Treating Adolescents

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.

Introduction ix

Contributors xxix

1 General Principles 1
Hans Steiner, Rebecca Hall, and Julia Huemer

2 Disruptive Behavior Disorders 47
Whitney Daniels, Michael B. Kelly, Kathleen Ares, Katie Kaszynski, and Niranjan Karnik

3 Attention-Deficit/Hyperactivity Disorder (ADHD) 79
Michael B. Kelly

4 Learning and Executive Cognitive Functions 109
Ahmed Khan, Brianna Bendixsen, Lynne Baldwin, Diana Barrett, and Richard Abbey

5 Substance Use Disorders in Adolescence 141
Rebecca Hall and Anna Lembke

6 Anxiety Disorders, Tics, and Trichotillomania 165
Margo Thienemann, Rebecca Hall, Michael Bloch, and James Leckman

7 Depression 197
Julia Huemer, Rebecca Hall, Shelby Drazan, and Kirti Saxena

8 Bipolar and Mood Disorders in Adolescents 223
Kiki Chang, Rebecca Hall, Steve Khachi, Meghan Howe, and Manpreet Singh

9 Psychiatric Trauma and Related Psychopathologies 251
Nicholas T. Bott and Victor G. Carrión

10 Self-Harm and Suicidal Behavior 279
Pascale Stemmle and Jennifer Hughes

11 Somatic Symptom and Related Disorders 309
Shivani Verma Chmura, David R. DeMaso, and Richard J. Shaw

12 Eating Disorders in Adolescents 339
James Lock, Kathleen Kara Fitzpatrick, and Erica P. Ragan

13 Schizophrenia, Psychosis, and Autism Spectrum Disorders 369
Khyati Brahmbhatt, Margo Thienemann, and Richard J. Shaw

14 Sleep Disorders 403
Rafael Pelayo and Rebecca Hall

Author Index 435

Subject Index 437

HANS STEINER, MD, is Professor Emeritus (Active) of Psychiatry at the Stanford University School of Medicine. He has authored hundreds of scholarly articles, in addition to editing two successful treatment guides: Treating Preschool Children and Treating School Age Children.

REBECCA HALL, BA, is a freelance writer and editor specializing in medical writing. She has coauthored five peer-reviewed journal articles and three psychiatric textbook chapters.

A Complete Guide to Adolescent Mental Health Care Includes Latest Research and Insights from Clinical Practice

Effective treatment of adolescent mental health disorders requires collaboration, empathy, and a robust understanding of the many factors that influence this challenging population. To that end, Treating Adolescents targets the mental health issues that onset during the teen years. This book incorporates evidence-based practice and "practice-based evidence," resulting in well rounded discussions and inviting integrated treatments that reflect the complexity of adolescence.

Treating Adolescents provides guidance for the effective treatment of the most common disorders that first appear during adolescence, including anxiety disorder, depression, eating disorders, conduct disorders, and psychosis. In addition, this Second Edition includes several new chapters on emerging diagnoses.

New to this edition:

• Updates based on DSM-5 and ICD-10 revisions
• Attention-Deficit/Hyperactivity Disorder (ADHD)
• Evidence-based perspectives on suicide and self-injury
• New chapters on mood disorders and sleep disorders
• Learning and executive cognitive functions

Taking a developmental approach to adolescent mental health, Treating Adolescents is a forward-thinking text that contains contributions from nearly 40 of the leading practitioners and researchers in the field. With such a wealth of expert guidance, this update to the classic text will prove to be an invaluable resource for any frontline clinician. "This wonderful text, based both on empirical evidence and clinical wisdom, provides the front line clinician, the serious student, and the educated lay person with a lucid and integrated view of a very complex field. The authors have succeeded in providing state of the art tools to effectively treat psychopathology in an age group that presents very special challenges."
—Irvin D. Yalom, M.D., Professor Emeritus of Psychiatry, Stanford University School of Medicine

"With this second edition, Hans Steiner and colleagues have updated their classic volume on TREATING ADOLESCENTS to include the excitement and promise associated with 20 years of new developments in the field of adolescent mental health. Practitioners, students and interested lay audiences at every level will learn from, and delight in, the wisdom they share."
—Gregory K. Fritz, M.D., Professor of Psychiatry, Director, Child & Adolescent Psychiatry, Brown University, School of Medicine; President, The American Academy of Child & Adolescent Psychiatry

"This second edition of a soon to be classic provides key, updated information for the practitioner. A must-have for anyone interested in treating adolescents with behavioral or mood disorders. Well organized conceptually, the authors have done a superb job in translating the latest in research into clinically useful chapters."
—Alan F. Schatzberg, MD; Kenneth T. Norris, Jr. Professor, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine; 136TH President, American Psychiatric Association, 2009-2010