When a psychiatric disorder during childhood is on the verge of becoming chronic despite intensive early and guideline-based psychotherapy, the diagnostic classification according to research results ought to be reconsidered. By means of this case review it should be discussed which diagnostic and therapeutic procedure is appropriate, taking into account the stage of development and the pathology of the patient. This paper encourages sharpening the eye towards phenomena that--with respect to some disorders--can easily be ignored and be misinterpreted as typically conflict neurotic.

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http://dx.doi.org/10.1024/1422-4917.36.5.353DOI Listing

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