Families under pressure: stress and quality of life in parents of children with an intellectual disability.

Objective: To evaluate stress and quality of life in parents of children with an intellectual disability (moderate-severe-profound), who attend a Child and Adolescent Mental Health Intellectual Disability Service (CAMHS ID), and to estimate the perceived levels of challenging behaviour and satisfaction with supports.

Methods: Data from children attending the service from 2014 to 2017, along with clinician and parent rating scales were collected.

Results: Most children had medical comorbidities, autism spectrum disorder (ASD), and challenging behaviours.

Selective Mutism: A prevalence study of primary school children in the Republic of Ireland.

Objective: This study was carried out to determine the prevalence of selective mutism (SM) in an urban school population and to assess comorbidity and family characteristics.

Method: Teachers of primary schools, teaching children between the ages of four and 12, were sent a description of SM and asked to complete the selective mutism questionnaire (SMQ) if they believed a child in their class met criteria. Thirty-nine schools were sampled, covering a catchment area of 10,927 children.

'More than 100 years of silence', elective mutism: a review of the literature.

Elective mutism is a rare disorder of communication, where the child speaks fluently in familiar situations, such as home, despite lack of speech in less familiar settings, for example school. A variety of temperamental and behaviour characteristics, co-morbid psychiatric conditions, neurodevelopmental delay and family factors have been associated with the disorder. EM children are described as excessively shy, withdrawn, 'slow to warm up', inhibited, often avoid eye contact, fear social embarrassment and experience significant separation anxiety, on separation from their attachment figures.

Group therapy for selective mutism - a parents' and children's treatment group.

Objective: To evaluate the feasibility and effectiveness of group therapy for children with selective mutism and their parents.

Method: Five children (mean age 6.1 years) with a diagnosis of selective mutism were administered group therapy over an 8-week period.

Paroxetine induced mania in pre-adolescence.

Selective serotonin reuptake inhibitor induced mania has been described in adults, and more recently in adolescents. To the authors' knowledge a case in pre-adolescents has not yet been published in the literature. The authors would like to report two cases of SSRI-induced mania.

Compliance therapy: a randomised controlled trial in schizophrenia.

Objective: To evaluate the efficacy of "compliance therapy" for improving adherence to prescribed drug treatment among patients with schizophrenia.

Design: Randomised controlled trial.

Setting: Urban catchment area psychiatric service.