Michael Sorter1,2, Jaclyn Chua3, Martine Lamy4,5, Drew Barzman4,5, Louis Ryes6,7, Joshua Abraham Shekhtman8,5. 1. Cincinnati Children's Hospital, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA. Michael.Sorter@cchmc.org. 2. University of Cincinnati College of Medicine, Cincinnati, USA. Michael.Sorter@cchmc.org. 3. Children's Hospital of Philadelphia, Philadelphia, USA. 4. Cincinnati Children's Hospital, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA. 5. University of Cincinnati College of Medicine, Cincinnati, USA. 6. Xavier University, Cincinnati, USA. 7. University of Kentucky College of Medicine, Lexington, USA. 8. The Ohio State University, Columbus, USA.
Abstract
PURPOSE OF REVIEW: Emotion dysregulation and outbursts are very common reasons for referral to child and adolescent mental health services and a frequent cause of admission to hospitals and residential programs. Symptoms of emotion dysregulation and outburst are transdiagnostic, associated with many disorders, have the potential to cause severe impairment and their management presents a major challenge in clinical practice. RECENT FINDINGS: There are an increasing number of psychosocial interventions that demonstrate promise in improving emotion dysregulation and outbursts. Acute care systems to manage the most severely ill patients have limited best practice guidelines but program advancements indicate opportunities to improve care models. Pharmacotherapy may be of assistance to psychosocial interventions but must be used with caution due to potential adverse effects. Much remains to be discovered however evidence informed, targeted treatments for specific populations show potential for future improvements in outcomes.
PURPOSE OF REVIEW: Emotion dysregulation and outbursts are very common reasons for referral to child and adolescent mental health services and a frequent cause of admission to hospitals and residential programs. Symptoms of emotion dysregulation and outburst are transdiagnostic, associated with many disorders, have the potential to cause severe impairment and their management presents a major challenge in clinical practice. RECENT FINDINGS: There are an increasing number of psychosocial interventions that demonstrate promise in improving emotion dysregulation and outbursts. Acute care systems to manage the most severely ill patients have limited best practice guidelines but program advancements indicate opportunities to improve care models. Pharmacotherapy may be of assistance to psychosocial interventions but must be used with caution due to potential adverse effects. Much remains to be discovered however evidence informed, targeted treatments for specific populations show potential for future improvements in outcomes.
Authors: Kim J Masters; Christopher Bellonci; William Bernet; Valerie Arnold; Joseph Beitchman; R Scott Benson; Oscar Bukstein; Joan Kinlan; Jon McClellan; David Rue; Jon A Shaw; Saundra Stock Journal: J Am Acad Child Adolesc Psychiatry Date: 2002-02 Impact factor: 8.829
Authors: Stephanie E Meyer; Gabrielle A Carlson; Eric Youngstrom; Donna S Ronsaville; Pedro E Martinez; Philip W Gold; Rashelle Hakak; Marian Radke-Yarrow Journal: J Affect Disord Date: 2008-07-15 Impact factor: 4.839