title: [Organic troubles with psychiatric symptoms: What is the appropriate childhood and adolescence psychiatric care? Reflections on disimmune encephalitis cases].
abstract: Organic mental disorders are different and further revealed by increasingly advanced research. They are nevertheless misunderstood, without consensus, and raise clinical, diagnostic, and therapeutic questions. These disorders require effective collaboration between practitioners such as pediatricians and child psychiatrists. The subject should not disappear behind the complexity related to the clinical expression of these symptoms. Based on three cases of autoimmune encephalitis, we offer a reflection on the management and assessment of these diseases by a multidisciplinary team with the intention of providing optimal management. The aim of this paper is to override an initial divide posed by a particular clinical presentation. We would like to shed light on the place and legitimacy of child psychiatrists and their clinical expertise. This does not exclude the need for care of the symptoms, considering each subject and her experience. Follow-up is necessary because of the possible, often traumatic, functional and psychological consequences. Finally, the presence of each professional should be specified when the psychiatric symptoms appear to be the result of an organic disease in order to better support the subject in his suffering body.
authors.affiliation: Centre de santé mentale angevin (CESAME), secteur 4, 27, route de Bouchemaine, 49130 Sainte-Gemmes-sur-Loire, France.
authors.forename: R
authors.initials: R
authors.lastname: Ozelle
authors.affiliation: Epsm Gourmelen, 8, rue du Stade, 29107 Quimper cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Doudard
authors.affiliation: Unité de psychiatrie de l'enfant et de l'adolescent, CHU, 49933 Angers cedex 9, France.
authors.forename: A-L
authors.initials: AL
authors.lastname: Bodin
authors.affiliation: Unité de neurologie pédiatrique, CHU, 49933 Angers cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Gueden
authors.affiliation: Unité de psychiatrie de l'enfant et de l'adolescent, CHU, 49933 Angers cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Duverger
authors.affiliation: Unité de psychiatrie de l'enfant et de l'adolescent, CHU, 49933 Angers cedex 9, France. Electronic address: elise.riquin@chu-angers.fr.
authors.forename: E
authors.initials: E
authors.lastname: Riquin
mesh_terms: D000293:Adolescent; D000974:Antibodies, Antinuclear / Q000097:blood; D001327:Autoimmune Diseases / Q000175:diagnosis* / Q000628:therapy*; D001921:Brain / Q000000981:diagnostic imaging / Q000276:immunology; D002648:Child; D002665:Child Psychiatry; D003937:Diagnosis, Differential; D004660:Encephalitis / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D007116:Immunization, Passive; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D007453:Iodide Peroxidase / Q000276:immunology; D008279:Magnetic Resonance Imaging; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000628:therapy*; D024642:Potassium Channels, Voltage-Gated / Q000276:immunology; D016194:Receptors, N-Methyl-D-Aspartate / Q000276:immunology
chemical_list: D000974:Antibodies, Antinuclear; D007166:Immunosuppressive Agents; D024642:Potassium Channels, Voltage-Gated; D016194:Receptors, N-Methyl-D-Aspartate; D007453:Iodide Peroxidase