Book contents
- Practise Psychiatry
- Practise Psychiatry
- Copyright page
- Contents
- Acknowledgements
- Part 1: Vignettes
- Case 1: Schizophrenia
- Case 2: Delusional Disorder
- Case 3: Major Depressive Disorder
- Case 4: Dysthymic Disorder and Premenstrual Dysphoric Disorder
- Case 5: Grief
- Case 6: Bipolar Disorder
- Case 7: Generalised Anxiety Disorder
- Case 8: Panic Disorder and Agoraphobia
- Case 9: Social Anxiety Disorder
- Case 10: Separation Anxiety and Selective Mutism
- Case 11: Obsessive–Compulsive Disorder
- Case 12: Body Dysmorphic Disorder
- Case 13: Trichotillomania and Excoriation Disorder
- Case 14: Hoarding Disorder
- Case 15: Anorexia Nervosa
- Case 16: Bulimia Nervosa
- Case 17: Pica and Rumination Disorder
- Case 18: Acute Stress Disorder, Post-Traumatic Stress Disorder and Adjustment Disorder
- Case 19: Illness Anxiety Disorder and Somatic Symptom Disorder
- Case 20: Conversion Disorder and Factitious Disorder
- Case 21: Delirium and Neurocognitive Disorders
- Case 22: Mental Capacity Assessment
- Case 23: Attention Deficit Hyperactivity Disorder
- Case 24: Autism Spectrum Disorder and Intellectual Developmental Disorder
- Case 25: Alcohol Use Disorder
- Case 26: Cannabis Use Disorder
- Case 27: Stimulant Use Disorder
- Case 28: Opioid Use Disorder
- Case 29: Hallucinogen Use Disorder
- Case 30: Gambling Disorder
- Case 31: Borderline Personality Disorder
- Case 32: Antisocial Personality Disorder
- Case 33: Schizoid, Schizotypal and Paranoid Personality Disorder
- Case 34: Dependent Personality Disorder
- Case 35: Suicide Risk Assessment
- Case 36: Catatonia and Electroconvulsive Therapy
- Case 37: Neuroleptic Malignant Syndrome and Serotonin Syndrome
- Case 38: Insomnia Disorder
- Case 39: Narcolepsy Disorder
- Case 40: Breathing-Related Sleep Disorders
- Case 41: Non-Rapid Eye Movement Sleep Arousal Disorder
- Case 42: Rapid Eye Movement Sleep Behaviour Disorder
- Case 43: Dissociative Amnesia and Dissociative Identity Disorder
- Case 44: Voyeuristic, Exhibitionistic, Frotteuristic and Sexual Masochism and Sadism Disorders
- Case 45: Paedophilic Disorder
- Case 46: Transvestic and Fetishistic Disorders
- Case 47: Gender Dysphoria
- Case 48: Pyromania
- Case 49: Kleptomania
- Case 50: Child and Adolescent Mental Health Services
- Case 51: Old Age Psychiatry
- Case 52: Pregnancy and Breastfeeding
- Case 53: Hepatic Impairment
- Case 54: Renal Impairment
- Case 55: Forensic Psychiatry
- Part II: Topical MCQs
- Index
- References
Case 50: - Child and Adolescent Mental Health Services
from Part 1: - Vignettes
Published online by Cambridge University Press: 04 September 2025
Book contents
- Practise Psychiatry
- Practise Psychiatry
- Copyright page
- Contents
- Acknowledgements
- Part 1: Vignettes
- Case 1: Schizophrenia
- Case 2: Delusional Disorder
- Case 3: Major Depressive Disorder
- Case 4: Dysthymic Disorder and Premenstrual Dysphoric Disorder
- Case 5: Grief
- Case 6: Bipolar Disorder
- Case 7: Generalised Anxiety Disorder
- Case 8: Panic Disorder and Agoraphobia
- Case 9: Social Anxiety Disorder
- Case 10: Separation Anxiety and Selective Mutism
- Case 11: Obsessive–Compulsive Disorder
- Case 12: Body Dysmorphic Disorder
- Case 13: Trichotillomania and Excoriation Disorder
- Case 14: Hoarding Disorder
- Case 15: Anorexia Nervosa
- Case 16: Bulimia Nervosa
- Case 17: Pica and Rumination Disorder
- Case 18: Acute Stress Disorder, Post-Traumatic Stress Disorder and Adjustment Disorder
- Case 19: Illness Anxiety Disorder and Somatic Symptom Disorder
- Case 20: Conversion Disorder and Factitious Disorder
- Case 21: Delirium and Neurocognitive Disorders
- Case 22: Mental Capacity Assessment
- Case 23: Attention Deficit Hyperactivity Disorder
- Case 24: Autism Spectrum Disorder and Intellectual Developmental Disorder
- Case 25: Alcohol Use Disorder
- Case 26: Cannabis Use Disorder
- Case 27: Stimulant Use Disorder
- Case 28: Opioid Use Disorder
- Case 29: Hallucinogen Use Disorder
- Case 30: Gambling Disorder
- Case 31: Borderline Personality Disorder
- Case 32: Antisocial Personality Disorder
- Case 33: Schizoid, Schizotypal and Paranoid Personality Disorder
- Case 34: Dependent Personality Disorder
- Case 35: Suicide Risk Assessment
- Case 36: Catatonia and Electroconvulsive Therapy
- Case 37: Neuroleptic Malignant Syndrome and Serotonin Syndrome
- Case 38: Insomnia Disorder
- Case 39: Narcolepsy Disorder
- Case 40: Breathing-Related Sleep Disorders
- Case 41: Non-Rapid Eye Movement Sleep Arousal Disorder
- Case 42: Rapid Eye Movement Sleep Behaviour Disorder
- Case 43: Dissociative Amnesia and Dissociative Identity Disorder
- Case 44: Voyeuristic, Exhibitionistic, Frotteuristic and Sexual Masochism and Sadism Disorders
- Case 45: Paedophilic Disorder
- Case 46: Transvestic and Fetishistic Disorders
- Case 47: Gender Dysphoria
- Case 48: Pyromania
- Case 49: Kleptomania
- Case 50: Child and Adolescent Mental Health Services
- Case 51: Old Age Psychiatry
- Case 52: Pregnancy and Breastfeeding
- Case 53: Hepatic Impairment
- Case 54: Renal Impairment
- Case 55: Forensic Psychiatry
- Part II: Topical MCQs
- Index
- References
Summary
Chapter 50 covers the topic of child and adolescent mental health services. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the management of young patients with psychiatric disorders from first presentation to subsequent complications of the conditions and its treatment. Things covered include the general principles of prescribing in children and adolescent patients with psychiatric disorders, the use of antidepressants, the use of mood stabilisers, the use of antipsychotics, treatment of anxiety disorders.
Keywords
Information
- Type
- Chapter
- Information
- Practise PsychiatryA Guide Through Vignettes and MCQs, pp. 410 - 417Publisher: Cambridge University PressPrint publication year: 2025
References
Taylor, DM, Barnes, TRE, Young, A. The Maudsley prescribing guidelines in psychiatry, 14th edition. Chichester Hoboken, NJ: Wiley Blackwell; 2021.CrossRefGoogle Scholar
National Institute for Health and Care Excellence (NICE). Depression in children and young people: identification and management. Clinical guidance [CG28]. NICE; 2017. Available from: www.nice.org.uk/guidance/CG28Google Scholar
Cox, GR, Callahan, P, Churchill, R, Hunot, V, Merry, SN, Parker, AG, et al. Psychological therapies versus antidepressant medication, alone and in combination for depression in children and adolescents. Cochrane Database Syst Rev. 2012; CD008324.pub2. Available from: https://doi.wiley.com/10.1002/14651858.CD008324.pub2CrossRefGoogle Scholar
Healy, D. Lines of evidence on the risks of suicide with selective serotonin reuptake inhibitors. Psychother Psychosom. 2003;72(2):71–9.CrossRefGoogle ScholarPubMed
Whittington, CJ, Kendall, T, Fonagy, P, Cottrell, D, Cotgrove, A, Boddington, E. Selective serotonin reuptake inhibitors in childhood depression: systematic review of published versus unpublished data. Lancet. 2004 Apr 24;363(9418):1341–5.CrossRefGoogle ScholarPubMed
Jureidini, JN, Doecke, CJ, Mansfield, PR, Haby, MM, Menkes, DB, Tonkin, AL. Efficacy and safety of antidepressants for children and adolescents. BMJ. 2004 Apr 10;328(7444):879–83.CrossRefGoogle ScholarPubMed
Kafali, N, Progovac, A, Hou, SSY, Cook, BL. Long-run trends in antidepressant use among youths after the FDA black box warning. Psychiatr Serv. 2018 Apr 1;69(4):389–95.CrossRefGoogle ScholarPubMed
March, JS, Silva, S, Petrycki, S, Curry, J, Wells, K, Fairbank, J, et al. The Treatment for Adolescents With Depression Study (TADS): long-term effectiveness and safety outcomes. Arch Gen Psychiatry. 2007 Oct;64(10):1132–43. Erratum in Arch Gen Psychiatry. 2008 Jan;65(1):101.Google Scholar
Geller, B, Fox, LW, Clark, KA. Rate and predictors of prepubertal bipolarity during follow-up of 6- to 12-year-old depressed children. J Am Acad Child Adolesc Psychiatry. 1994 May;33(4):461–8.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence (NICE). Bipolar disorder: assessment and management: Clinical guidance [CG185]. NICE; 2016. Available from: www.nice.org.uk/guidance/cg185Google Scholar
Young, RC, Biggs, JT, Ziegler, VE, Meyer, DA. A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry. 1978 Nov;133:429–35.CrossRefGoogle ScholarPubMed
NICE. Psychosis and schizophrenia in children and young people: recognition and management. Clinical guidance [CG155]. NICE; 2016. Available from: www.nice.org.uk/guidance/cg155.Google Scholar
Compton, SN, Walkup, JT, Albano, AM, Piacentini, JC, Birmaher, B, Sherrill, JT, et al. Child/Adolescent Anxiety Multimodal Study (CAMS): rationale, design, and methods. Child Adolesc Psychiatry Ment Health. 2010 Jan 5;4:1.10.1186/1753-2000-4-1CrossRefGoogle ScholarPubMed
Buitelaar, JK, van der Gaag, RJ, van der Hoeven, J. Buspirone in the management of anxiety and irritability in children with pervasive developmental disorders: results of an open-label study. J Clin Psychiatry. 1998 Feb;59(2):56–9.10.4088/JCP.v59n0203CrossRefGoogle ScholarPubMed
Mrakotsky, C, Masek, B, Biederman, J, Raches, D, Hsin, O, Forbes, P, et al. Prospective open-label pilot trial of mirtazapine in children and adolescents with social phobia. J Anxiety Disord. 2008;22(1):88–97.CrossRefGoogle ScholarPubMed
Accessibility standard: Inaccessible, or known limited accessibility
Why this information is here
This section outlines the accessibility features of this content - including support for screen readers, full keyboard navigation and high-contrast display options. This may not be relevant for you.Accessibility Information
The HTML of this chapter is known to have missing or limited accessibility features.
We may be reviewing its accessibility for future improvement, but final compliance is
not yet assured and may be subject to legal exceptions. If you have any questions,
please contact
accessibility@cambridge.org.
Content Navigation
Table of contents navigation
Allows you to navigate directly to chapters, sections, or non‐text items through a linked table of contents, reducing the need for extensive scrolling.
Allows you to navigate directly to chapters, sections, or non‐text items through a linked table of contents, reducing the need for extensive scrolling.
Index navigation
Provides an interactive index, letting you go straight to where a term or subject appears in the text without manual searching.
Provides an interactive index, letting you go straight to where a term or subject appears in the text without manual searching.
Reading Order & Textual Equivalents
Single logical reading order
You will encounter all content (including footnotes, captions, etc.) in a clear, sequential flow, making it easier to follow with assistive tools like screen readers.
You will encounter all content (including footnotes, captions, etc.) in a clear, sequential flow, making it easier to follow with assistive tools like screen readers.
Short alternative textual descriptions
You get concise descriptions (for images, charts, or media clips), ensuring you do not miss crucial information when visual or audio elements are not accessible.
You get concise descriptions (for images, charts, or media clips), ensuring you do not miss crucial information when visual or audio elements are not accessible.
Visual Accessibility
Use of colour is not sole means of conveying information
You will still understand key ideas or prompts without relying solely on colour, which is especially helpful if you have colour vision deficiencies.
You will still understand key ideas or prompts without relying solely on colour, which is especially helpful if you have colour vision deficiencies.
Structural and Technical Features
ARIA roles provided
You gain clarity from ARIA (Accessible Rich Internet Applications) roles and attributes, as they help assistive technologies interpret how each part of the content functions.
You gain clarity from ARIA (Accessible Rich Internet Applications) roles and attributes, as they help assistive technologies interpret how each part of the content functions.