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Evidence-Based Practice in School Mental HealthAddressing DSM-5 Disorders in Schools$
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James C. Raines

Print publication date: 2019

Print ISBN-13: 9780190886578

Published to Oxford Scholarship Online: August 2019

DOI: 10.1093/oso/9780190886578.001.0001

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Elimination Disorders

Elimination Disorders

Chapter:
(p.340) 12 Elimination Disorders
Source:
Evidence-Based Practice in School Mental Health
Author(s):

James C. Raines

Publisher:
Oxford University Press
DOI:10.1093/oso/9780190886578.003.0012

Elimination disorders are sometimes considered the ugly step-child in psychiatry. Nocturnal enuresis is the voiding of urine at night and is always involuntary. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) specifically mentions antipsychotic medications as a potential cause. Encopresis is the repeated elimination of feces into inappropriate places, whether voluntary or involuntary. All children with elimination problems should see a pediatrician to rule out medical/physical causes. The prevalence of enuresis has been found to be higher in large or crowded families or in families that practice co-sleeping. A multitiered system of support approach begins with good toilet training and addresses occasional accidents. Simple behavioral treatments can usually resolve the problems. A case example illustrates a typical case.

Keywords:   antipsychotic medications, assessment, collaboration, comorbidity, constipation, differential diagnosis, encopresis, enuresis, multitiered system of supports, urine alarm

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