{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:02:24Z","timestamp":1777914144480,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Indian Journal of Psychological Medicine"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Chronic medical conditions in children and adolescents have a significant impact on development and quality of life. Children with vitiligo experience depression, anxiety and guilt, body image concerns, and conflicts of acceptance\u2013rejection among peers. Understanding issues of relevance through a developmental perspective is pivotal. Here, we report the experiences of working with an adolescent who presented with depressive symptoms, mood dysregulation, and self-harm, in the background of vitiligo and child sexual abuse. We describe the unique therapeutic challenges, focusing on the interplay between depressive psychopathology, childhood trauma, and normative adolescent development. Therapeutic strategies for patient-centered psychological interventions are discussed. The therapy processes focused on a narrative approach, with the active involvement of the family.<\/jats:p>","DOI":"10.1177\/02537176211000772","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T13:43:43Z","timestamp":1618839823000},"page":"442-445","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Addressing Emotional Issues in an Adolescent with Vitiligo and Early Child Sexual Abuse\u2014Therapeutic Challenges"],"prefix":"10.1177","volume":"43","author":[{"given":"Harshini","family":"Manohar","sequence":"first","affiliation":[{"name":"Dept. of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajendra Kiragasur","family":"Madegowda","sequence":"additional","affiliation":[{"name":"Dept. of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shekhar P.","family":"Seshadri","sequence":"additional","affiliation":[{"name":"Dept. of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"bibr1-02537176211000772","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.16049"},{"key":"bibr2-02537176211000772","doi-asserted-by":"publisher","DOI":"10.1111\/pde.12226"},{"key":"bibr3-02537176211000772","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1940"},{"key":"bibr4-02537176211000772","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2001.tb00004.x"},{"key":"bibr5-02537176211000772","volume":"61","author":"Grover S","year":"2019","journal-title":"Indian J Psychiatry"},{"key":"bibr6-02537176211000772","volume-title":"Treatment strategies for abused adolescents: From victim to survivor.","author":"Karp CL","year":"1998"},{"key":"bibr7-02537176211000772","doi-asserted-by":"publisher","DOI":"10.1111\/dth.13418"},{"key":"bibr8-02537176211000772","doi-asserted-by":"publisher","DOI":"10.1080\/00332747.1993.11024623"},{"key":"bibr9-02537176211000772","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2020.104938"}],"container-title":["Indian Journal of Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02537176211000772","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02537176211000772","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02537176211000772","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T16:42:52Z","timestamp":1777653772000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02537176211000772"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,19]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/02537176211000772"],"URL":"https:\/\/doi.org\/10.1177\/02537176211000772","relation":{},"ISSN":["0253-7176","0975-1564"],"issn-type":[{"value":"0253-7176","type":"print"},{"value":"0975-1564","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,19]]}}}