Emotion Dysregulation and Outbursts in Children and Adolescents: Part I, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America

1st Edition, Volume 30-2 - March 22, 2021
Editors: Gabrielle A. Carlson, Manpreet Kaur Singh
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 2 5 1 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 2 5 2 - 6

This issue of Child and Adolescent Psychiatric Clinics, guest edited by Drs. Gabrielle A. Carlson and Manpreet Kaur Singh, is Part I of a two-part issue covering Emotion… Read more

Emotion Dysregulation and Outbursts in Children and Adolescents: Part I, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America

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This issue of Child and Adolescent Psychiatric Clinics, guest edited by Drs. Gabrielle A. Carlson and Manpreet Kaur Singh, is Part I of a two-part issue covering Emotion Dysregulation in Children. This issue is one of four selected each year by our series Consulting Editor, Dr. Todd Peters. Topics discussed in this issue include but are not limited to: Aggression, irritability, and mood dysregulation; Measurement of Dysregulation in Children and Adolescents; The phenomenology of outbursts; Understanding, Assessing and Intervening with Emotion Dysregulation in Autism Spectrum Disorder; Dysregulation and Suicide in Children and Adolescents; Aggression and Dysregulation: A Trauma Informed Approach; Anger outbursts and aggressive symptoms in Tourette Disorder; ADHD and the Dysregulation of Emotion Generation and Emotional Expression; Dysregulation in major mental illness; and Dysregulation, Catastrophic Reactions and Anxiety Disorders, among others.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Walking on Eggshells: A Parent’s Journey Raising an Emotionally Dysregulated Son
Key points
Introduction
Babies, Law and Medicine
K-12 YEARS
The Big Picture
Arrival
Further study
The Many Faces (and Names) of Mood Dysregulation
Key points
Dimensional overview
Emotional factors: irritability, threat sensitivity, frustration, anger, and agitation
Behavioral factors: impulsive aggression
Discussion
Clinics care points
The Phenomenology of Outbursts
Key points
Introduction
Diagnosis
Outbursts and the bipolar controversy
What do outbursts look like?
What are the rates of outbursts in the general population?
Diagnoses in children with outbursts
Temper tantrums in normal development
Impairment
Outcome
Summary
Measurement of Dysregulation in Children and Adolescents
Key points
Dysregulation as an overarching concept
Broad measures of dysregulation
Measures specific to emotion dysregulation or related concepts
Summary and recommendations
Clinics care points
Dysregulation by disorder/condition
Understanding, Assessing, and Intervening with Emotion Dysregulation in Autism Spectrum Disorder: A Developmental Perspective
Key points
Development of emotion regulation in autism spectrum disorder
Assessing emotion dysregulation
Treatment of emotion dysregulation in autism spectrum disorder
Summary
Attention-Deficit Hyperactivity Disorder and the Dysregulation of Emotion Generation and Emotional Expression
Key points
Emotion dysregulation and attention-deficit/hyperactivity disorder
Phenomenology and impact
History and diagnostic practices
Conceptual issues
Assessment considerations for attention-deficit/hyperactivity disorder and emotion dysregulation
Treatment considerations for attention-deficit/hyperactivity disorder with emotion dysregulation
Summary
Ticked Off: Anger Outbursts and Aggressive Symptoms in Tourette Disorder
Key points
Background
General features of Tourette disorder
Anger outbursts and aggressive symptoms in Tourette disorder
Developmental course
Clinical correlates of aggressive symptoms in Tourette disorder
Neurobiological influences on aggressive symptoms in Tourette disorder
Evaluation and differential diagnosis of aggressive symptoms in Tourette disorder
Environmental influences on aggressive symptoms in Tourette disorder
Treatment strategies for aggressive symptoms in Tourette disorder
Summary
Emotional Dysregulation: A Trauma-Informed Approach
Key points
Background
Trauma-informed care
Inpatient management of emotional dysregulation
Trauma-informed residential treatment
Psychotropic medication considerations
Summary
Dysregulation and Suicide in Children and Adolescents
Key points
Epidemiology
Emotional dysregulation and suicidality
Assessment of suicide and emotional dysregulation
Treatment
Individually focused interventions
Family-focused interventions for dysregulation and suicide
Dialectical behavior therapy for adolescents
Pharmacologic interventions for dysregulation and suicide
Discussion
How and Why Are Irritability and Depression Linked?
Key points
Introduction
Duration matters: episodic irritability versus chronic irritability
Cross-sectional links between episodic irritability and depression
Longitudinal links between chronic irritability and depression
Three potential models to explain the link between irritability and depression
Shared developmental risks between irritability and depression
Treatment implications of the link between irritability and depression
Summary and future research directions
Emotional and Behavioral Dysregulation in Severe Mental Illness
Key points
Introduction
Schizophrenia spectrum disorders
Bipolar disorder
Borderline personality disorder
Diagnostic assessments and rating scales
Treatment
Targeted interventions
Psychoeducational and behavioral interventions
Summary
Dysregulation, Catastrophic Reactions, and the Anxiety Disorders
Key points
Introduction
The anxiety disorders
Anxiety: the underlying neurobiologic vulnerability
A functional analysis of catastrophic behavior across development
Treatment
Summary
When No Diagnosis “Fits”: Diagnostically Homeless and Emotionally Dysregulated Children and Adolescents
Key points
Introduction
Who are the diagnostically homeless? Four case examples
Shifting nosologies and attempts to describe diagnostically homeless youths
Assessment and treatment considerations
Summary
Appendix
Conduct Disorder and Outbursts (Chapter 3)
Autism and Outbursts (Chapter 6)
Attention-Deficit and Oppositional Defiant Disorders (Chapter 7)
Tourette Disorder and Outbursts (Chapter 8)
Posttraumatic Stress Disorder and Outbursts (Chapter 9)
Anxiety plus Outbursts (Chapter 13)
Anxiety/Depression and Outbursts (How and Why Are Irritability and Depression Linked?, Pablo Vidal-Ribas and Argyris Stringaris)
Depression and Outbursts (Chapters 10 and 11)
Bipolar Disorder and Outbursts (Chapter 12)
Borderline Personality Disorder and Outbursts (Chapter 12)