KAPLAN & SADOCK’S
e e
Concise
Textbook of e
Child and Adolescent Psychiatry
e e e
, CONSULTING EDITOR E
CarolyeS.ePataki,eM.D.
ClinicaleProfessoreofePsychiatryeandeBehavioraleSciences,eandeDivisioneChief,eChildeande
AdolescentePsychiatry,eKeckeSchooleofeMedicineeatetheeUniversityeofeSoutherneCaliforni
a,eLoseAngeles,eCalifornia.
CONTRIBUTING EDITOR E
Samoone Ahmad,e M.D.
ClinicaleAssociateeProfessoreofePsychiatryeandeCo-
directoreofeContinuingeMedicaleEducation,eDepartmenteofePsychiatry,eNY
UeSchooleofeMedicine,eNYUeLangoneeMedicaleCenter,eAttendingePsychi
atrist,eTischeHospital,eBellevueeHospital,eNeweYork,eNeweYork.
, KAPLAN & SADOCK’S
e e
Concise
Textbook of e
Child and Adolescent Psychiatry
e e e
Benjamin James Sadock, M.D.e e e
MenaseS.eGregoryeProfessoreofePsychiatryeandeViceeChairmaneDepartmen
teofePsychiatry,eNeweYorkeUniversityeSchooleofeMedicine,eNYUeLangone
MedicaleCenter;
AttendingePsychiatrist,eTischeHospital;eAttendi
ngePsychiatrist,eBellevueeHospitaleCenter;
ConsultingePsychiatrist,eLenoxeHilleHospital,eNe
weYork,eNeweYork
Virginia Alcott Sadock, M.D.
e e e
ProfessoreofePsychiatry,eDepartmenteofePsychiatry,
NeweYorkeUniversityeSchooleofeMedicine,eNYUeLangoneeMedicaleCenter;eAttendin
gePsychiatrist,eTischeHospital;
AttendingePsychiatrist,eBellevueeHospitaleCenter,eNe
weYork,eNeweYork
, AcquisitionseEditor:eCharleseW.eMitchelle M
anagingeEditor:eSirkkaeE.eHowese Marketin
geManager:eKimberlyeSchonbergere Producti
oneEditor:eBridgetteDoughertye Manufacturi
ngeManager:eKathleeneBrowne DesigneCoor
dinator:eSteveeDruding
Compositor:eAptara ◯ R
©e2009ebyeLIPPINCOTTeWILLIAMSe&eWILKINS,eaeWOLTERSeKLUWEReBUSINESS
530eWalnuteStreete Philadelph
ia,ePAe19106eUSAe LWW.com
“KaplaneSadockePsychiatry”ewithetheepyramidelogoeiseaetrademarkeofeLippincotteWilliamse&e
Wilkins.
Allerightsereserved.eThisebookeiseprotectedebyecopyright.eNoeparteofethisebookemayebeereproduce
de ineanyeformeorebyeanyemeans,eincludingephotocopying,eoreutilizedebyeanyeinformationestorag
ee anderetrievalesystemewithoutewrittenepermissionefrometheecopyrighteowner,eexcepteforebriefe
quotationseembodiedeinecriticalearticleseandereviews.eMaterialseappearingeinethisebookeprepared
e byeindividualseaseparteofetheireofficialedutieseaseU.S.egovernmenteemployeeseareenotecoverede
bye theeabove-mentionedecopyright.
PrintedeineUSA
Librarye ofe Congresse Cataloging-in-Publicatione Data
Sadock,eBenjamineJ.,e1933–
Kaplane&eSadock’seconciseetextbookeofechildeandeadolescentepsychiatrye/eBenjamineJames
e Sadock,eVirginiaeAlcotteSadock.
p.e;ecm.
Aneupdatedeandeclinicalepresentationeofematerialefrom:eKaplane&eSadock’sesynopsiseofe ps
ychiatry.e10theed.e2007.
Includesebibliographicalereferenceseandeindex.
e ISBN-13:e978-0-7817-9387-
2e(alk.epaper)e ISBN-10:e0-7817-9387-
4e(alk.epaper)
1.eChildepsychiatry.e 2.eAdolescentepsychiatry/e I.eSadock,eVirginiaeA.e II.eKaplan,e Ha
roldeI.,e1927–e III.eSadock,eBenjamineJ.,e1933–eKaplane&eSadock’sesynopsiseofepsychiatry.
IV.eTitle.e V.eTitle:eConciseetextbookeofechildeandeadolescentepsychiatry.e VI.eTitle:eKaplane
andeSadock’seconciseetextbookeofechildeandeadolescentepsychiatry.
[DNLM:e1.eMentaleDisorders—diagnosis.e 2.eMentaleDisorders—therapy.e 3.eAdolescent.
4.eChild.e e WSe350eS126ke2009]
RJ499.S18e2009
e 616.89—dc22
2008026359
Careehasebeenetakenetoeconfirmetheeaccuracyeofetheeinformationepresentedeandetoedescribee gen
erallyeacceptedepractices.eHowever,etheeauthors,eeditors,eandepublishereareenoteresponsibleefore er
rorseoreomissionseoreforeanyeconsequencesefromeapplicationeofetheeinformationeinethisebookeande
makeenoewarranty,eexpressedeoreimplied,ewitherespectetoetheecurrency,ecompleteness,eoreaccurac
ye ofetheecontentseofetheepublication.eApplicationeofethiseinformationeineaeparticularesituatione r
emainsetheeprofessionaleresponsibilityeofetheepractitioner.
Theeauthors,eeditors,eandepublisherehaveeexertedeeveryeeffortetoeensureethatedrugeselectione
andedosageesetefortheinethisetexteareeineaccordanceewithecurrenterecommendationseandepracticeea
te theetimeeofepublication.eHowever,einevieweofeongoingeresearch,echangeseinegovernmente regu
lations,eandetheeconstantefloweofeinformationerelatingetoedrugetherapyeandedrugereactions,ethee re
adereiseurgedetoechecketheepackageeinserteforeeachedrugeforeanyechangeeineindicationseande dos
ageeandeforeaddedewarningseandeprecautions.eThiseiseparticularlyeimportantewhenethee recomm
endedeagenteiseaeneweoreinfrequentlyeemployededrug.
SomeedrugseandemedicaledevicesepresentedeinethisepublicationehaveeFoodeandeDruge Admi
nistratione(FDA)eclearanceeforelimitedeuseeinerestrictederesearchesettings.eIteisethee responsibilit
yeofetheeclinicianetoeascertainetheeFDAestatuseofeeachedrugeoredeviceeplannedeforeusee inetheirecl
inicalepractice.
Toepurchaseeadditionalecopieseofethisebook,ecalleourecustomereserviceedepartmenteate(800)
e 638-3030eorefaxeordersetoe(301)e223-2320.eInternationalecustomerseshouldecalle(301)e223-
2300.
VisiteLippincotteWilliamse&eWilkinseonetheeInternet:eateLWW.com.eLippincotteWilliamse&e
Wilkinsecustomereserviceerepresentativeseareeavailableefrome8:30eametoe6epm,eEST.
10987654321e
e e
Concise
Textbook of e
Child and Adolescent Psychiatry
e e e
, CONSULTING EDITOR E
CarolyeS.ePataki,eM.D.
ClinicaleProfessoreofePsychiatryeandeBehavioraleSciences,eandeDivisioneChief,eChildeande
AdolescentePsychiatry,eKeckeSchooleofeMedicineeatetheeUniversityeofeSoutherneCaliforni
a,eLoseAngeles,eCalifornia.
CONTRIBUTING EDITOR E
Samoone Ahmad,e M.D.
ClinicaleAssociateeProfessoreofePsychiatryeandeCo-
directoreofeContinuingeMedicaleEducation,eDepartmenteofePsychiatry,eNY
UeSchooleofeMedicine,eNYUeLangoneeMedicaleCenter,eAttendingePsychi
atrist,eTischeHospital,eBellevueeHospital,eNeweYork,eNeweYork.
, KAPLAN & SADOCK’S
e e
Concise
Textbook of e
Child and Adolescent Psychiatry
e e e
Benjamin James Sadock, M.D.e e e
MenaseS.eGregoryeProfessoreofePsychiatryeandeViceeChairmaneDepartmen
teofePsychiatry,eNeweYorkeUniversityeSchooleofeMedicine,eNYUeLangone
MedicaleCenter;
AttendingePsychiatrist,eTischeHospital;eAttendi
ngePsychiatrist,eBellevueeHospitaleCenter;
ConsultingePsychiatrist,eLenoxeHilleHospital,eNe
weYork,eNeweYork
Virginia Alcott Sadock, M.D.
e e e
ProfessoreofePsychiatry,eDepartmenteofePsychiatry,
NeweYorkeUniversityeSchooleofeMedicine,eNYUeLangoneeMedicaleCenter;eAttendin
gePsychiatrist,eTischeHospital;
AttendingePsychiatrist,eBellevueeHospitaleCenter,eNe
weYork,eNeweYork
, AcquisitionseEditor:eCharleseW.eMitchelle M
anagingeEditor:eSirkkaeE.eHowese Marketin
geManager:eKimberlyeSchonbergere Producti
oneEditor:eBridgetteDoughertye Manufacturi
ngeManager:eKathleeneBrowne DesigneCoor
dinator:eSteveeDruding
Compositor:eAptara ◯ R
©e2009ebyeLIPPINCOTTeWILLIAMSe&eWILKINS,eaeWOLTERSeKLUWEReBUSINESS
530eWalnuteStreete Philadelph
ia,ePAe19106eUSAe LWW.com
“KaplaneSadockePsychiatry”ewithetheepyramidelogoeiseaetrademarkeofeLippincotteWilliamse&e
Wilkins.
Allerightsereserved.eThisebookeiseprotectedebyecopyright.eNoeparteofethisebookemayebeereproduce
de ineanyeformeorebyeanyemeans,eincludingephotocopying,eoreutilizedebyeanyeinformationestorag
ee anderetrievalesystemewithoutewrittenepermissionefrometheecopyrighteowner,eexcepteforebriefe
quotationseembodiedeinecriticalearticleseandereviews.eMaterialseappearingeinethisebookeprepared
e byeindividualseaseparteofetheireofficialedutieseaseU.S.egovernmenteemployeeseareenotecoverede
bye theeabove-mentionedecopyright.
PrintedeineUSA
Librarye ofe Congresse Cataloging-in-Publicatione Data
Sadock,eBenjamineJ.,e1933–
Kaplane&eSadock’seconciseetextbookeofechildeandeadolescentepsychiatrye/eBenjamineJames
e Sadock,eVirginiaeAlcotteSadock.
p.e;ecm.
Aneupdatedeandeclinicalepresentationeofematerialefrom:eKaplane&eSadock’sesynopsiseofe ps
ychiatry.e10theed.e2007.
Includesebibliographicalereferenceseandeindex.
e ISBN-13:e978-0-7817-9387-
2e(alk.epaper)e ISBN-10:e0-7817-9387-
4e(alk.epaper)
1.eChildepsychiatry.e 2.eAdolescentepsychiatry/e I.eSadock,eVirginiaeA.e II.eKaplan,e Ha
roldeI.,e1927–e III.eSadock,eBenjamineJ.,e1933–eKaplane&eSadock’sesynopsiseofepsychiatry.
IV.eTitle.e V.eTitle:eConciseetextbookeofechildeandeadolescentepsychiatry.e VI.eTitle:eKaplane
andeSadock’seconciseetextbookeofechildeandeadolescentepsychiatry.
[DNLM:e1.eMentaleDisorders—diagnosis.e 2.eMentaleDisorders—therapy.e 3.eAdolescent.
4.eChild.e e WSe350eS126ke2009]
RJ499.S18e2009
e 616.89—dc22
2008026359
Careehasebeenetakenetoeconfirmetheeaccuracyeofetheeinformationepresentedeandetoedescribee gen
erallyeacceptedepractices.eHowever,etheeauthors,eeditors,eandepublishereareenoteresponsibleefore er
rorseoreomissionseoreforeanyeconsequencesefromeapplicationeofetheeinformationeinethisebookeande
makeenoewarranty,eexpressedeoreimplied,ewitherespectetoetheecurrency,ecompleteness,eoreaccurac
ye ofetheecontentseofetheepublication.eApplicationeofethiseinformationeineaeparticularesituatione r
emainsetheeprofessionaleresponsibilityeofetheepractitioner.
Theeauthors,eeditors,eandepublisherehaveeexertedeeveryeeffortetoeensureethatedrugeselectione
andedosageesetefortheinethisetexteareeineaccordanceewithecurrenterecommendationseandepracticeea
te theetimeeofepublication.eHowever,einevieweofeongoingeresearch,echangeseinegovernmente regu
lations,eandetheeconstantefloweofeinformationerelatingetoedrugetherapyeandedrugereactions,ethee re
adereiseurgedetoechecketheepackageeinserteforeeachedrugeforeanyechangeeineindicationseande dos
ageeandeforeaddedewarningseandeprecautions.eThiseiseparticularlyeimportantewhenethee recomm
endedeagenteiseaeneweoreinfrequentlyeemployededrug.
SomeedrugseandemedicaledevicesepresentedeinethisepublicationehaveeFoodeandeDruge Admi
nistratione(FDA)eclearanceeforelimitedeuseeinerestrictederesearchesettings.eIteisethee responsibilit
yeofetheeclinicianetoeascertainetheeFDAestatuseofeeachedrugeoredeviceeplannedeforeusee inetheirecl
inicalepractice.
Toepurchaseeadditionalecopieseofethisebook,ecalleourecustomereserviceedepartmenteate(800)
e 638-3030eorefaxeordersetoe(301)e223-2320.eInternationalecustomerseshouldecalle(301)e223-
2300.
VisiteLippincotteWilliamse&eWilkinseonetheeInternet:eateLWW.com.eLippincotteWilliamse&e
Wilkinsecustomereserviceerepresentativeseareeavailableefrome8:30eametoe6epm,eEST.
10987654321e
