Child and Adolescent Psychiatry

Robyn Thom, MD, is Assistant Professor of Psychiatry at Massachusetts General Hospital/McLean Hospital. Christopher McDougle, MD, is Professor of Psychiatry and Pediatrics and Director of the Lurie Center for Autism at Massachusetts General Hospital/McLean Hospital.

1. Young boy with social impairment and repetitive behaviors
2. Persistent reading difficulty despite improved focus on a stimulant medication
3. Below average intellectual and adaptive functioning
4. A child with inattention, hyperactivity, and impulsivity
5. Repetitive throat clearing, blinking, and grimacing
6. Teenager with paranoia and hallucinations preceded by a decline in academic and social functioning
7. Several weeks of low mood, decreased appetite, and poor sleep after changing schools
8. An episode of giddy, irritable mood with increased energy and goal-directed activity
9. Chronically irritable mood with frequent temper outbursts
10. Limited speech outside the home in a young girl who speaks normally at home
11. A fear of dogs
12. Trouble being away from mother
13. Worries about being embarrassed in front of classmates
14. Recurrent episodes of intense fear, shortness of breath, racing heart, and sweating
15. Excessive, uncontrollable worries
16. A teenager who spends hours scrutinizing her skin
17. Repeating, counting, and touching to prevent harm
18. A girl without stranger danger
19. A boy who could not be comforted
20. Sad mood and changes in behavior after exposure to a traumatic reminder
21. A child whose parent insists on recurrent medical admissions
22. Decreased food intake after a choking incident
23. A teenage girl with low body mass index due to restricting food intake
24. Recurrent episodes of binging and purging
25. A young boy with stool soiling
26. An adolescent requesting to pause puberty
27. An adolescent with binge drinking
28. An adolescent with new onset inattention
29. Confusion and mental status changes in a medically ill child