Child and Adolescent Mental Health Flashcards
(50 cards)
1
Q
Assessment of Children
A
- observation
- structured activities (especially social)
2
Q
Assessment of Adolescents
A
- trust
- equal
- choice
3
Q
Natural Consequences
A
- natural cause and effect (immediate follow up to action)
- increases understanding
4
Q
ECT
A
- use in teens
- best for catatonia
- causes re-start
- side effect- short term memory loss
- sedatives can offset treatment
- last resort (brains still developing)
5
Q
CBT
A
- behaviour therapy and cognition therapy
- changing what we think can change what we feel
6
Q
CBT is Best Used For
A
- children over 8
- anxiety
- depression
- aggression
automatic and irrational thoughts
Teens: - major depressive
- Manic Delerium
- Catatonia
7
Q
Narrative Therapy
A
- play therapy
- externalization
8
Q
Group Therapy is Best For
A
- Tourettes
- Anxiety
9
Q
Family Involvement
A
- weekend goals are important
- inconsistency can undo progress
10
Q
Stimulants
A
- increase attention
- decrease restlessness and impulsivity
- quick onset
- used for positive diagnosis
11
Q
Stimulant Considerations
A
Monitor: - Weight - Anxiety - Tics - Sleep Disturbances Take in Am
12
Q
Straterra Benefits
A
- calming
- no increase in tics or anxiety
13
Q
Straterra
A
- non-stimulant
- NE re-uptake blocker
- takes 3-4 weeks for max effect
14
Q
Tenex
A
- antihypertensive
- decrease restlessness, tics, and impulsivity
15
Q
Tenex Considerations
A
Monitor:
- BP
- headaches
- dizziness
16
Q
Clonidine
A
- antihypertensive
- effective in treating aggression
17
Q
Clonidine Considerations
A
Monitor For:
- fatigue
- dizziness
- BP
- irritability
18
Q
Antidepressants
A
- anxiety
- decrease rigidity/intensity of outbursts
19
Q
Melatonin
A
- aide in falling asleep not staying asleep
20
Q
DDAVP
A
- treats nocturnal enuresis
- nasal or po administration
21
Q
DDAVP Considerations
A
Monitor:
- Nasal discomfort
- nose bleeds
- fluid take
22
Q
Alternative Therapy
A
- gut flora afffects mood
- gluten/dairy free
23
Q
Omega 3 Fatty Acids
A
- neurocognitive development
24
Q
ADHD
A
- often co-occurrent conditions
- ongoing stream of vocalization
- extreme tunnel vision, miss surrounding dangers
25
Three Symptoms for Diagnosis of ADHD
1. Impulsivity
2. Inattentiveness
3. Hyperactive
26
Oppositional Defiant Disorder (ODD)
- disobedient, hostile and defiant behaviour towards authority
27
Progression of ODD
ODD--> Conduct Disorder (Teen)--> Antisocial (Adult)
28
OCD
- usually displayed earlier, and diagnosed sooner
- Scruples (moral compass)
- tantrums if rituals interrupted
29
Tourette Syndrome
- faulty breaks
| - males
30
Requirements for Diagnosis of Tourettes
- both motor and vocal tics
| - tics last over a year
31
4 Categories of Tics
1. Motor (eg. nose twitching)
2. Complex Motor (eg. rolling eyes)
3. Vocal (eg. sniffing)
4. Complex Vocal (eg. phrases)
32
Copropraxia
- obscene gestures
| - complex motor tic
33
Echopraxia
- imitating others
| - complex motor tic
34
Coprolalia
- swearing
| - complex vocal tic
35
Palilalia
- repeating own words
| - complex vocal tic
36
Echolalia
- repeating other words
| - complex vocal tic
37
Anxiety in Children
- clingy
- anger/tantrums
- controlling behaviour
- irritability
- fears
- tiredness
- body symptoms
- restlessness
- selective mutism
38
Trichotillomania
hair twirling
39
Difficulty in Depression Diagnosis
```
Children:
- similar symptoms to anxiety
- considered "just a phase"
Teens:
- symptoms typical of teen behaviour (sleeping in, anxiety etc.)
```
40
FASD
- developing brain cells are underdeveloped due to prenatal alcohol exposure before 12 weeks
41
FASD Symptoms
- learning disabilities
- poor impulse control
- poor boundaries
- poor anger management
- poor daily living skills
- poor judgement
- poor fine motor skills
- learning from bad experience is limited
42
RAD Causes
- caregiver unable to provide
- abuse and neglect
- changing caregivers
- institutional care
- long stay in hospital
43
RAD Symptoms
- difficult to soothe
- superficially friendly
- inappropriate actions with strangers
- no bond with primary caregiver
44
Bipolar Disorder
- more common in teens
- frequent rapid cycling (4-5 swings/day)
- often misdiagnosed
45
Bipolar Disorder in Children
- explosive, lengthy and often destructive rages
- impaired judgement, impulsivity
* *typical symptoms by teen years
46
Childhood Schizophrenia Misdiagnosis
- Autism
| - other PDD
47
Childhood Schizophrenia Symptoms
- social withdrawal
- poor self-care
- illogical
- spend lots of time in imaginative worlds
48
Conduct Disorder
- antisocial
- disturbed behaviour
- injuring animals
- setting fire
- torment people
49
XYY Syndrome
- taller
- large hands and feet
- aggression issues
- low functioning
50
Prader-Will
- no shut off valve for hunger
- light skin and hair
- short stature
