This Clinical Case Conference presents the cases of two young girls that represent the extreme ends of the spectrum of psychotic symptoms: one with catatonia and the other with a more agitated psychosis exemplified by repetitive aggressive and violent behaviors. Given the rarity of childhood psychosis, the presentation focuses on the difficulty of arriving at diagnostic clarity, the importance of flexibility in therapeutic interventions, and what represents improvement. When faced with the challenge of treating young children with psychotic symptoms, progress can often only be made if the focus is on stabilizing the family structure around the child, as opposed to stabilizing the child within a stressed, overwhelmed, and barely functioning family system. The two cases presented illustrate the progress that can be made, even in cases where the psychopathology is severe, if the family can be engaged in the therapeutic process.
Thursday, October 30, 2008: 8:00 AM-11:00 AM
Sheraton Chicago Hotel & Towers
Sarah M. Mason, M.D.
Marilyn Benoit, M.D., Allan M. Josephson, M.D., Paramjit T. Joshi, M.D. and Nitin Gogtay, M.D.