Jeffrey R. Strawn

For decades, psychiatry has focused on initiating treatment—which medication to prescribe, in what dose, and for how long. But what happens when treatment needs to stop? How a medication is stopped is just as important as how it is started, and abrupt discontinuation can lead to unnecessary suffering, relapse, and often preventable withdrawal symptoms. Based on the principles of the bestselling Stahl's Prescriber's Guide, this essential resource provides user-friendly guidance on deprescribing or switching psychotropic medications safely and effectively. 64 medications are presented in a consistent format to facilitate rapid access to deprescribing information. Divided into color coded sections, the book allows the reader to identify key details about when and why to deprescribe, the risks and mechanisms of withdrawal, tapering protocols, cross-titration strategies, and how to distinguish withdrawal symptoms from relapse. Evidence-based recommendations and expert clinical insights make this a must-have manual for all psychiatric prescribers.

Clinicians often have difficulty helping the parents of youth with emotional and behavioral difficulties and fail to recognize that often it is the youth’s cognitive and learning weaknesses that drive their maladaptive behaviors. This book aims to help clinicians further understand the roots of youth’s maladaptive behaviors. It also addresses the impact of youth’s varied cognitive abilities on their behaviors and problems with self-esteem, particularly in youth that do not meet the diagnostic criteria for a formal learning disability. While many clinicians view learning deficits as impairments in specific academic skills, these deficits go beyond varied learning abilities and often experience difficulties in emotional, social, and behavioral functioning. These impairments vary from child to child and it is crucial to develop practical interventions for improved self-esteem and emotional success. Varied learning abilities reflect a neurodevelopmental problem in youth that can lead todifficulties with their emotional, social, and academic functioning and limit their intellectual potential. There are often treatment impasses when a youth’s behavioral problems do not improve with traditional forms of psychotherapy and medication. The practical individualized interventions recommended in this book will: 1) decrease conflict in day-to-day interactions between youth and parents, 2) improve self-esteem and 3) help to achieve realistic social, emotional and academic goals. The text will help clinicians determine which maladaptive behaviors are a result of cognitive deficits and not “symptoms” of a disease-based mental disorder.Written by experts in the field, Promoting the Emotional and Behavioral Success of Youths reviews appropriate interventions in the context of the public health strategies that address the prevention of secondary socio-economic aspects as a result of cognitive weaknesses, such as realistic educational needs, career and employment choices. Clinicians will be able to use this book to develop “best fit” multimodal interventions to help parents of youth develop adaptive behaviors.

Contemporary psychodynamic theory profoundly impacts our understanding of the development of psychopathology in children and adolescents. This book creates new concepts derived from contemporary psychodynamic theory that necessitate a revision to the principles underlying our understanding of and approach to young patients in psychotherapy. Moreover, this book reviews recent contributions from contemporary two-person relational psychodynamic theory and makes use of detailed case examples to bring to life this theory’s practical applications in child and adolescent psychotherapy. Psychotherapists and students of psychotherapy will find this book a valuable source of information on contemporary psychodynamic theory and a useful resource for introducing a contemporary style into their practice, co-constructing with the patient a narrative to achieve the desired goals.

Contemporary psychodynamic theory profoundly impacts our understanding of the development of psychopathology in children and adolescents. This book creates new concepts derived from contemporary psychodynamic theory that necessitate a revision to the principles underlying our understanding of and approach to young patients in psychotherapy. Moreover, this book reviews recent contributions from contemporary two-person relational psychodynamic theory and makes use of detailed case examples to bring to life this theory’s practical applications in child and adolescent psychotherapy. Psychotherapists and students of psychotherapy will find this book a valuable source of information on contemporary psychodynamic theory and a useful resource for introducing a contemporary style into their practice, co-constructing with the patient a narrative to achieve the desired goals.

This brand-new fourth volume in Stahl's Case Studies series presents a selection of clinical case studies in child and adolescent psychopharmacology, taken from Dr. Strawn's clinics and consultations. These cases illustrate common questions that are routinely asked by Dr. Strawn's peers in consultations and which represent dilemmas in the day-to-day practice of pediatric psychopharmacology. Followings a consistent, user-friendly layout, each case features icons, tips and questions about diagnosis and management as it progresses over time, a pre-case self-assessment question, followed by the correct answers at the end of the case. Formatted in alignment with the American Board of Psychiatry and Neurology's maintenance of psychiatry speciality certification, cases address multifaceted issues in a relevant and understandable way. Covering a wide-ranging and representative selection of clinical scenarios, each case is followed through the complete clinical encounter, from start to resolution, acknowledging all the complications, issues, decisions, twists and turns along the way.

The fields of psychiatry and child psychiatry are encumbered by numerous and complex relational, medicolegal, and ethical dilemmas. This practical and clinically relevant book attempts to bring clarity to complex clinical presentations through the integration of psychodynamic, family systems, medicolegal, and ethical perspectives. It recognizes that the intimate and often difficult work with such complex cases requires consultation with multidimensional experts to address psychodynamic, family, ethical, and therapeutic issues. In the process, the author aims to foster the comfort and skill in dealing with these cases that is essential to the personal and professional growth of the psychiatrist. It is further anticipated that the book will assist in developing best practice standards for assessment and intervention in cases of this nature.