SYNOPSISBody dysmorphic disorder (BDD), a distressing or impairing preoccupation with nonexistent or slight defect(s) in appearance, usually begins during early adolescence and appears to be common in youth. BDD is characterized by substantial impairment in psychosocial functioning and markedly high rates of suicidality. Cognitive-behavioral therapy (CBT) tailored to BDD's unique features is the best tested and most promising psychosocial treatment for adults with BDD. CBT has been used for youth with BDD, but it has not been systematically developed for or tested in this age group, and there is a pressing need for this work to be done. This article focuses on CBT for BDD in adults and youth, possible adaptations for youth, and the need for treatment research in youth. We also discuss BDD's prevalence, clinical features, how to diagnose BDD in youth, recommended pharmacotherapy for BDD (serotonin-reuptake inhibitors), and treatments that are not recommended (surgery and other cosmetic treatments).
Keywordsbody dysmorphic disorder; treatment; cognitive-behavioral therapy; children; adolescents Body dysmorphic disorder (BDD) is an often-severe disorder that usually begins during early adolescence and appears to be common in youth. BDD consists of preoccupation with a nonexistent or slight defect(s) in physical appearance that causes clinically significant Corresponding author for proofs and reprints:
We study the characteristics of Internet1 and Internet2 traffic at a network access point at a major US university. With the w e of fluid-flow modeling, we show that Internet1 arid Internet2 traffic have different queuing behaviors and that a small percentage of traffic on both networks largely contributes to this overall queuing behavior. We also demonstrate that buffer sizing, as a method to reduce loss, is largely ineffective for Internet2 traffic. These finding have implications to Quality of Service of Internet applications.
Over the past several years, child advocates have been increasingly concerned about the rights of youth involved in the juvenile justice system. A recent article by the Juvenile Justice Information Exchange highlights juvenile detainees' inadequate access to legal counsel as one example, and many advocates stress the importance of juveniles' legal rights, noting a trend toward a more punitive and less rehabilitative focus of the juvenile court (Grisso & Quinlan, 2005). Some sanctions may even result in adult criminal records with long‐term impacts on school, employment, and housing options that juveniles struggle to understand. Overall, children and adolescents under age 16 do not demonstrate the same capacities as their adult counterparts to understand and participate in the legal process (Grisso et al., 2003). As a result, the number of youth participating in legal proceedings without adequate understanding of the legal process or of the long‐term consequences remains unclear.
The U.S. veteran population is aging, with 47.3% being age 65 or older in 2013. This chapter addresses the mental health of older veterans and the services and benefits available to them. Among older veterans, posttraumatic stress disorder (PTSD) is the most commonly diagnosed disorder, followed by alcohol use disorders and major depression. Cognitive disorders also place increased demands on services. The Veterans Health Administration (VHA) provides a broad array of mental health services across the full continuum of care. Older veterans, however, often do not connect with the VA (Veterans Administration) system until after retirement to take advantage of financial assistance offered by the VA, including service-connected disability pensions and healthcare. While the VA does not provide routine legal services to veterans, three elements of the justice system are available: (1) the Veterans Justice Outreach Program, (2) the Veterans Treatment Court, and (3) the Veterans Adjudication Process of Tort Claims. Also discussed in the chapter are goals identified by the Office of Geriatrics and Extended Care at the Department of Veterans Affairs to improve care for older veterans.
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