Diagnosis and evaluation of hallucinations and other psychotic symptoms in children and adolescents.

ASPIRE Program, University of North Carolina at Chapel Hill, CB 7167 UNC-CH, 2218 Nelson Highway, Suite 1, Chapel Hill, NC 27599-7167, USA. Electronic address: Lsikich@med.unc.edu.

Child and adolescent psychiatric clinics of North America 2013 Oct

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Recognizing positive psychotic symptoms and their diagnostic context in youth is challenging. A large minority say they "hear things others do not hear," though they seldom present with complaints of hallucinations or delusions. Few have schizophrenia spectrum disorder, but many have other psychiatric disorders. Frequently, they have psychotic symptoms for an extended period before diagnosis. Clinicians should understand psychotic symptoms and their differential diagnoses. This article reviews the epidemiology, associated diagnoses, and prognosis of hallucinations and delusions in youth. Strategies for optimizing the clinical diagnostic interview, appropriate laboratory tests, indications for psychological testing, and rating scales are reviewed. Copyright © 2013 Elsevier Inc. All rights reserved.

Citation

Linmarie Sikich. Diagnosis and evaluation of hallucinations and other psychotic symptoms in children and adolescents. Child and adolescent psychiatric clinics of North America. 2013 Oct;22(4):655-73

PMID: 24012079

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