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CHAPTER 16ASSESSING AND INTERVINNG WITH CHILDREN WITH INTERNALIZING DISORDERSJEFFREY A. MILLERAlthough the focus for neuropsychologists may be on acquired brain damage or development brain dysfunction, it is critical that they are also aware of neuropsychiatric disorders for diagnostic accurary, understanding of the course of disorders, and for proper treatment selection (smith, 2007). One such class of neuropsychiatric disorders commonly associated with neuropsychological dysfunction is internalizing disorders. Internalizing disorders include depression and anxiety and are associated with significant impairment in psychosocial and academic functioning as well as suicide. Internalizing disorders are called internalizing because the primary symptoms are typically experienced internally by the child (Teeter & Semrud Clikeman, 1997). These internal experiences include worry, feelings of worthlessness, rumination, and inaccurate social perception. Internalized experience manifests in apparent behavioral symptomps including withdrawal, isolation, flat affect, and panic. However, it is the rich internal, cognitive emotional world of the child with an internalizing disorders in which he disorders resides. RELATIONSHIP BETWEEN NEUROPSYCHOLOGY AND INTERNALIZING DISORDERSWith regard to neuropsychiatric disorders, there has been a general emphasis on the psychological
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