Child and Adolescent Psychiatric Clinics of North America This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Contributors
TODD E. PETERS, MD, FAPA (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - March 18, 2021 Category: Psychiatry Source Type: research

Contents
Gabrielle A. Carlson and Manpreet K. Singh (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - March 18, 2021 Category: Psychiatry Source Type: research

Forthcoming Issues
Emotion Dysregulation and Outbursts in Children and Adolescents: Part II (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - March 18, 2021 Category: Psychiatry Source Type: research

Dysregulation and Suicide in Children and Adolescents
This article provides an overview of emotional dysregulation as it relates to suicidal ideation, intent, and behaviors for youth. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - February 16, 2021 Category: Psychiatry Authors: Tami D. Benton, Eli Muhrer, Jason D. Jones, Jason Lewis Source Type: research

Appendix
The following case descriptions, anonymized and compiled, represent examples of the problems described in the articles of the Child and Adolescent Psychiatric Clinics of North America, Part I devoted to mood-dysregulated children and adolescents. Note that cases are sometimes those that were already described in the articles. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - February 16, 2021 Category: Psychiatry Source Type: research

Emotion Dysregulation and Outbursts in Children and Adolescents: Part I
We would like to introduce you to some children that are like ones you have seen or likely will see at some point in time. More detail about these cases are in the appendix of this issue. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Gabrielle A. Carlson, Manpreet K. Singh Tags: Preface Source Type: research

The Many Faces (and Names) of Mood Dysregulation
Explosive outbursts in children and adolescents have been long identified by clinicians and have been described using many different conceptualizations and terms. The topography of explosive outbursts is complex, heterogeneous, and includes the interactions of different emotional and behavioral constructs. Included here are pre-existing central nervous system vulnerabilities including psychiatric and neurologic diagnoses, various contributing emotions that generally carry a negative valence, and aggressive behaviors that are usually overt and reactive. Emotional impulsivity and deficient emotional self-regulatory mechanism...
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Daniel F. Connor, Leonard A. Doerfler Source Type: research

The Phenomenology of Outbursts
Outbursts (severe temper loss) in children are a common reason for treatment referral. However, the diagnostic system has not classified them in a way that expands knowledge. Outbursts are nested in the concept of irritability, which consists of a feeling and a behavioral dimension. Both need to be identified but kept separate. This review summarizes the phenomenology of outbursts normatively and clinically. Severe temper loss needs a consistent label, an operationalized way of classification and measurement, and an assessment approach independent of diagnosis until other data are gathered to more accurately determine what...
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Lauren Spring, Gabrielle A. Carlson Source Type: research

Measurement of Dysregulation in Children and Adolescents
This article highlights the breadth of measures available for measuring emotion dysregulation, or facets thereof, in children and adolescents, and reviews in detail a subset of these measures. We describe broadband measures and measures that are specific to emotion dysregulation, including observational tools, clinical interviews, and rating scales. Furthermore, we discuss the strengths, weaknesses, and psychometric properties of each approach and specific contexts or populations in which certain methods may be particularly useful. Finally, recommendations for thorough assessment of emotion dysregulation in future studies ...
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Robert R. Althoff, Merelise Ametti Source Type: research

Attention-Deficit Hyperactivity Disorder and the Dysregulation of Emotion Generation and Emotional Expression
Individuals with attention-deficit/hyperactivity disorder (ADHD) frequently experience strong reactions to emotionally evocative situations. Difficulties modulating anger and other upsets have clinically significant behavioral consequences. Those with ADHD may have anomalies in emotion generation, emotion expression, or both that predispose to these problems. The association between ADHD and emotion dysregulation raises Important clinical and research issues, including possible heterogeneity in the mechanisms by which they are related. Although first-line treatments for ADHD often help to resolve emotional dysregulation sy...
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Joseph C. Blader Source Type: research

Ticked Off
Tourette disorder is a complex neuropsychiatric syndrome of childhood onset characterized by multiple motor and phonic tics and is associated with high rates of psychiatric comorbidity. Symptoms of impulsive aggression (explosive outbursts or “rage”) are commonly encountered in the clinical setting, cause significant morbidity, and pose diagnostic and treatment challenges. These symptoms may be multifactorial in etiology and result from a complex interplay of illness severity and psychosocial factors. Treatment strategies require car eful differential diagnostic evaluation and include both behavioral and pharmacologic ...
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Marianna Ashurova, Cathy Budman, Barbara J. Coffey Source Type: research

Emotional Dysregulation
This article highlights key considerations for the delivery of care to emotionally dysregulated youth with histories of trauma. An initial, trauma informed assessment is critical to identify those youth with emotional dysregulation best served by evidence-based, trauma-focused treatments trauma-informed approaches to severely emotionally dysregulated youth, including youth in in-patient and residential settings, can improve emotional and behavioral outbursts while maintaining the safety the milieu. Finally, incorporating awareness of trauma is considered when prescribing psychopharmacologic interventions in severely emotio...
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Brooks R. Keeshin, Beverly J. Bryant, Elizabeth R. Gargaro Source Type: research

Emotional and Behavioral Dysregulation in Severe Mental Illness
Emotional and behavioral dysregulation are common in severe mental illnesses, including schizophrenia, bipolar disorder, and borderline personality disorder. Emotional instability and behavioral outbursts can be driven by internal processes and/or environmental triggers and interpersonal interactions. Understanding the underlying diagnosis is important in determining the best course of treatment. Disorder-specific treatments are important in addressing underlying drivers of emotional dysregulation, irritability, and aggression. Coping skills training and behavioral modification strategies have broad applicability and are u...
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Aditi Sharma, Jon McClellan Source Type: research

Emotion Dysregulation in Children: Part I
We would like to introduce you to some children that are like ones you have seen or likely will see at some point in time. More detail about these cases are in the appendix of this issue. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - February 15, 2021 Category: Psychiatry Authors: Gabrielle A. Carlson, Manpreet Kaur Singh Tags: Preface Source Type: research

Normal Sleep in Children and Adolescence
This article describes normal sleep across childhood and adolescence and discusses some of the most common barriers to adequate sleep, including early school start times, technology use, and changes to circadian rhythms, and sleep homeostasis across puberty. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - November 20, 2020 Category: Psychiatry Authors: Alex Agostini, Stephanie Centofanti Source Type: research