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teens and their sometimes reluctant or confused parents. Psychoanalysis can certainly have a voice in issues regarding medically and psychologically appropriate ages for childhood transition. But we have not yet figured out how we will work with trans adults who grew up as trans children. These phenomena that the field

adolescent and young adult sexual minorities, as follows: disclosure of sexual orientation by youth was associated with verbal abuse and physical attacks by mothers

Adolescence was a bit more hopeful, because the turbulence of the 1960s offered a different sense of possibility. I began my graduate training in clinical psychology in 1972. My undergraduate training, partly in the United States and partly in Latin America, had given me a rich grounding

mother. Clinical Differential Diagnosis Numerous pathologies in children are associated with recurrent headaches and stroke, including primary and secondary CNS vasculitis, SWS, moyamoya syndrome, and mitochondrial diseases (MELAS). White matter abnormalities can be seen with migraine (Fig. 7.3), demyelinating diseases, leukodystrophies, and metabolic diseases (homocystinuria, Fabry

mother. Clinical Differential Diagnosis Numerous pathologies in children are associated with recurrent headaches and stroke, including primary and secondary CNS vasculitis, SWS, moyamoya syndrome, and mitochondrial diseases (MELAS). White matter abnormalities can be seen with migraine (Fig. 7.3), demyelinating diseases, leukodystrophies, and metabolic diseases (homocystinuria, Fabry

mother. Clinical Differential Diagnosis Numerous pathologies in children are associated with recurrent headaches and stroke, including primary and secondary CNS vasculitis, SWS, moyamoya syndrome, and mitochondrial diseases (MELAS). White matter abnormalities can be seen with migraine (Fig. 7.3), demyelinating diseases, leukodystrophies, and metabolic diseases (homocystinuria, Fabry

mother, or following dissemination of pulmonary TB. • Spinal arachnoiditis is a rare manifestation with involvement of the cord surface, meninges, and nerve roots (Fig. 40.6). Fig. 40.4 Tuberculous meningitis. (A) Head CT without contrast showing severe communicating hydrocephalus and right basal ganglia hypodensity (arrow). (B) Head

Mother comments that sometimes his eyelids and forehead are swollen. He has no history of fever, trauma, or toxic exposures. Patient was previously seen by his pediatrician, who prescribed nasal drops and fluticasone propionate inhaler. As the headaches did not improve, the patient was referred

mother, or following dissemination of pulmonary TB. • Spinal arachnoiditis is a rare manifestation with involvement of the cord surface, meninges, and nerve roots (Fig. 40.6). Fig. 40.4 Tuberculous meningitis. (A) Head CT without contrast showing severe communicating hydrocephalus and right basal ganglia hypodensity (arrow). (B) Head

Mother comments that sometimes his eyelids and forehead are swollen. He has no history of fever, trauma, or toxic exposures. Patient was previously seen by his pediatrician, who prescribed nasal drops and fluticasone propionate inhaler. As the headaches did not improve, the patient was referred