Dr j. Golmirzaei Child & adolescent psychiatrist.

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Dr j. Golmirzaei Child & adolescent psychiatrist

Transcript of Dr j. Golmirzaei Child & adolescent psychiatrist.

Page 1: Dr j. Golmirzaei Child & adolescent psychiatrist.

Dr j. GolmirzaeiChild & adolescent psychiatrist

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EnuresisDefinitionEtiologyEpidemiologyDifferential Diagnosis

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TreatmentRate of spontaneous remission 15% per yearBehavioral conditioning with bell and pad DDAVPImipramineAnticholinergicCombination

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Outcome & follow-up6 months treatment6 months later treatment Observation 16%Imipramine 16%DDAVP 10%Behavioral 56% First line

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EncopresisDefinationEpidemiologyEtiologyDifferential Diagnosis

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SubtypesRetentive (most frequent)Non-retentiveVolitional(least frequent)

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First line of treatment for retentive subtype is Education about bowel functioning

Physiological treatment (laxative or mineral oil)

BehavioralBiofeedback

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Case report : Imipramine for non-retentive encopresis

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Psychodynamic assessment for volitional encopresis


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