Adolescent Mental Health Flashcards

1
Q

What does CAMHS stand for?

A
  • Child and Adolescent Mental Health Services
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2
Q

What are the implications of mental health problems in young people?

A
  • educational attainment
  • social relationships
  • life chances
  • physical health
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3
Q

What is the most common mental health d.o in kids?

A
  • anxiety d.os

- likely to persist into ADULTHOOD

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4
Q

What genetic factors predispose as pt to anxiety d.o?

A
  • abnormal fxn of SEROTONIN, NE, GABA and dopamine
  • limbic system can be overactive
  • irritable, shy, cautious and quiet temperament
  • biological vulnerability to inherit FEARFUL disposition
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5
Q

What behavioural factors contribute to the making of anxiety d.O?

A
  • acquisition of fear through CLASSICAL CONDITIONING
  • maintenance of fear through OPERANT conditioning
  • observational training
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6
Q

What is classical conditioning?

A
  • individual associates threatening stimulus with a NON-THREATENING stimulus
  • nausea triggered with the sight or smell of food that made your tummy upset before.
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7
Q

What is operant conditioning?

A
  • negative reinforcement manifested by AVOIDANCE and/or escape learning
  • phobia of dogs; person crosses the road to avoid the dog
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8
Q

What are the cognitive factors seen in Anxiety d.os?

A
  • distorted judgments
  • attentional Biases (can’t consider alternatives)
  • negative spin on non-threatening sit.
  • selective memory processing
  • tendency to remember anxiety-provoking cues
  • perfectionist beliefs
  • inflated sense of responsibility
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9
Q

Name the diff. kinds of anxiety d.os.

A
  • social phobia
  • GAD
  • OCD
  • PTSD
  • Panic d.o
  • Phobias
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10
Q

How long do you continue SSRIs for anxiety d.o ?

A

12 weeks for effect to set through

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11
Q

How does depression appear in children and young people?

A
  • persistent SADNESS
  • feeling of Hopelessness and mood changes
  • irritable or anger
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12
Q

What are the biological symptoms for depression in youngsters?

A
  • change in apppetite, sleep
  • can’t conc
  • fatigue and low energy
  • worthless and guilt
  • can’t function socially and academically
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13
Q

List potential causes of depression.

A
  • conflict between parents
  • depression in parents
  • divorce in parents
  • conflicts with friends
  • social disadvantage
  • school stress, bullying
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14
Q

How do you manage emotional disorders?

A
  • parenting TRAINING and guidance
  • talking therapy
  • medication (when others don’t work)
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15
Q

What are diff. forms of talking therapies?

A
gold standard: CBT  (group/ family/online) 
IPT
EMDR 
Solution focused therapy
CAT
Psychodynamic Pschotherapy
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16
Q

What is the 1st line of drug rx for Depression?

A

SSRI

- Fluoxetine and Sertraline

17
Q

What occurs with failure of 2 SSRIs in depression?

A
  • augmentation with LOW dose antipsychotics (QUETIAPINE, Risperidone, Aripiprazole, olanzapine)
  • tricyclics can be used (Amitriptyline, clomipramine)
18
Q

What could be given as alternatives to SSRIs in an older age group?

A

Mirtazapine (TCA), Venlafaxine (SSNRI)

19
Q

Why do people self-harm? (4)

A
  • to cope with INTENSE emotions
  • communicate distress
  • to reconnect with SELF (feel again)
  • to end life (attempt)
20
Q

What biological meaning lies in self-harm?

A
  • it releases ENDORPHINS

- causes temp. reduction in DISTRESS (—-THROUGH NEGATIVE reinforcement; repeats)

21
Q

How does suicidal self-injury present as?

A
  • hopelessness (nonsuicidal— periods of optimism)
  • intent to escape pain
  • persistent psychological pain
  • tunnel vision
22
Q

How to manage pts who self-harm?

A
  • joint clinical decision-making
  • educate about SIGNS of distress; encourage use of POSTIVE coping skills
  • DON’T OVERWHELM them with questions
  • refer to Mental health professional
23
Q

Which drugs to treat depression and anxiety in an older age group?

A

Bupropion

Buspirone (inhibits reuptake of NE or Dopamine)