Psychiatric and psychological problems develop related to loss of independence and impairments of body image. Depression, severe uncontrolled anger, panic attacks, and temper tantrums can make care of these children difficult. Most difficulties of this type can be handled on an outpatient basis by a psychologist, social worker, or physician experienced in working with this population. For severe depression, suicidal ideation, or other emotional problems that are out of control, hospitalization and/or psychiatric evaluation may be needed.
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