Other Conditions that May Be a Focus of Clinical Attention When Working with Children and Adolescents

• Published in: Diagnosing and Treating Children and Adolescents pp. 465 - 491
• Main Authors: Michelle Hunnicutt Hollenbaugh, K, Whisenhunt, Julia L, Teufel‐Prida, Lee A
• Format: Book Chapter
• Language: English
• Published: Hoboken, NJ, USA John Wiley & Sons, Inc 05-10-2015
• Subjects: American Psychiatric Association; behavioral impairment; child abuse; cognitive impairment; DSM‐5; E codes; expressing hostility; fearing abandonment; ICD‐10; Z codes
• ISBN: 1118917928; 9781118917923
• DOI: 10.1002/9781394258895.ch19

This chapter discusses how and when to use several codes in diagnosis with children and adolescents, as well as discuss the focus and progress of treatment related to these conditions, and give examples of the related clinical issues that may be present in clients. However, with the transition to the
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
(DSM‐5) and the alignment with
international classification of diseases, tenth revision (ICD‐10)
, codes, these conditions are most commonly referred to as Z codes, though there are also T, R, and E codes. Cognitive impairment may take the form of assuming others' intentions are malevolent, fearing abandonment, and expressing hostility. Behavioral impairment may take the form of arguments, violence, making threats, and avoidance of problems. The American psychiatric association identifies four categories of child abuse and maltreatment—child physical abuse, child sexual abuse, child neglect, and child psychological abuse.