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Case files psychiatry - part 5

Hughes CW. Crismon ML, el al. Một nghiên cứu khả thi của dự án thuật toán tuổi thơ trầm cảm thuốc (CMAP). J Am Acad Tâm thần trẻ em Adolesc 2004:43 (5) :519-527. Hughes CW. Emslie GJ. Crismon ML. et al Đồng thuận Texas và Hội nghị Hội đồng về điều trị thuốc của trẻ em Rối loạn trầm cảm chủ yếu | CASE FILES PSYCHIATRY 176 REFERENCES Emslic GJ. Hughes CW. Crismon ML el al. A feasibility study of the childhood depression medication algorithm project CMAP . J Am Acad Child Adolesc Psychiatry 2004 43 5 519-527. Hughes CW. Emslie GJ. Crismon ML. et al. and the Texas Consensus Conference Panel on Medication Treatment of Childhood Major Depressive Disorder. The Texas children s medication algorithm project report of the Texas consensus conference panel on medication treatment of childhood major depressive disorder. J Am Acad Child Adolesc Psychiatry 1999 38 11 1442-1454. Pataki CS. Mood Disorders and suicide in children and adolescents. In Sadock BJ. Sadock VA eds. Kaplan and Sadock s comprehensive textbook of psychiatry 7th ed. Philadelphia Lippincott Williams Wilkins. 2000 2740-2757. CASE 19 A 15-year-old girl is brought to a psychiatrist by her parents because they are concerned that she might be depressed. The parents had no complaints until 2 or 3 years ago. The patient s grades have fallen because she cuts classes. She gets into fights and her parents claim that she hangs out with the wrong crowd some nights she does not come home until well past her curfew. The patient says that there is nothing wrong with her and that she wants her parents to butt out of her life. She claims that she is sleeping and eating well. She says she skips school to hang out with her friends and admits that they frequently steal food from a convenience store and spend time watching movies at one of their homes. She claims that she fights only to prove that she is as tough as her friends but admits that she often picks on younger students. She is not concerned about her grades and just wants her parents to lay off and let her enjoy her youth. She denies the use of drugs or alcohol other than occasionally at parties. Her blood alcohol level is zero and the results of a urinalysis are negative for drugs of abuse. What is the most likely diagnosis What treatment should be started 178 .