1 - Pedopsiquiatria, Área da Mulher, Criança e Adolescente, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa
- Trabalho apresentado no 23rd World Congress of the IACAPAP , 23 a 27 julho 2018 (Workshop)
Resumo:
Our study group provides a characterization of the clinical population of children with complex anxiety disorders and explores their interfaces with affective and personality disorders. The learning objectives of this workshop are:
-to know how to develop an integrated care and evidence-based case conceptualization model of anxiety disorders in children
-to learn about the possible ways of integrating different therapeutic approaches in their clinical management
-to gain a clinical perspective through the presentation of illustrative clinical cases
Workshop Description
The everyday practice of the child psychiatrist is full of challenges in the understanding and in the clinical approach of our patients and their context. In the last decades, there has been a proliferation of many evidence-based programs in the management of specific disorders in specific age groups, in particular anxiety disorders in children. However, there is still a great demand of new avenues in the clinical management of children with anxiety disorders with complex comorbidities, where a true biopsychosocial formulation is warranted. Consistent with this, there has been an effort, in research and clinical areas, towards integration of different therapeutic models in the clinical care of such patients. We present an integrative multimodal treatment strategy in the management of children between 4 and 12 years-old with complex anxiety disorders. We follow a core cognitive-behavioural framework within a modular approach and integrate psychodynamic and systemic tenets and concepts as a complement of such modules. Some of the modules included are: therapist-child relationship establishment; learning about anxiety; exposure; gaining insight and family intervention. Such modules allow a flexibility paradigm, with necessary adaptations to individual characteristics of each child, but with fidelity to the structure presented. We will provide an interactive and comprehensive session about our treatment model and illustrate the interventions with clinical scenarios.
References
- James AC, James G, Cowdrey FA, Soler A, Choke A. Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database of Systematic Reviews 2013;6.
- Kendall P, Gosch E, Furr J, Sood E. Flexibility within fidelity. Journal of the American Academy of Child and Adolescent Psychiatry. 2008;47:987–993.
- Chorpita, B. F. Guides to individualized evidence-based treatment. Modular cognitive-behavioral therapy for childhood anxiety disorders. 2007; New York: Guilford Press.
- Beidas RS, Benjamin CL, Puleo CM, Edmunds JM, Kendall PC. Flexible Applications of the Coping Cat Program for Anxious Youth. Cognitive and behavioral practice. 2010;17(2):142-153.
Palavras Chave: Anxiety Disorders; Child Psychiatry; Psychotherapy