Pediatric Psychogenic Non-Epileptic Seizures: A Treatment Guide

ISBN-13: 9783319551210 / Angielski / Twarda / 2017 / 204 str.

Rochelle Caplan; Julia Doss; Sigita Plioplys

Recenzje

"The authors' main goal is to instruct mental health providers how to recognize PNES in pediatric patients, and more importantly develop a multidisciplinary and comprehensive treatment plan involving both the patient and parents targeted at the cessation of the episodes.  ... The authors deliberately target mental health professionals, including both prescribers and nonprescribers, although the obvious emphasis is on professionals who are skilled in psychotherapy." (Matthew J. Koscica, Doody's Book Reviews, January, 2018)

Spis treści

1. Introduction and Overview

I           Diagnostic Evaluation  

1. Overview
2. The underlying psychopathology, triggers, and risk factors
3. Gold standard diagnosis
4. Why is it difficult to diagnose pediatric PNES?
5. Red flags during the clinical exam
6. Techniques for the child diagnostic interview
7. Strategies to use in the Initial parent interview

II         Diagnostic Feedback and Treatment Plan

1. Introduction:  The importance of the feedback
2. How to present feedback and treatment plan to the parents
3. Approaches to use in the child feedback and description of the treatment plan
4. Combined parent and child feedback and treatment plan

III        Short-term Treatment

1. Psychoeducation about PNES:  Child, parents, treatment team, teachers
2. How to develop rapport with the child and parents
3. Strategies for NES symptom resolution through individual child therapy and work with the parents
4. Child reintegration to school and regular life routines
5. Treatment of comorbid psychopathology

IV        Long-term Therapy

1. Introduction
2. Goals for child therapy
3. Goals for work with the parents

V  Cognitive Behavior Therapy

1. Indications     
2. Application of CBT in anxiety and depression  
3. Essential CBT elements that enhance child goals
4. Application of CBT to enhance parent goals

VI        Appendix

O autorze

Rochelle Caplan, M.D.

Professor Emeritus

Department of Psychiatry

UCLA, rcaplan@ucla.edu

 

Julia Doss, Psy.D.

Pediatric Psychologist

Minnesota Epilepsy Group

jdoss@mnepilepsy.net

 

Sigita Plioplys, M.D.

Professor, Department of Psychiatry

Northwestern University

Splioply@luriechildrens.org

 

Jana Elizabeth Jones, Ph.D.

Associate Professor

Department of Neurology

University of Wisconsin School of Medicine & Public Health

jejones@neurology.wisc.edu

Blurb

This volume describes the basics for short- and long-term treatment of Psychogenic Non-Epileptic Seizures (PNES) in children. The text acknowledges that the disorder, though rare and highly morbid, is treatable when it is not misdiagnosed. Given the limited diagnostic and clinical training offered to clinicians, this book aims to equip professionals with the tools needed to improve the poor quality of life of youth with PNES.

The text begins by introducing the main features of the disorder and the problems involved in diagnosing PNES in children. It then describes techniques to overcome these problems in order to make a reliable and valid diagnosis of PNES, as well as provide feedback on the diagnosis and treatment plan. The last section describes the indications for cognitive behavior therapy for youth with PNES and suggested treatment paradigms. Incorporation of do’s and don’ts and their relevant clinical examples in all sections of the proposed guide provide the reader with skills and techniques. The book also includes an appendix with resources for parents, children, and school nurses and teachers, relaxation techniques for the child and parents, templates of letters for the child’s school about the condition and behavior management plan, templates of supporting letters from epileptologists and primary care physicians, CBT treatment paradigm, and information on individual supervision, workshops and webinars.

Written by the few experts in this area, Pediatric Psychogenic Non-Epileptic Seizures is the ultimate guide for psychiatrists, psychologists, nurses, primary care physicians, neurologists, epileptologists, social workers, nurses, school counselors, and all medical professionals working with children experiencing seizures.