Complex Disorders in Pediatric Psychiatry: A Clinician's Guide

Childhood-Onset Schizophrenia

Introduction With symptom onset prior to 13 years of age, Childhood-onset schizophrenia (COS) is an exceptionally rare and devastating psychiatric condition, which clinically and neurobiologically resembles adult-onset schizophrenia (AOS). The etiology of schizophrenia largely remains unknown, but it is widely…

Pediatric Bipolar Disorder

Introduction The recognition, diagnosis, and treatment of pediatric bipolar disorder have undergone a number of changes over the last 30 years in the field of child and adolescent psychiatry. In a review of the history of pediatric bipolar disorder, Glovinsky…

Disruptive Mood Dysregulation Disorder

Introduction Irritability is a symptom, which is found in several pediatric psychiatric illnesses, from depression to bipolar disorder (BD) to oppositional defiant disorder (ODD). Until recently, it was not studied outside of these illnesses. However, the description of irritability in…

Pediatric Inflammatory Brain Disease

Introduction Pediatric inflammatory brain diseases (PIBDs) vary widely in clinical presentation across neuropsychiatric domains. Emergence of psychiatric symptoms may be initial manifestations of PIBDs. Child psychiatrists who are alert for symptoms of PIBDs can hasten their diagnosis, and prompt referral…

Pediatric Catatonia

Introduction Catatonia is a syndrome with characteristic features, involving motor, speech, behavioral, and autonomic dysregulation. It is associated with neurodevelopmental, medical, neurologic, and neuropsychiatric disorders, as well as medication toxicity or withdrawal. Catatonia has similar characteristics and causes in children…

Pediatric Delirium

Introduction In everyday parlance, delirium is a familiar term. For example, one might say someone is delirious with grief, or someone else might be described as deliriously happy. Although these forms of delirium may look different (i.e., one is somnolent…

Concussion in Children and Adolescents

Introduction Of the millions of male and female youth who participate in sports yearly within the United States, approximately 2 million children and adolescents sustain concussions, accounting for over 160,000 emergency room visits and hospitalizations annually. There is increasing evidence…

Pediatric Sleep Disorders

Introduction Sleep is one of the most important activities that growing children engage in. By age 3 years, children will have spent more time sleeping than any other activity and will have spent more than half of their lives asleep.…

Factitious Disorder Imposed on Another

Disclosure Statement Disclosure of any relationship with a commercial company that has a direct financial interest in subject matter or materials discussed in article or with a company making a competing product. Introduction This chapter focuses on a form of…