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Psychiatry > CAHMS > Flashcards

CAHMS Flashcards

1
Q

mental health biological factors

A

genetic
personality
neurodevelopment
temperament
biochemical

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2
Q

mental health psychological factors

A

attachment
emotional (express, understanding, contain)
learning
cognitive

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3
Q

types of attachment

A

secure
insecure avoidant - not value relationship, independent
insecure anxious - values relationship but sees as unpredictable so develops strategies to secure attention, confidence dependent on praise from others
insecure ambivalent - values relationship but unsure about how secure
disorganised - does not value relationship and not confident in themselves

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4
Q

mental health social factors

A

abuse
trauma
sickness
loss
family history
financial
parenting

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5
Q

factors affecting resilience

A

temperament
IQ
social skills
empathy
humour
parenting
relationship between child and carer
school achievements
extra-curricular activities

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6
Q

chronic adversity factors

A

socio-economic
parental mental illness
parental loss
family conflict
parenting
abuse
exposure to community violence

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7
Q

child factors to communicate with clinicians

A

feeling safe
willingness to engage
family/carer not present
cognitive ability
communication
emotional development

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8
Q

hx off child

A

presenting complaint
development hx
family hx
social hx
school
observation of the child and carers

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9
Q

emotional disorders of childhood and adolescence

A

generalised anxiety disorders
separation anxiety disorders
phobic disorders
obsessive-compulsive disorders
post-traumatic stress disorders
depression

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10
Q

anxiety disorders prevalence

A

common
increases with increasing age

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11
Q

anxiety disorders presetnation

A

similar to adults

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12
Q

anxiety disorders risk factos

A

anxious parents
levels of reassurance
development

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13
Q

anxiety disorders persisg

A

many into adulthood, especially OCD

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14
Q

GAD presentation

A

anxiety
fears of death, loss of child/parents
somatic - nausea, abdo pain, sick, headache, sweating, palpitations, tension
panic attacks (sudden onset, fear, faintness)

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15
Q

separation anxiety

A

anxiety manifests upon separation or threat of from attachment figures
somatic manifestations
nightmares
school refusal

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16
Q

ocd children

A

obsessional thoughts and compulsive actions

17
Q

PTSD children

A

persistent re-experiencing trauma
avoidance of associated stimuli
increased arousal

18
Q

tx of anxiety disorders

A

behaviour therapy - systematic desensitisation, flooding, response prevention
psychotherapies
anxiolytics (most common - fluoxetine)

19
Q

presentation mood disorder

A

the low mood may not be pervasive
can be masked by anger in boys

20
Q

depressive disorders presetnation

A

low mood which may not be pervasive/anhedonia/low levels of enjoyment
biological sx not consistent/sleep may not be affected
concentration/motivation usually worse

21
Q

tx depressive disorders

A

CBT
SSRI
manage underlying problems

22
Q

bheavioural problems

A

oppositional disordero

23
Q

oppositional disorder

A

uncooperative, unwilling to comply
wilful, defiant

24
Q

conduct disorder types and presentation

A

socialised conduct disorder - less serious, phasic
unsocialised - more serious, can lead to criminality and diagnosis of antisocial personality disorder
presenting- lying, stealing, violence to people

25
Q

conduct disorder risk factors

A

lack of clear boundaries
rejection
family conflict
child abuse
child temperament
comorbid learning or developmental difficulties

26
Q

conduct disorder tx

A

consistent care and parenting
behavioural therapy
school based interventions
community interventions

27
Q

adhd prevalence

A

3-5% of children..underdiagnosed
sx persist into adulthood 2/3 of cases
common to have neurodevelopmental difficulties as well (dyslexia)

28
Q

ADHD diagnosis

A

clinical features
observation in different settings
QB test

29
Q

ADHD key features

A

poor attention and concentration
physical overactivity
impulsivity
needs to occur in more than one environment
diagnosis after 6 yrs but sx present before

30
Q

tx ADHD

A

mild/moderate - parenting and school interventions
severe - methylphenidate, lisdexamphetamine, atomoxetine, guanfacine

31
Q

autism spectrum disorder prevalence

A

1% of children

32
Q

ASD diagnosis

A

clinicsa; features
structured appraisals

33
Q

ASD co-morbid conditions

A

anxiety
ADHD
sleep problems
OCD
learning difficulties

34
Q

ASD features

A

socio/communication difficulties
sensory processing difficulties
thinking - lack of flexibility, social imagination, theory of mind, generalisation
needs to occur in more than 1 environment
sx present before 3 years of age

35
Q

ASD tx

A

no definitive
psycho-education
stress reduction
environmental changes
any co-morbidities

36
Q

psychotic ilness features

A

hallucinations
delusions
thought disorder
need to consider substance missue
rare pre puberty

37
Q
A

Psychiatry (15 decks)

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