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Casebook in Child Behavior Disorders (4th Edition) by Christopher A. Kearney

By Christopher A. Kearney

This casebook illustrates the wealthy and arresting nature of issues that first show up themselves in early life whereas additionally exhibiting how a child's developmental styles form the expression of every ailment. each one complicated case demonstrates how each one disease is expressed--from presentation via prognosis and treatment--in a good way. through the publication, the writer explores the DSM-IV-TR standards and demonstrates the interplay among developmental and environmental affects for every sickness.

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Additional resources for Casebook in Child Behavior Disorders (4th Edition)

Example text

A laboratory test for depression is the dexamethasone suppression test (DST). A person is evaluated for her ability to suppress cortisol secretion. People with depression tend to have high levels of cortisol, a stress-induced hormone. A DST test identifies only 40-70% of depressed youth, however (Kaufman, Martin, King, & Charney, 2001). In addition, a positive DST finding does not necessarily mean a person has depression, only that one marker is present. A negative DST result was found for Anna.

Environmental factors often trigger biological predispositions to depression. Anna’s family history of depression was spotty. Mrs. Thompson had some depressive symptoms, but whether these were simply normal reactions to recent life events was unclear. Anna’s father was also thought to have a history of depression and alcoholism, but Anna’s mother did not know if he had ever experienced a major depressive episode. Anna had never experienced major depression either. Her current state may have been more environmentally based.

Symptoms of worry and anxiety are common to adolescents with depression. Anna constantly worried about her life situation, in particular family finances, her social status, and her mother’s general welfare. Anna technically met diagnostic criteria for generalized anxiety disorder, which involves pervasive worrying. Anna’s cognitive distortions exacerbated these anxiety symptoms as well. Other symptoms particularly common to adolescents with depression include disruptive behaviors, somatic complaints, low self-esteem regarding body image, and suicidal ideation (Hammen & Rudolph, 2003).

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