This textbook provides a state of the art of the knowledge on the prevalence, risk and etiological factors, clinical features, assessment procedures and tools, diagnostic criteria, treatment, and prognosis of the psychiatric disorders encountered in people with intellectual disability (ID) and low-functioning autism spectrum disorder (ASD). ID and ASD represent two meta-syndromic groups of several different conditions, each with particular cognitive and communication features. People with ID/ASD display an increased prevalence of a variety of psychiatric disorders, including psychotic disorders, mood disorders, anxiety and stress-related disorders, somatoform disorders, and obsessive-compulsive disorder, as well behavioral syndromes, personality disorders, and disorders due to psychoactive substance use. This book will enable readers to understand the specificities of psychiatric disorders in the context of ID/ASD. It explains clearly how diagnostic criteria and assessment procedures for psychiatric disorders that were created for the general population have to be modified for use with ID/ASD. Above all, it will enable clinicians to overcome difficulties in diagnosis and to deliver more effective care that meets the particular needs of patients with ID/ASD.

In this book the current principles of clinical practice in assessment, management, and services for individuals with developmental disabilities (DD) and mental retardation (MR) are covered. Written and edited by experts in the field, this is a useful addition in the understanding and treatment of these patients. the purpose is to provide a comprehensive review of all the aspects of the psychiatric and behavioral disorders in DD and MR. the editor has met this goal with an excellent volume. the intended audience is clinicians, including psychiatrists, neurologists, pediatricians, primary care

Intellectual Disability (ID) describes a lifelong condition of heterogeneous aetiology, associated with the impairment of intellectual functioning (IQ 70), significant impairment of adaptive skills, and onset before the age of 18 years. People with ID experience significant physical andmental health problems like associated sensory/motor impairments and epilepsy, some of which are contributed to by underlying primary causes. Psychiatric problems are also three times more common in people with ID in comparison to the general population.The psychiatry of ID is a core part of training to be a psychiatrist yet there are limited resources on this topic aimed at both trainees and practising clinicians alike. Oxford Textbook of the Psychiatry of Intellectual Disability bridges this gap by providing up-to-date evidence-based content onthe assessment, diagnosis, and management of psychiatry in people with ID.Featuring 28 chapters written by international experts in the field, the Oxford Textbook of the Psychiatry of Intellectual Disability presents fresh global insight and coverage of the subject. Chapters cover key topics from the developmental aspects of ID, mental disorders in childhood, andbehaviour phenotypes, through to physical health, dementia and other disorders associated with ageing.Each chapter provides trustworthy evidence and a wealth of practical advice for clinical situations, including case studies in community and hospital settings, and multiple choice questions for self-evaluation and consolidation of knowledge.

Patients with intellectual disability (ID) can benefit from the full range of mental health services. To ensure that psychiatric assessment, diagnosis and treatment interventions are relevant and effective; individuals with ID should be evaluated and treated within the context of their developmental framework. Behavior should be viewed as a form of communication. Individuals with ID often present with behavioral symptoms complicated by limited expressive language skills and undiagnosed medical conditions. Many training programs do not include focused study of individuals with ID, despite the fact that patients with ID will be seen by virtually every mental health practitioner. In this book, the authors present a framework for competent assessment and treatment of psychiatric disorders in individuals with ID. Psychiatry of Intellectual Disability is a resource guide for psychiatrists, nurse practitioners, and other prescribers treating patients with ID. It is a supplemental text for psychiatry residents, medical students, psychology graduate students, psychotherapists, counselors, social workers, behavior support specialists and nurses. To assist the practicing clinician the book includes: Clinical vignettes Clinical pearls Charts for quick reference Issues concerning medications and poly-pharmacy Altered diagnostic criteria specific for use with individuals with ID There are no evidence-based principles dedicated to psychotropic medication use in ID, but consensus guidelines address the high prevalence of poly-pharmacy. Altered diagnostic criteria have been published which accommodate less self-report and incorporate collateral information; this book reviews the literature on psychotropic medications, consensus guidelines, and population-specific diagnostic criteria sets. Psychiatry of Intellectual Disability also includes: Interviewing techniques and assessment tips for all levels of communicative ability as well as for nonverbal individuals Assessment of aggression to determine etiology and formulate a treatment plan Overview of types of psychotherapy and suggested alterations for each to increase efficacy Relevant legal issues for caregivers and treatment providers The detective work involved in mental health assessment of individuals with ID is challenging yet rewarding. The highest quality mental health treatment limits hospital days, improves quality of life and often allows individuals to live in the least restrictive environments. Psychiatry of Intellectual Disability is a must have resource for clinicians treating the ID population.

Autism, including Asperger syndrome, is a strongly heritable condition that can usually be diagnosed in children by the age of two or three years. Although autism is more common in the less intellectually able child, in the more able child the condition is often overlooked until adulthood. Epidemiological research has shown that most adults in the general population meeting the criteria for autism are unrecognized and undiagnosed. There is a growing pressure on psychiatrists to be able to recognize autism and to consider its effects on their adult patients, particularly when they are also showing signs of another mental disorder, such as psychosis, personality disorder, or chronic depression. The Psychiatry of Adult Autism and Asperger Syndrome: A practical guide introduces adult psychiatrists, including sub-specialist psychiatrists, to autism and Asperger syndrome. It covers recognition and diagnosis and the psychiatrist's role in treating patients with co-morbid mental disorder whilst taking account of the autism component. It explores the process of sign-posting patients with autism to appropriate care and support as family involvement diminishes or ceases. While there are a number of books written on how to cope with autism as an adult, The Psychiatry of Adult Autism and Asperger Syndrome: A practical guide is aimed at the practising adult psychiatrist. The book describes normal and pathological functioning and then guides the reader through assessment and post diagnostic intervention issues. The use of fictionalized clinical examples helps to illustrate autism and its presentation in adulthood, and illustrate the issues psychiatrists often raise in training workshops.

Autism Spectrum Disorder highlights current key topics for this complex and challenging developmental neurobiological disorder. In a very practical and concise manner, the reader will find a state-of-the-science review combining key factual knowledge with practical clinical considerations. Written in a user-friendly fashion, this text provides key fact boxes, summary questions, and references for further readings to enhance understanding. This invaluable book incorporates practical clinical knowledge within a didactic framework to provide a comprehensive overview of Autism Spectrum Disorder (ASD) across the lifespan.

More than 40 years after the official recognition of infantile autism in DSM-III, advances continue to be made in our understanding of the possible causes, assessment and evaluation, and treatment of autism spectrum disorder (ASD). With contributions by dozens of experts in the field, this second edition of the Textbook of Autism Spectrum Disorders has been updated to reflect the latest research in ASD. Unrivaled in its thoroughness, this volume discusses issues of assessment and evaluation; examines the etiology of ASD and its recognized associations with other medical conditions; analyzes standard and experimental treatments; and delves into social policy issues pertinent to individuals with ASD and those who treat them. With summary points in each chapter and copious lists of recommended readings, this is an indispensable resource for psychiatrists, psychologists, neurologists, social workers, speech therapists, educators, and all others in the continuum of care.