Flashcards in child psych Deck (40)
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1
what is a common presentation of MDE in kids
irritability
2
to define MDD, kid must display sx for how long
>2weeks
3
mean age of onset for childhood MDD
14.3 yrs
4
recurrence rate for childhood MDD by 2 yrs
40% by 2 yrs
5
what is double depression
dysthymia + major depression
6
how is double depression characterized?
1. severe and long episodes
2. higher comorbidity
3. incr suicidality
4. worse social impact
7
1st line med tx in MDD
SSRI
8
drug to use for kids with comorbidity of ADHD and MDD
wellbutrin
9
MOA of wellbutrin
incr NE and DA
10
SE especially seen with wellbutrin
seizure
11
SE especially seen with effexor
incr in diastolic bp
12
SE especially seen with cymbalta
GI bleeding
13
autonomic instability, delirium, psychosis, myoclonic jerks
serotonin syndrome
14
dizziness, HA, N/V, diarrhea, insomnia, tremor, electric shock sensation
discontinuation syndrome
15
leading cause of disability age >5
depression
16
the black box warning for peds is relevant within 1st____weeks/months
within first 4 weeks
17
questions to ask if kid contemplating suicide
(1) plan?
(2) access to following thru with plan?
(3) intent?
(4) famhx of suicide
(5) previous suicide attempt
18
what differentiates childhood bipolar disorder from adult
mixed state with RAPID cycling
19
inner feeling of restlessness; assc'd with?
akathisia; assc'd with side effects of antipsychotics
20
which anticonvulsants known to cause the most weight gain?
Olanzapine + clozapine
21
which drug SE: hyper prolactinemia
risperdal (risperidone)
22
which drug SE: agranulocytosis
clozapril
23
which antipsychotics are asscd with less weight gain
abilify, geodon
24
which antipsychotic has less EPS sx?
seroquel
25
antipyschotic utilization in tx of bipolar disorder
reduce amt of DA in mesolimbic area of brain
26
severe muscle rigidity, fever, altered mental status, autonomic instability
neuroleptic malignant syndrome
27
which mood stability AE: PCOS
depakote
28
which mood stability AE: aplastic anemia agranulocytosis
tegretol
29
which mood stability AE: steven johnson syndrome
lamictal
30
