| Authors |
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Yoshitaka Iwadare
Child and Adolescent Psychiatry,National Center for Global Health and Medicine, Kohnodai Hospital
Presenter
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masahide usami
Child and Adolescent Psychiatry,National Center for Global Health and Medicine, Kohnodai Hospital
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hirokage ushijima
Child and Adolescent Psychiatry,National Center for Global Health and Medicine, Kohnodai Hospital
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Kazuhiko Saito
Aiiku Counselling Office
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Abstract
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This case report illustrates the use of child psychiatric inpatient treatment for the developmentally disordered children.
Our hospital cares are as below; ①individual psychotherapy ②group therapy (such as group activity therapy, community meeting, etc.) ③physical care (such as pharmacotherapy, etc.) ④family meditation (guidance for parents, psychoeducation program, family therapy, group psychotherapy etc.) ⑤environmental therapy (para-family relationship, discipline and order in living, isolation, physical restraint, etc.) ⑥remedial education (educational activities in hospital school, cooperation with domicile school ⑦social experience (annual events in hospital ward such as summer camp) Our hospital cares are to support preadolescence children forming peer groups and participating activities.
[Case A]
Hypersensibility and perseverantative tendency were seen in his preschool days. He was diagnosed with high-functioning autism by a local doctor. Since he was in a lower grade of elementary school, he completely refused to attend school. He reacted to the voice of children playing in the park by his house, brandished a kitchen knife. He regressed too much on his mother and used violence aggressively. In order to take hospital cares, education center and hospital A introduced him to our hospital. In April, year X, he (was in the 5th grade) initially contacted our department, fell into psychomotor excitement in outpatient ward, and be hospitalized.
[Case B]
The first contact was his third year of elementary school. His chief complaints at the first contact were hyperactivity and impulsive action. He was diagnosed with attention deficit hyperactivity disorder . While receiving outpatient treatment, his mother contracted malignant lymphoma and died before long.In addition, He was bullied in school. About half a year after his mother’s death, he secluded himself up in his house. He also attempted suicide, destroyed household goods. Since those violent behaviors were exacerbated, he hospitalized.
Common features in treatment process of those two cases are ①incomplete harmony of expressing emotions (mainly anger) ②intensive multimodal treatment with multi-disciplinary under structuralized circumstances ③group psychotherapy ④starting treatment in early teens.
We’d like to present the effectiveness of hospital cares to developmental disorder child who acts out violently.
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