Difficult Psychiatric Consultations

Sergio V. Delgado, MDDr. Delgado is Professor of Psychiatry, Pediatrics and Psychoanalysis at Cincinnati Children’s Hospital Medical Center and the University of Cincinnati. Dr. Delgado is a graduate of the School of Medicine of the University of Nuevo Leon, and the Psychiatry and Child Psychiatry programs of the Karl Menninger School of Psychiatry and Mental Health Sciences. He also completed training as a supervising and training analyst in adult and child psychoanalysis at the Topeka Institute for Psychoanalysis. Currently, Dr. Delgado is a supervising and training analyst at the Cincinnati Psychoanalytic Institute. He currently is the Medical Director of the Outpatient Child and Adolescent Psychiatric Services at Cincinnati Children’s Hospital Medical Center. Dr. Delgado is the Co-Chair of the Psychotherapy Committee to the American Academy of Child & Adolescent Psychiatry. He is the President for the Cincinnati-Dayton Regional Council of the American Academy of Child & Adolescent Psychiatry. He also serves as a Child and Adolescent Psychiatry Oral Board Examiner for American Board of Psychiatry and Neurology.Dr. Delgado actively teaches in the adult and child psychiatry training programs, and is Director of psychotherapy for the child and adolescent training program. He is a frequent recipient of numerous teaching awards for his helpful and pragmatic teaching and supervising style. Dr. Delgado is frequently sought for supervision and consultation involving difficult psychiatric cases. He is a strong advocate for the integration of individual psychotherapy, family psychotherapy and psychpharmacologic interventions in the treatment of patients. Dr. Delgado’s clinical work focuses on the treatment of mood and anxiety disorders in children and adolescents, using multi-modal treatment interventions. Dr. Delgado has authored multiple journal articles and book chapters about the integration of psychopharmacologic andpsychotherapeutic treatments in youth, on the assessment and treatment of learning disorders, and on psychological development and intersubjectivity-based interventions in adolescents.Jeffrey R. Strawn, MDDr. Strawn received his bachelor’s degree in biology from the University of Kentucky and then completed his residency training in general psychiatry at the University of Cincinnati. Following his general psychiatry training, he completed a fellowship in child and adolescent psychiatry at Cincinnati Children’s Hospital. Currently, Dr. Strawn’s is an Assistant Professor of Psychiatry and Pediatrics at the University of Cincinnati and Cincinnati Children’s Hospital Medical Center and is the director of the Pediatric Anxiety Disorders Clinic at the University of Cincinnati. His clinical work focuses on the psychopharmacologic and psychotherapeutic treatment of anxiety disorders in children and adolescents and his research program focuses on elucidating the underlying neural circuitry of these conditions, using functional magnetic resonance imaging. Additionally, he is actively involved in the testing of innovative treatments for youth with mood and anxiety disorders. Dr. Strawn has published more than 75 papers and book chapters and his research has been acknowledged by numerous organizations, including the American Psychiatric Association and the American Academy of Child & Adolescent Psychiatry.He enjoys teaching and is actively involved in the teaching of psychotherapy with adolescents and the treatment of adult and pediatric anxiety disorders to medical students, general psychiatry residents and child and adolescent psychiatry fellows at the University of Cincinnati and Cincinnati Children’s Hospital Medical Center

From the reviews: "This book was developed in response to a need by the American Academy of Child and Adolescent Psychiatry to provide a program for clinicians who deal with 'difficult' patients. ... This book is intended for consult liaison psychiatrists who manage medically complex patients. Interestingly enough, it also should be considered a valuable resource for nonpsychiatrists, as it reinforces the need for an integrated medical-psychiatric team." (Alyson Myers, Doody's Book Reviews, May, 2014)

• Introduction.- Integrating theoretical paradigms.- The patient: Cognitive Functioning.- Temperament.- The Family.- Family System Theory.- Family System Concepts.- Genograms and Family Mapping.- The Family in child and adolescent psychiatry.- The treatment team: Evolution of the team.- Anatomy of the team.- Countertransference in the psychiatric consultant and the treatment team.- Ethics and Medisocial issues.- The culture.- A working definition of culture.- Culture Shock.- Mental Health across cultures.- Working with interpreters.- Culture in DSM IV and DSM V.- The clinical presentation.- Presentations.- Preparation of presentations.