TEST BANK FOR Dulcan’s
Textbook Of Child And
Adolescent Psychiatry
2022
, STUDY GUIDE TO
CHILD AND ADOLES-
CENT PSYCHIATRY
A Companion to
Dulcan’s Textbook of
Child and Adolescent Psychiatry
, STUDY GUIDE TO
CHILD AND ADOLES-
CENT PSYCHIATRY
A Companion to
Dulcan’s Textbook of
Child and Adolescent Psychiatry
Hong Shen, M.D.
Clinical Associate Professor of Psychiatry, Department of Psychiatry and Behavioral Sciences
University of California, Davis School of Medicine
Sacramento, California
Robert E. Hales, M.D., M.B.A.
Joe P. Tupin Chair, Department of Psychiatry and Behavioral Sciences
Interim Director, M.I.N.D. Institute
University of California, Davis School of Medicine
Sacramento, California
Narriman C. Shahrokh
Chief Administrative Officer, Department of Psychiatry and Behavioral Sciences
University of California, Davis School of Medicine
Sacramento, California
2 |
,Note: The authors have worked to ensure that all information in this publication is accurate at the time of publi-
cation and consistent with general psychiatric and medical standards, and that information concerning drug
dosages, schedules, and routes of administration is accurate at the time of publication and consistent with
standards set by the U.S. Food and Drug Administration and the general medical community. As medical re-
search and practice continue to advance, however, therapeutic standards may change. Moreover, specific situa-
tions may require a specific therapeutic response not included in this publication. For these reasons and be-
cause human and mechanical errors sometimes occur, we recommend that readers follow the advice of physi-
cians directly involved in their care or the care of a member of their family.
Publications of American Psychiatric Publishing, Inc. (APPI), represent the views and opinions of the individual
authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric
Association.
If you would like to buy between 25 and 99 copies of this or any other APPI title, you are eligible for a 20% dis-
count; please contact APPI Customer Service at or 800-368-5777. If you wish to buy 100 or
more copies of the same title, please email us at for a price quote.
Copyright © 2010 American Psychiatric Publishing, Inc.
ALL RIGHTS RESERVED
Manufactured in the United States of America on acid-free paper
13 12 11 10 09 5 4 3 2 1
ISBN 978-1-58562-353-2
First Edition
Typeset in Revival BT and Adobe's The Mix
American Psychiatric Publishing, Inc.
1000 Wilson Boulevard
Arlington, VA 22209-3901
www.appi.org
, Contents
Preface .............................................................................................................................. xv
Questions
CHA P T E R 1
Assessing Infants and Toddlers .......................................................................................... 1
CHA P T E R 2
Assessing the Preschool-Age Child .................................................................................... 2
CHA P T E R 3
Assessing the Elementary School–Age Child ..................................................................... 4
CHA P T E R 4
Assessing Adolescents ....................................................................................................... 5
CHA P T E R 5
Classification of Psychiatric Disorders ................................................................................ 7
CHA P T E R 6
The Process of Assessment and Diagnosis........................................................................ 9
CHA P T E R 7
Diagnostic Interviews ........................................................................................................ 11
CHA P T E R 8
Rating Scales.................................................................................................................... 13
CHA P T E R 9
Pediatric Evaluation and Laboratory Testing .................................................................... 14
CHA P T E R 1 0
Neurological Examination, Electroencephalography, and Neuroimaging ......................... 16
CHA P T E R 1 1
Psychological and Neuropsychological Testing ................................................................ 18
CHA P T E R 1 2
Intellectual Disability (Mental Retardation) ........................................................................ 20
4 |
,CHA P T E R 1 3
Autism Spectrum Disorders .............................................................................................. 22
CHA P T E R 1 4
Developmental Disorders of Learning, Communication, and Motor Skills ........................ 23
CHA P T E R 1 5
Attention-Deficit/Hyperactivity Disorder............................................................................. 25
CHA P T E R 1 6
Oppositional Defiant Disorder and Conduct Disorder ....................................................... 27
CHA P T E R 1 7
Substance Abuse and Addictions ..................................................................................... 28
CHA P T E R 1 8
Depression and Dysthymia ............................................................................................... 30
CHA P T E R 1 9
Bipolar Disorder ................................................................................................................ 32
CHA P T E R 2 0
Generalized Anxiety Disorder, Specific Phobia, Panic Disorder,
Social Phobia, and Selective Mutism ................................................................................ 34
CHA P T E R 2 1
Separation Anxiety Disorder and School Refusal ............................................................. 36
CHA P T E R 2 2
Posttraumatic Stress Disorder .......................................................................................... 38
CHA P T E R 2 3
Obsessive-Compulsive Disorder....................................................................................... 39
CHA P T E R 2 4
Early-Onset Schizophrenia ............................................................................................... 41
CHA P T E R 2 5
Obesity.............................................................................................................................. 43
CHA P T E R 2 6
Anorexia Nervosa and Bulimia Nervosa ........................................................................... 45
CHA P T E R 2 7
Tic Disorders..................................................................................................................... 47
,CHA P T E R 2 8
Elimination Disorders ........................................................................................................ 48
CHA P T E R 2 9
Sleep Disorders ................................................................................................................ 49
CHA P T E R 3 0
Evidence-Based Practices ................................................................................................ 51
CHA P T E R 3 1
Child Abuse and Neglect .................................................................................................. 52
CHA P T E R 3 2
HIV and AIDS ................................................................................................................... 53
CHA P T E R 3 3
Bereavement and Traumatic Grief .................................................................................... 54
CHA P T E R 3 4
Ethnic, Cultural, and Religious Issues .............................................................................. 56
CHA P T E R 3 5
Youth Suicide.................................................................................................................... 58
CHA P T E R 3 6
Gender Identity and Sexual Orientation ............................................................................ 60
CHA P T E R 3 7
Aggression and Violence .................................................................................................. 62
CHA P T E R 3 8
Genetics: Fundamentals Relevant to Child and Adolescent Psychiatry ............................ 64
CHA P T E R 3 9
Psychiatric Emergencies................................................................................................... 66
CHA P T E R 4 0
Family Transitions: Challenges and Resilience ................................................................ 68
CHA P T E R 4 1
Psychiatric Aspects of Chronic Physical Disorders ........................................................... 70
CHA P T E R 4 2
Children of Parents With Psychiatric and Substance Abuse Disorders ............................ 72
6 |
,CHA P T E R 4 3
Legal and Ethical Issues ................................................................................................... 74
CHA P T E R 4 4
Telepsychiatry ................................................................................................................... 75
CHA P T E R 4 5
Principles of Psychopharmacology ................................................................................... 76
CHA P T E R 4 6
Medications Used for Attention-Deficit/Hyperactivity Disorder .......................................... 78
CHA P T E R 4 7
Antidepressants ................................................................................................................ 79
CHA P T E R 4 8
Mood Stabilizers ............................................................................................................... 81
CHA P T E R 4 9
Antipsychotic Medications................................................................................................. 83
CHA P T E R 5 0
Alpha-Adrenergics, Beta-Blockers, Benzodiazepines, Buspirone, and Desmopressin ..... 85
CHA P T E R 5 1
Medications Used for Sleep .............................................................................................. 87
CHA P T E R 5 2
Electroconvulsive Therapy, Transcranial Magnetic Stimulation,
and Deep Brain Stimulation .............................................................................................. 88
CHA P T E R 5 3
Individual Psychotherapy .................................................................................................. 90
CHA P T E R 5 4
Parent Counseling, Psychoeducation, and Parent Support Groups ................................. 91
CHA P T E R 5 5
Behavioral Parent Training ............................................................................................... 93
CHA P T E R 5 6
Family Therapy ................................................................................................................. 94
CHA P T E R 5 7
Interpersonal Psychotherapy for Depressed Adolescents ................................................ 95
,CHA P T E R 5 8
Cognitive-Behavioral Treatment for Anxiety Disorders ..................................................... 97
CHA P T E R 5 9
Cognitive-Behavioral Therapy for Depression .................................................................. 99
CHA P T E R 6 0
Motivational Interviewing................................................................................................. 101
CHA P T E R 6 1
Systems of Care, Wraparound Services, and Home-Based Services ............................ 102
CHA P T E R 6 2
Milieu Treatment: Inpatient, Partial Hospitalization, and Residential Programs .............. 104
CHA P T E R 6 3
School-Based Interventions ............................................................................................ 106
CHA P T E R 6 4
Collaborating With Primary Care .................................................................................... 108
CHA P T E R 6 5
Juvenile Justice .............................................................................................................. 110
Answer Guide
CHA P T E R 1
Assessing Infants and Toddlers ...................................................................................... 111
CHA P T E R 2
Assessing the Preschool-Age Child ................................................................................ 114
CHA P T E R 3
Assessing the Elementary School–Age Child ................................................................. 118
CHA P T E R 4
Assessing Adolescents ................................................................................................... 121
CHA P T E R 5
Classification of Psychiatric Disorders ............................................................................ 125
CHA P T E R 6
The Process of Assessment and Diagnosis.................................................................... 128
8 |
, CHA P T E R 7
Diagnostic Interviews ...................................................................................................... 131
CHA P T E R 8
Rating Scales.................................................................................................................. 134
CHA P T E R 9
Pediatric Evaluation and Laboratory Testing .................................................................. 138
CHA P T E R 1 0
Neurological Examination, Electroencephalography, and Neuroimaging ....................... 143
CHA P T E R 1 1
Psychological and Neuropsychological Testing .............................................................. 146
CHA P T E R 1 2
Intellectual Disability (Mental Retardation) ...................................................................... 149
CHA P T E R 1 3
Autism Spectrum Disorders ............................................................................................ 153
CHA P T E R 1 4
Developmental Disorders of Learning, Communication, and Motor Skills ...................... 157
CHA P T E R 1 5
Attention-Deficit/Hyperactivity Disorder........................................................................... 160
CHA P T E R 1 6
Oppositional Defiant Disorder and Conduct Disorder ..................................................... 165
CHA P T E R 1 7
Substance Abuse and Addictions ................................................................................... 168
CHA P T E R 1 8
Depression and Dysthymia ............................................................................................. 171
CHA P T E R 1 9
Bipolar Disorder .............................................................................................................. 175
CHA P T E R 2 0
Generalized Anxiety Disorder, Specific Phobia, Panic Disorder,
Social Phobia, and Selective Mutism .............................................................................. 178
CHA P T E R 2 1
Separation Anxiety Disorder and School Refusal ........................................................... 183
Textbook Of Child And
Adolescent Psychiatry
2022
, STUDY GUIDE TO
CHILD AND ADOLES-
CENT PSYCHIATRY
A Companion to
Dulcan’s Textbook of
Child and Adolescent Psychiatry
, STUDY GUIDE TO
CHILD AND ADOLES-
CENT PSYCHIATRY
A Companion to
Dulcan’s Textbook of
Child and Adolescent Psychiatry
Hong Shen, M.D.
Clinical Associate Professor of Psychiatry, Department of Psychiatry and Behavioral Sciences
University of California, Davis School of Medicine
Sacramento, California
Robert E. Hales, M.D., M.B.A.
Joe P. Tupin Chair, Department of Psychiatry and Behavioral Sciences
Interim Director, M.I.N.D. Institute
University of California, Davis School of Medicine
Sacramento, California
Narriman C. Shahrokh
Chief Administrative Officer, Department of Psychiatry and Behavioral Sciences
University of California, Davis School of Medicine
Sacramento, California
2 |
,Note: The authors have worked to ensure that all information in this publication is accurate at the time of publi-
cation and consistent with general psychiatric and medical standards, and that information concerning drug
dosages, schedules, and routes of administration is accurate at the time of publication and consistent with
standards set by the U.S. Food and Drug Administration and the general medical community. As medical re-
search and practice continue to advance, however, therapeutic standards may change. Moreover, specific situa-
tions may require a specific therapeutic response not included in this publication. For these reasons and be-
cause human and mechanical errors sometimes occur, we recommend that readers follow the advice of physi-
cians directly involved in their care or the care of a member of their family.
Publications of American Psychiatric Publishing, Inc. (APPI), represent the views and opinions of the individual
authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric
Association.
If you would like to buy between 25 and 99 copies of this or any other APPI title, you are eligible for a 20% dis-
count; please contact APPI Customer Service at or 800-368-5777. If you wish to buy 100 or
more copies of the same title, please email us at for a price quote.
Copyright © 2010 American Psychiatric Publishing, Inc.
ALL RIGHTS RESERVED
Manufactured in the United States of America on acid-free paper
13 12 11 10 09 5 4 3 2 1
ISBN 978-1-58562-353-2
First Edition
Typeset in Revival BT and Adobe's The Mix
American Psychiatric Publishing, Inc.
1000 Wilson Boulevard
Arlington, VA 22209-3901
www.appi.org
, Contents
Preface .............................................................................................................................. xv
Questions
CHA P T E R 1
Assessing Infants and Toddlers .......................................................................................... 1
CHA P T E R 2
Assessing the Preschool-Age Child .................................................................................... 2
CHA P T E R 3
Assessing the Elementary School–Age Child ..................................................................... 4
CHA P T E R 4
Assessing Adolescents ....................................................................................................... 5
CHA P T E R 5
Classification of Psychiatric Disorders ................................................................................ 7
CHA P T E R 6
The Process of Assessment and Diagnosis........................................................................ 9
CHA P T E R 7
Diagnostic Interviews ........................................................................................................ 11
CHA P T E R 8
Rating Scales.................................................................................................................... 13
CHA P T E R 9
Pediatric Evaluation and Laboratory Testing .................................................................... 14
CHA P T E R 1 0
Neurological Examination, Electroencephalography, and Neuroimaging ......................... 16
CHA P T E R 1 1
Psychological and Neuropsychological Testing ................................................................ 18
CHA P T E R 1 2
Intellectual Disability (Mental Retardation) ........................................................................ 20
4 |
,CHA P T E R 1 3
Autism Spectrum Disorders .............................................................................................. 22
CHA P T E R 1 4
Developmental Disorders of Learning, Communication, and Motor Skills ........................ 23
CHA P T E R 1 5
Attention-Deficit/Hyperactivity Disorder............................................................................. 25
CHA P T E R 1 6
Oppositional Defiant Disorder and Conduct Disorder ....................................................... 27
CHA P T E R 1 7
Substance Abuse and Addictions ..................................................................................... 28
CHA P T E R 1 8
Depression and Dysthymia ............................................................................................... 30
CHA P T E R 1 9
Bipolar Disorder ................................................................................................................ 32
CHA P T E R 2 0
Generalized Anxiety Disorder, Specific Phobia, Panic Disorder,
Social Phobia, and Selective Mutism ................................................................................ 34
CHA P T E R 2 1
Separation Anxiety Disorder and School Refusal ............................................................. 36
CHA P T E R 2 2
Posttraumatic Stress Disorder .......................................................................................... 38
CHA P T E R 2 3
Obsessive-Compulsive Disorder....................................................................................... 39
CHA P T E R 2 4
Early-Onset Schizophrenia ............................................................................................... 41
CHA P T E R 2 5
Obesity.............................................................................................................................. 43
CHA P T E R 2 6
Anorexia Nervosa and Bulimia Nervosa ........................................................................... 45
CHA P T E R 2 7
Tic Disorders..................................................................................................................... 47
,CHA P T E R 2 8
Elimination Disorders ........................................................................................................ 48
CHA P T E R 2 9
Sleep Disorders ................................................................................................................ 49
CHA P T E R 3 0
Evidence-Based Practices ................................................................................................ 51
CHA P T E R 3 1
Child Abuse and Neglect .................................................................................................. 52
CHA P T E R 3 2
HIV and AIDS ................................................................................................................... 53
CHA P T E R 3 3
Bereavement and Traumatic Grief .................................................................................... 54
CHA P T E R 3 4
Ethnic, Cultural, and Religious Issues .............................................................................. 56
CHA P T E R 3 5
Youth Suicide.................................................................................................................... 58
CHA P T E R 3 6
Gender Identity and Sexual Orientation ............................................................................ 60
CHA P T E R 3 7
Aggression and Violence .................................................................................................. 62
CHA P T E R 3 8
Genetics: Fundamentals Relevant to Child and Adolescent Psychiatry ............................ 64
CHA P T E R 3 9
Psychiatric Emergencies................................................................................................... 66
CHA P T E R 4 0
Family Transitions: Challenges and Resilience ................................................................ 68
CHA P T E R 4 1
Psychiatric Aspects of Chronic Physical Disorders ........................................................... 70
CHA P T E R 4 2
Children of Parents With Psychiatric and Substance Abuse Disorders ............................ 72
6 |
,CHA P T E R 4 3
Legal and Ethical Issues ................................................................................................... 74
CHA P T E R 4 4
Telepsychiatry ................................................................................................................... 75
CHA P T E R 4 5
Principles of Psychopharmacology ................................................................................... 76
CHA P T E R 4 6
Medications Used for Attention-Deficit/Hyperactivity Disorder .......................................... 78
CHA P T E R 4 7
Antidepressants ................................................................................................................ 79
CHA P T E R 4 8
Mood Stabilizers ............................................................................................................... 81
CHA P T E R 4 9
Antipsychotic Medications................................................................................................. 83
CHA P T E R 5 0
Alpha-Adrenergics, Beta-Blockers, Benzodiazepines, Buspirone, and Desmopressin ..... 85
CHA P T E R 5 1
Medications Used for Sleep .............................................................................................. 87
CHA P T E R 5 2
Electroconvulsive Therapy, Transcranial Magnetic Stimulation,
and Deep Brain Stimulation .............................................................................................. 88
CHA P T E R 5 3
Individual Psychotherapy .................................................................................................. 90
CHA P T E R 5 4
Parent Counseling, Psychoeducation, and Parent Support Groups ................................. 91
CHA P T E R 5 5
Behavioral Parent Training ............................................................................................... 93
CHA P T E R 5 6
Family Therapy ................................................................................................................. 94
CHA P T E R 5 7
Interpersonal Psychotherapy for Depressed Adolescents ................................................ 95
,CHA P T E R 5 8
Cognitive-Behavioral Treatment for Anxiety Disorders ..................................................... 97
CHA P T E R 5 9
Cognitive-Behavioral Therapy for Depression .................................................................. 99
CHA P T E R 6 0
Motivational Interviewing................................................................................................. 101
CHA P T E R 6 1
Systems of Care, Wraparound Services, and Home-Based Services ............................ 102
CHA P T E R 6 2
Milieu Treatment: Inpatient, Partial Hospitalization, and Residential Programs .............. 104
CHA P T E R 6 3
School-Based Interventions ............................................................................................ 106
CHA P T E R 6 4
Collaborating With Primary Care .................................................................................... 108
CHA P T E R 6 5
Juvenile Justice .............................................................................................................. 110
Answer Guide
CHA P T E R 1
Assessing Infants and Toddlers ...................................................................................... 111
CHA P T E R 2
Assessing the Preschool-Age Child ................................................................................ 114
CHA P T E R 3
Assessing the Elementary School–Age Child ................................................................. 118
CHA P T E R 4
Assessing Adolescents ................................................................................................... 121
CHA P T E R 5
Classification of Psychiatric Disorders ............................................................................ 125
CHA P T E R 6
The Process of Assessment and Diagnosis.................................................................... 128
8 |
, CHA P T E R 7
Diagnostic Interviews ...................................................................................................... 131
CHA P T E R 8
Rating Scales.................................................................................................................. 134
CHA P T E R 9
Pediatric Evaluation and Laboratory Testing .................................................................. 138
CHA P T E R 1 0
Neurological Examination, Electroencephalography, and Neuroimaging ....................... 143
CHA P T E R 1 1
Psychological and Neuropsychological Testing .............................................................. 146
CHA P T E R 1 2
Intellectual Disability (Mental Retardation) ...................................................................... 149
CHA P T E R 1 3
Autism Spectrum Disorders ............................................................................................ 153
CHA P T E R 1 4
Developmental Disorders of Learning, Communication, and Motor Skills ...................... 157
CHA P T E R 1 5
Attention-Deficit/Hyperactivity Disorder........................................................................... 160
CHA P T E R 1 6
Oppositional Defiant Disorder and Conduct Disorder ..................................................... 165
CHA P T E R 1 7
Substance Abuse and Addictions ................................................................................... 168
CHA P T E R 1 8
Depression and Dysthymia ............................................................................................. 171
CHA P T E R 1 9
Bipolar Disorder .............................................................................................................. 175
CHA P T E R 2 0
Generalized Anxiety Disorder, Specific Phobia, Panic Disorder,
Social Phobia, and Selective Mutism .............................................................................. 178
CHA P T E R 2 1
Separation Anxiety Disorder and School Refusal ........................................................... 183
