Childhood Behavioral Problems

Nov 1, 2008 Issue
Toilet Training [Article]

Toilet training is a developmental task that impacts families with small children. All healthy children are eventually toilet trained, and most complete the task without medical intervention. Most research on toilet training is descriptive, although some is evidence based. In the United States, the ...

Oct 1, 2008 Issue
Oppositional Defiant Disorder [Article]

Oppositional defiant disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., as a recurrent pattern of developmentally inappropriate, negativistic, defiant, and disobedient behavior toward authority figures. This behavior often appears in the preschool years, but i...

May 1, 2008 Issue
Stuttering: An Overview [Article]

Speech dysfluency (stuttering) is common in children. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Stuttering speech patterns are often easily identifiable; when a child is learning to talk, repetition of sounds or words, prol...

Nov 1, 2004 Issue
Childhood Bullying: Implications for Physicians [Article]

Childhood bullying has potentially serious implications for bullies and their targets. Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim's apparent distress, and a real or perceived imbalance of power. Bullying can lead to serious ...

Oct 15, 2003 Issue
School Refusal in Children and Adolescents [Article]

School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development. School refusal often is associated with comorbid psychiatric disorders such ...

Oct 15, 2002 Issue
Childhood Discipline: Challenges for Clinicians and Parents [Article]

Although childhood discipline is an important issue for parents, this topic is seldom emphasized by family physicians during well-child examinations. Behavior problems are relatively common but frequently under-recognized by physicians. Opportunities to counsel parents about safe, effective methods ...

Apr 15, 2001 Issue
Conduct Disorder: Diagnosis and Treatment In Primary Care [Article]

Conduct disorder is a common childhood psychiatric problem that has an increased incidence in adolescence. The primary diagnostic features of conduct disorder include aggression, theft, vandalism, violations of rules and/or lying. For a diagnosis, these behaviors must occur for at least a six-month ...

May 15, 1999 Issue
School Problems and the Family Physician [Article]

Children with school problems pose a challenge for the family physician. A multidisciplinary team of professionals can most appropriately assess and manage complex learning problems, which are often the cause of poor school performance. The family physician's primary role in this process is to ident...

Apr 15, 1999 Issue
Treatment Guidelines for Primary Nonretentive Encopresis and Stool Toileting Refusal [Article]

Nonretentive encopresis refers to inappropriate soiling without evidence of fecal constipation and retention. This form of encopresis accounts for up to 20 percent of all cases. Characteristics include soiling accompanied by daily bowel movements that are normal in size and consistency. An organic c...

May 1, 1998 Issue
Stuttering: A Brief Review [Article]

The etiology of stuttering is controversial. The prevailing theories point to measurable neurophysical dysfunctions that disrupt the precise timing required to produce speech. Stuttering is a common disorder that usually resolves by adulthood. Almost 80 percent of children who stutter recover fluenc...

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