behavioural delay and emotional development Flashcards

(35 cards)

1
Q

three examples of behavioural problems

A
    • hyperactivity
  • aggressive behaviour
  • temper tantrums
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2
Q

what is the normal age for temper tantrums and signs

A
18m - 3 years 
frustation 
anger
tantrums 
hitting 
biting 
babies/toddler-> holding breath
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3
Q

what is aggressive behaviour

risk factors

A
frustration and child inability to deal with 
can be extreme-conduct behaviour
large children 
active
from big families
martial discord and aggression home 
exposed to tv and games
school failure
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4
Q

what is hyperactivity

A

poor ability to attend to task
motor overreactivity
impulsivity
M>F
not given limits or taught to have self control
tension and problems at home
history is most important to aid diagnosis

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5
Q

features of a hyperactive child

A
- restless 
impulsive 
excitable 
poor conc span
little sense of danger
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6
Q

management of temper tantrums

A
firm, no anger back
reward good behaviour 
avoid hunger and tiredness-triggers
ignore when in full cry
time out
distraction
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7
Q

management of hyperactivity

A
- routine and regularity 
firm boundaries
consistency  in discipline 
teacher support
adhd assessment
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8
Q

management of aggression

A

consistency from parents
timeout and star charts
reduce tension in house
if bullying or bullied, school interventions

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9
Q

what does ADHD stand for

A

Attention deficit hyperactivity disorder (ADHD) is mental disorder of the neurodevelopment type characterised by problems of paying attention, excessive activity, difficulty controlling behaviour

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10
Q

what characterises ADHD

A
problems of paying attention, excessive activity, difficulty controlling behaviour not appropriate for age 
impulsive
easily distracted
doesn't follow instructions 
talks excessively 
fidgety
inattention
overreactive
apparently 'not listening'
poor self organisation
seems forgetful
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11
Q

diagnosis

A

problems in more than one setting
excessive compared to other children of same age
early age

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12
Q

assessment

A
Hx including development and co-morbid 
conduct disorder 
anxiety 
global learning disability
scholastic skill disorder
language impairment 
tourettes
motor function dysorder
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13
Q

management

A

regular daily routine
overstimatulion and over fatigue to avoid
counselling
can be hard to follow simple instructions
structured tasks
time out

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14
Q

what medications can be given fro ADHD

A

METHYPHENIDATE ( RITALIN)

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15
Q

side effects of this med

A
reduce appetite 
sleep disturbance 
headache
abdo pain
nausea
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16
Q

what is conduct disorder

A

repetitive persistent bad behaviour- disobedience, violation of social rules and rights of others

17
Q

risk factors

A
lower socioeconomic status
males 
peer relationship difficulties
parental mental health history
child maltreatment
neglect
abuse
18
Q

behaviours of conduct disorder

A
theft
property damage
truancy 
running away
serious aggressive behaviour
19
Q

management

A

parent and child education
social therapy
5ht antagonistt - risperidone

20
Q

why is self harm important

A

4th most common cause of death in teems

21
Q

predisposing factors for self harm

A
psychiatric disorder
social isolation
physical illness
low self esteem
history of abuse, illness, neglect 
fhx suicide familyy dysfunction self harm
22
Q

most common methods

A

overdose
inhalation of car fumes
hanging, suffocation shooting
non fatal DSH, cutting overdose

23
Q

assessment

A

including capacity to consent or refuse tx
risk assessment
history, including on own without parents

24
Q

management of self-harm

A
treat physical effects
CAMHS input
social services 
treat co-morbid psych disorder
address self management 
counselling
25
success rates of self harm | how many will repeat
4% of girls 11% of boys 10% will repeat within a year
26
what is anxiety
disorder specific to children and teens including separation anxiety, phobia, PTSD, agoraphobia, panic disorder
27
wich types of anxieties affects who
in young-stranger danger middle childhood- phobia, SAD adolescent- social phobia, panic disorder
28
management of anxiety
CBT | SRRI but only for short term use
29
differentials
``` child abuse co-occuring with depression acting out truancy prominent symptoms e.g. Monday morning -abdo pains ```
30
what is anorexia | symptoms and behaviours
``` dieting to slim down F>M calorie restriction excessive exercise bradycardia hypothyroidism amenorrhoea BMI < 18.5 thinking about food excessive planning deny hunger disposing of meals lying about weight ```
31
risk factors for anorexia
``` family history of it perfectionism high achievers previous obesity history traumatic event e.g parental divorce inability to deal with stress obessive personality sexual abuse exposure to social media dancer/gynmnast ```
32
management of anorexia
referring to restore body weight parental counselling psychologists monitoring weight gain -aim for 500g weekly address low self esteem
33
bulimia
shorter time frame can be normal weight binge eating with purging through vomiting or use of laxatives
34
biochemical sign in bulimia
hypokalaemia
35
management of bulimia
CBT food diaries weight monitoring