Behavioral Assessment Flashcards
screening and diagnosing behavior disorders in children
screening = one piece of puzzle
- obtains collateral infromation from family
- take pt. presenation and hx. into account
- where doe behaviors occur
Diagnosis
- according to the DSM
Anxiety
Screening tools
Anxiety in Children
SCARED: screening for child anxerty related disorders
- child and adult fille each one out
Example of questions
- stomach headache
- frighetedn or hard to breathed
Beck Anxiety Screening Inventrory
GAD 7
- helps to differentiate between mild and moderated GAD in adolecents
Anxiety Interventions
Interventions
Behavioral INterventions
- CBT: to help derail the anxiety throught processes
Systemic Desensitization
- exposure based therapy
Dearousal Techniques
- mindfulness
- diaphragmatic breathing
- muslce relaxation
- grounding
Taret avidant behaviors and intorduce gradede expsoures
- desensitize to ensure they wont just avoid locations where they feel anxious
Additional
- Activity Scheduling and CBT can help
Anxiety
Subtypes
Separation anxiety disorder
selective mutaism: location dependent
Specifi phobias
socail anziety disorder
panic disorder
agoraphobia (fear out outside)
generalized anxety
Obessive Compulsive Releated: a separate diagnosis category : bheavior extention techniques
Anxiety and the use of medication to treat
studies show
- medication + behvaioral therapy have bes outcomes for kids and adolecents
- ensure theray is structured
Prior to meds
- ensure proper workup, with labs to r/o other causing (thyroid, endocrine, etc.)
- utalized standard screenings to ensure its anxiety
- rule out depression or psychiatric hisotry
Meds
- SSRIs are used: watch increasd in suisiadality at risk use
best combo = SSRi and CBT
ensure proper follow up and monitorin for effects and side effects
can consider depresrcibing after 12 months of treatement for med. free trial (like summer break for kdis
Depression in Children
Screning & scores
including susicadailty questions for teens
Screening
- PHQ9
scores:
- 0-4 no or minor depression
- 5-9 = mild
- 10-14 = moderate
- 20-27 = severe
moderate to severe = must document discussion about intervention and treatment
Suicide
- must ask about this with depression screening
- ask about EVER in WHOLE LIFE thought about killing self
- or attempt to?
- if they + within 30 days = warrents emergency interventaion
Persistant Depressiove Disorders: Dysthmia
Dythmyia
- “blue cloud” persistant feelings of being down but not interferring significantly with daily activites: still gets up and goes to work, etc.
- exisiting for 1 year + in children
- 2+ symptoms of appetite or sleep issues, low energy, self esteem and concentration; difficult to made decisions
- never manic/bipolar
Treament
Depression
Dysthymia
Premenstrual Dysphoric Disorder
Depression: lift mood
Dysthmymias: focus on therapy and coping skills
PMDD: menstrual changes and mood chagnes severe enough to impact life
- ask about cycle and have thme log it
ADHD
define
dx.
types
Define
- inattention
- inpulsivitiy
- ihyperactivtiy
- a neurodevelopmentl disorder : dopamine and NE play a role
Diagnosis
- inattetntive symptoms
- hyperactivtiy/implusive symptoms
- happening in multiple locations (school and home) 2+ locations
- happening before age of 12
- happening > 6 months
Types
- combined: inattention and hyperactivity/impusivity
- predom. inattention v predom. hyperactive
ADHD
Meds
monitoring
Screening tools
stimulants are first line
viloxazine and atomoxetine are nonstimulant alternatives
viloxazine best for extended release?
Monitoring
- BP and HR
- cardiac complications and hx. of cardiac issues in fam
- appetite
ADHA Screening
vanderbilt scale
conners scale =
ASD
define
symptoms
define
- persistant deficits in socail communication and social interactions in multiple contexts with behvaiors that are restritive and patterned
Symptoms
- abnromal social aprraoch
- reduced wanting to share
- emotioanl failure to initaite or respond
- abnormal eye contact
- lack of facial expression
- unable to develop maintain or understand relationships
- inability to adjust or be flexible: needs routine
- unusal interest in sensory aspects of teh world
Oppositional Defiant Disorder
define
Symptms
ODD
- angry/irritable moode and defiant behaviors > 6 months
- 4 symptoms from the 3 categories
- occurs with at least 1 person pther than sibling
Symptoms
- angery, irritabel mood
- quick temper and resenful
- argumentative and defiant : authroitire figures and adults
- vindictive: spiteful for 6 months
Conduct Disoder
think law breakers, physcaill violent
Define
- repetitive and persistant pattern of behavior with basic rights of animals an humans are violeated and socail norms broken
- for past 6 months
Symptoms
- aggression to people/animals: killing, weapons, etc.
- destruction of property : fire starting
- decifulness and theft
- serious violation of rules (laws) etc, (running awayf rom home
