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Evidence for different diagnostic groupings in child and adolescent mental health is a growing field.  Fonagy et al (2002) report large numbers of well conducted randomized controlled trials have evaluted psychopharmacological treatments and cognitive behavioural treatments for particular childhood problems. Below is a summary of which

Cognitive behavioural therapy (CBT) is recognised as the first line of treatment for anxiety disorders, depression, suicide, and managing physcial symptoms.  ADHD and Pervaisve Developmental Disorder are more likely to respond to parent training and behavioural therapy. Operant conditioning and cognitive therapy show promise for eating disorders.  Interpersonal psychotherapy is showing promise as a treatment for adolescents with depression.  Multisystemic therapy (MST) involves physical and psychological treatment currently effective for reducing recidivism and individual and family pathology in delinquent adolescents.  Family and Systemic therapies  shown to be successful with anorexia,  and substance misuse, further studies needed.

Fonagy et al report that CBT is the treatment of choice for some childhood disorders there is not such thing as a generic package.  Their recommendation is that therapists need to flexibly apply CBT stratgies to particular situations, problems and developmental stages.

Fonagy, P. et al (2002) What Works for Whom? A Critical Review fo Treatments for Children and Adolescents. New York: Guilford Press.

 

 

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