j.chc.2019.05.008DOI Listing
October 2019
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Medical Complications of Eating Disorders in Youth.

Child Adolesc Psychiatr Clin N Am 2019 10 23;28(4):593-615. Epub 2019 Jul 23.

The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard 9NW55, Philadelphia, PA 19104, USA.

Eating disorders affect a significant number of individuals across the life span and are found among all demographic groups (including all genders, socioeconomic statuses, and ethnicities). They can cause malnutrition, which can have significant effects on every organ system in the body. Cardiovascular complications are particularly dangerous and cause eating disorders to have the highest mortality rate of all mental illnesses. Read More

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http://dx.doi.org/10.1016/j.chc.2019.05.009DOI Listing
October 2019

Psychotropic Medication for Children and Adolescents with Eating Disorders.

Child Adolesc Psychiatr Clin N Am 2019 10 2;28(4):583-592. Epub 2019 Jul 2.

University of Ottawa, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario K1H 8L1, Canada.

Psychotropic medications are commonly used in the treatment of eating disorders in children and adolescents. This article reviews the evidence base on psychotropic medications, including all randomized trials, uncontrolled trials, and case reports for the treatment of anorexia nervosa, bulimia nervosa, other specified feeding and eating disorders, binge-eating disorder, and avoidant/restrictive food intake disorder. Despite advances in the number of medication-based studies completed in young patients with eating disorders over the last 2 decades, significantly more work needs to be done in terms of identifying what role, if any, psychotropic medications can have on treatment outcomes. Read More

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http://dx.doi.org/10.1016/j.chc.2019.05.005DOI Listing
October 2019
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The Role of Higher Levels of Care for Eating Disorders in Youth.

Authors:
Jennifer Derenne

Child Adolesc Psychiatr Clin N Am 2019 10 28;28(4):573-582. Epub 2019 Jun 28.

Division of Child and Adolescent Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94304, USA. Electronic address:

Many eating disorder patients are successfully treated in outpatient settings. Family-based treatment allows youth to recover at home. Higher levels of care may be necessary for medical or psychiatric stabilization, or to provide added structure. Read More

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http://dx.doi.org/10.1016/j.chc.2019.05.006DOI Listing
October 2019
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Eating Disorders in Transitional Age Youth.

Authors:
Jennifer Derenne

Child Adolesc Psychiatr Clin N Am 2019 10 4;28(4):567-572. Epub 2019 Jul 4.

Division of Child and Adolescent Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94304, USA. Electronic address:

Eating disorders are common in children and adolescents, and may continue, resurface, or present anew in young people making the transition to adulthood. This may affect the young person's academic or occupational trajectory, and patients and parents/families need to recognize the supports that may be necessary to allow the emerging adult to be successful in navigating independent living, increased work or educational autonomy, and adult relationships. Colleges and universities are able to provide some support, but patients, families, and clinicians must be aware of limitations and must be thoughtful about options available to promote successful transition wherever possible. Read More

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http://dx.doi.org/10.1016/j.chc.2019.05.010DOI Listing
October 2019
7 Reads