Fifteen minute consultation on children ‘hearing voices’: when to worry and when to refer

Garralda, M Elena

doi:10.1136/archdischild-2014-307853

Cited by 12 publications

(7 citation statements)

References 14 publications

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“…In line with the need for a more holistic approach, psychological interventions with a transdiagnostic and symptom-specific focus are deemed more acceptable by both clinicians and children and adolescents. 101,103 Also, Jardri and colleagues 1 emphasized an urgent need for psychotherapeutic interventions specifically developed for children and adolescents. Furthermore, Ruffell and colleagues 104 conclude that targeted cognitive behavioral therapy (CBT) for PE in children and adolescents is recommended to improve clinical outcome.…”

Section: Therapeutic Strategies and Clinical Issuesmentioning

confidence: 99%

Hallucinations in Children and Adolescents: An Updated Review and Practical Recommendations for Clinicians

Maijer

Hayward

Fernyhough

et al. 2019

Schizophrenia Bulletin

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Hallucinations in children and adolescents are now known to occur on a continuum from healthy to psychopathology-related phenomena. Although hallucinations in young populations are mostly transient, they can cause substantial distress. Despite hallucinations being widely investigated, research so far has had limited implications for clinical practice. The present article has 3 main aims: (1) to review research findings since 2014 (when the last major review of the area was published); (2) to present assessment tools validated to measure hallucinations in children and adolescents; and (3) to discuss therapeutic strategies and clinical issues. We conclude by presenting a tailored care model for clinicians and outline future challenges for research.

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Section: Therapeutic Strategies and Clinical Issuesmentioning

confidence: 99%

Hallucinations in Children and Adolescents: An Updated Review and Practical Recommendations for Clinicians

Maijer

Hayward

Fernyhough

et al. 2019

Schizophrenia Bulletin

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“…The child or adolescent may hear multiple voices talking among themselves and/or hallucinations may be command in nature. Other concerning signs and symptoms include presence of delusions, visual hallucinations, flat or blunted affect, bizarre behaviors, social withdrawal, language abnormalities, and hypoactivity or hyperactivity (Garralda, 2015).…”

Section: The Differential Diagnosismentioning

confidence: 99%

Identification and management of high‐risk psychosis in children and adolescents

Reyna¹,

Hunt²

2018

Child Adolescent Behavior

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Case: Carl is a 9‐year‐old male who presented to an outpatient clinic because he was demonstrating increasing social isolation and preoccupation with cockroaches. His teachers are also concerned about his unusually graphic drawings depicting violent themes. He is often described as “flat” and not easily engaged. He is reported to have an “odd” pattern of speaking. He has no close friends and is struggling academically. His mother and maternal uncle have a diagnosis of schizophrenia. His father has a history of being incarcerated for assault. He lives with maternal grandparents.

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“…The differential diagnosis for auditory hallucinations includes: psychiatric disorders, for example, acute psychotic states, schizophrenia, depression or anxiety; middle or inner ear disorders; acute medical conditions with altered level of consciousness and episodic neurological conditions such as migraine and epilepsy (1). Seizures of temporal lobe origin may result in mental states similar to primary psychoses, such as auditory hallucinations.…”

Section: Diagnosis: Reflex Epilepsymentioning

confidence: 99%

A 9-year-old girl presenting with hearing voices

Sham

Lewis

2017

Paediatrics &Amp; Child Health

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A 9-year-old girl presented with a 1 year history of hearing voices. She described the voices as projecting at her, shifting from loud to soft with an echoing quality, with a gradual onset and offset. The events occurred after hearing someone talk to her and did not have any other triggers. She felt confused and afraid toward the end of these events. Frequency of the episodes steadily increased to 3 to 4 times per week, lasting 3 to 5 minutes in duration. There was no warning sign and no change in behaviour afterwards. She was otherwise healthy, with no other pertinent medical, developmental or learning concerns. Physical examination revealed an alert and interactive child with a normal neurological exam. She was subsequently sent for further investigations.

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Fifteen minute consultation on children ‘hearing voices’: when to worry and when to refer

Cited by 12 publications

References 14 publications

Hallucinations in Children and Adolescents: An Updated Review and Practical Recommendations for Clinicians

Hallucinations in Children and Adolescents: An Updated Review and Practical Recommendations for Clinicians

Identification and management of high‐risk psychosis in children and adolescents

A 9-year-old girl presenting with hearing voices

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