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Block 8 Week 3 Colt > Childhood Psychiatric Disorders - Ryst > Flashcards

Childhood Psychiatric Disorders - Ryst Flashcards

1
Q

Child treatment aims to maximize the kid’s adjustment in what domains?

A

Home
friends
school
play

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2
Q

What are the types of psychotherapy used with kids?

A 
Play therapy
Interpersonal psychotherapy
CBT
guidance therapy
family therapy
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3
Q

Therapeutic and adverse effects of meds vary by (blank) stage and in dev disorders

A

developmental stage

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4
Q

T/F: kids metabolize drugs differently than adults

A

true

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5
Q

What’s the outcome of an untreated developmental disorder?

A

they get worse as they progress and the disrupted development has long term conseuqences, therefore we should treat our kids

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6
Q

Describe oppositional defiant disorder?

A

Recurrent pattern of negativistic, hostile, and defiant behavior

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7
Q 
What disorder do these characterize?
Often loses temper
Often argues with adults.
Often actively defies or refuses to comply with adults’ requests or rules.
Often deliberately annoys people.
Often blames others for mistakes or misbehavior.
Often touch and easily annoyed.
Often angry and resentful
Often spiteful and vindictive
A

Oppositional defiant disorder

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8
Q

What is conduct disorder?

A

Violation of the rights of others and age-appropriate social norms

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9
Q

What are some examples of conduct disorder?

A 
Bullying
Fighting
Physical cruelty to people/animals
Lying or conning
Fire setting
destruction of property
Rape
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10
Q

What are the criteria for the “limited prosocial emotions” specifier for conduct disorder?

A

show lack of guilt and empathy
lack of concern over performance in activities
shallow affect
Are more aggressive, have more stable course and more severe symptoms

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11
Q

ODD is twice as common in which gender?

A

males, duh

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12
Q

Males with early onset CD are likely to show what type of symptoms?

A

aggressive

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13
Q

Onset of CD is particularly early in boys with what disorder?

A

ADHD

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14
Q

T/F: boys that have both CD and ADHD have a worse outcome

A

true

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15
Q

Early onset of CD is preceded and predicted by persistent (blank) symptoms

A

ODD

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16
Q

T/F: all children with ODD go on to develop CD

A

false

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17
Q

What is predictive of the future of CD?

A

severity of ODD symtpoms

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18
Q

What Sx were best predicitive of CD?

A

cruelty to people and weapon use
or
physcial fighting + ODD

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19
Q

Is proactive or reactive aggression worse in the dev of CD?

A

proactive aggression

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20
Q

What factors are PROGNOSTIC of a later outcome of CD?

A

age and gender atypicality

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21
Q

In younger kids, what was prognostic of later CD outcome?

A

Sx of cruelty, running away and breaking into a building

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22
Q

In girls, what Sx are prognostic for later CD outcome?

A

fighting

cruel behavior

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23
Q

What are psychopathy related symptoms?

A

egocentricity, callousness, manipulativeness

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24
Q

Presence of early anti-social personality or traits of psychopathy may predict the dev of what?

A

Anti-social personality disorder

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25
Q

What are the links between ADHD and CD?

A

earlier age of onset of CD, more physical aggression, more persistent CD

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26
Q

what are the links between anxiety and CD?

A

Youths with CD are increased risk for anxiety disorders.

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27
Q

what are the links between mood disorders and CD?

A

Joint presence of these two increases risk of substance abuse and suicide.

28
Q

What are the links between SUD and CD?

A

Reciprocal relationship: each exacerbates the other.

29
Q

what are the links between learning disorders and CD?

A

Language problems, memory, sensory integration, executive function deficits, academic deficiencies, low intellectual functioning.

30
Q

t/F: conduct disorder youth are more likely to have greater psychiatric impairment

A

true

31
Q

What is the link between legal issues and CD?

A

Have higher rates of driving while intoxicated, criminal behavior, arrest records, convictions and period of time spent in jail.

32
Q

what are the components of successful treatment of disruptive behavior?

A

parent-directed component, social-cognitive skills training, academic skills training and proactive classroom management and teacher training.

33
Q

T/F: there are no FDA approved meds for DBD

A

true

34
Q

what from clinical experience are helpful in treating DBD?

A

mood stabilizers,
typical and atypcial antipsychotics
Clonidine
stims

35
Q

What is well established tx for ODD in young kids?

A

Parent management training

Parent child interaction training

36
Q

which treatment model for DBD looks at all the shit in the environment?

A

multisystemic therapy MST

37
Q

What are the only differences between depression Dx in adults vs kids?

A

Kids:

  1. can be irritable instead of depressed.
  2. failure to make expected wt. gains = wt. loss
  3. for PDD, is 1 year instead of 2
38
Q

How is depression different in kids?

A

somatic complains, psychomotor agitation, mood-congruent hallucinations more prevalent

39
Q

What are other ways that depression can manifest in kids?

A

Separation anxiety
Phobias
behavioral problems

40
Q

What should you look for to Dx depression in a kid?

A

deviation from dev. trajectory
school failure
withdrawal from peers
lack of interest in activities

41
Q

What are the differences in adolescents with depression?

A 
Antisocial behavior
SUD
restleness, grouchiness, agression
withdrawal
school/family problems
wanting to leave home
not being understood/loved
42
Q

T/F: juvenile Bipolar has the same criteria as adult

A

true

43
Q

The presentation of mania in kids is (blank) by adult standards

A

atypical:
mixed states
rapid cycling
chronic and continuous rather than acute and episodic

44
Q

Juvenile bipolar is seldom associated with euphoria and usually (blank) with prolonged aggressive temper outbursts and emotional lability

A

irritibility

45
Q

in what age kids is euphoria, elation , and grandiosity more common?

A

older than 9

46
Q

What are the associated symptoms in juvenile bipolar?

A 
Decreased need for sleep
Rapid speech, talkativeness
Distractibility, racing thoughts, tangentiality
Hypersexuality
Increased goal-directed activity
Impulsivity
Abnormal thought content, paranoia
47
Q

What is a specific criteria for mania or hypomania in kids?

A

increased energy and activity

48
Q

Mixed episode is now mixed features for manic hypomanic, and MDD why?

A

sizeable population of individuals with subthreshold mixed states who did not meet full criteria for major depression and mania, and thus were less likely to receive treatment.

49
Q

What is the most common comorbidity with depression?

A

anxiety

50
Q

Can you diagnose someone with MDE if they are bereaving?

A

Yes, no longer need to follow the 2 month time frame

51
Q

When do you Dx disruptive mood dysregulation disorder?

A

children with extreme behavioral dyscontrol but persistent, rather than episodic, irritability
NO DUAL DIAGNOSIS WITH ODD BUT CAN BE WITH CD

52
Q

what is the usual length of kid depression?

A

3-9 months

53
Q

what is the recurrence rate in five years of kid depression?

A

70%

54
Q

20-40% of kids with depression develop what within five years?

A

bipolar disorder and recurrent depressive episodes in adulthood

55
Q

What are the adverse outcomes of kid depression?

A

Impairment in school, family, friendships.
Increased risk of suicidal behaviors and suicide.
Tobacco and substance abuse.
Early parenthood.

56
Q

Juvenile bipolar has a high ocurrence of what?

A

psychosis

57
Q

What is the average length of recovery in juvenile bipolar?

A

28 weeks

58
Q

what makes the course of recovery poor in juvenile bipolar?

A

high rates of psychosis
28 week recovery
low rates of recovery
high relapse before 2nd year

59
Q

T/F: CBT and IPT are as effective as anti-depressants

A

true

60
Q

(CBT/IPT) contains the following:
Challenge though process
behavioral activation
mood monitoring

A

CBT

61
Q

what is interpersonal therapy?

A

Focus on interpersonal conflicts, grief, role disputes, role transitions, interpersonal deficits.

62
Q

what must you watch for when giving SSRIs?

A

mania and suicide

63
Q

What type of antidepressant should we not use?

A

TCAs

64
Q

what is the most effective Tx of MDD in adolescents

A

COMBO meds and CBT

65
Q

What can you use to treat juvenile bipolar

A

Lithium, Valproate, Carbamazepine
Atypical antipsychotics
If psychotic, start with combination of mood stabilizer and antipsychotic

Block 8 Week 3 Colt (5 decks)

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