Child Psych Disorders Flashcards Preview

Year 2 Psych exam2 > Child Psych Disorders > Flashcards

Flashcards in Child Psych Disorders Deck (48):
1

how to assess child for psych disorders

observe family together

2

when involving afmily and others to counseling witch child don't forget

emotional support
education
assure confidentiality(except danger)
try to get child to tell parents issues

3

whole health care team for child psych

psychiatrist
social worker/teacher
psychologist

4

PE for psych eval in child

congenital abnormalities
get head CT MRI when indicated
make sure had eye exam
hearing check

5

3 main types of learning disorders

reading "dyslexia" M>F
math
disorder written expression

6

key pattern in ADHD

extreme inattentiveness and or restlessness

7

criteria ADHD

at least 2 settings for at least 6 mo and before age 7 with 6 Sx

8

3 types ADHD

inattentive type
hyperactive-impulse type
combine type

9

Sx of hyperactivity become obvious

in first grade when asked to sit still and focus

10

Tx choice for ADHD

stimulants

11

withoutTx adhd children and teens at increased risk for

arrest
suicide attempts
substance abuse
car accidents
poor school and work performance

12

Sx for inattentive type ADHD

-not close attention to detail
-trouble keeping attention
-does not listen when spoken to
-does not follow instructions, chores etc
-trouble organizing activities
-avoids things that take a lot of mental effort
-loses things needed for tasks
-easily distracted
-forgetful

13

Sx for hyperactive impulse type ADHD

-fidgets
-gets up from seat when asked to sit still
-runs about and climbs anything
-trouble playing leisure activities
-talks excessively
-blurts out answers
-trouble waiting ones turn
-interrupts or intrudes on others

14

etiology ADHD

multi factorial

15

MRI ADHD

prefrontal Cx
basal ganglia
cerebellar abnormalities

16

co morbid disorders with ADHD

conduct disorder, seizures, oppositional defiant disorder or learning disorders

17

side effects methyphenidate

dec appetite
irritability
insomnia
weight loss
abdominal pain
misuse abuse

18

what nonstimulant used in ADHD

atomextine

19

parental role in ADHD

learn behavioral management
limit setting
positive reinforcement technique

20

school role in ADHD

teacher understands
minimize distraciton
divide work into smaller subsets of problems
students need to master one topic before next

21

psychotherapy for ADHD

group therapy for social skills and impulse control

22

what is conduct disorder

pattern that violates rights of others
- aggression to people and animals
-destruction property
-deceitfulness or theft
-serious violations of rules

23

what is conduct disorder

pattern that violates rights of others
- aggression to people and animals
-destruction property
-deceitfulness or theft
-serious violations of rules

24

which conduct disorder onset has worse prognosis

start before age 10
childhood onset

25

conduct disorder can go on to what in adulthood

antisocial

26

etiology conduct disorder

multifactorial

27

what percent ADHD have conduct disorder

20-30%

28

Tx conduct disorder

Tx parents and child
individual therapy
family therapy and parenting skills!!!
structure and consistency
medications to Tx other disorders

29

Oppositional defiant disorder

defiant qualities
lose tempers, argue with adults and refuse to follow rules
boys>girls
higher rates substance abuse than typical teens

30

Tx oppositional defiant disorder

individual and family counseling
train parent to set limits
Tx other disorders with meds

31

Tic

sudden rapid recurrent stereotyped motor movement or vocal sound

32

transient tic

motor and/or vocal > 1 mo every day

33

chronic tic

motor OR vocal at least 1 year AND no 3 mo period w/o tic

34

tourettes

motor AND vocal for 1+ year with no 3 mo period w/o tic

35

Tx tourettes

Tx sooner not later

36

motor tic development age

3-8 y.o
vocal are later

37

tics and time

get better over time usually

38

motor tics

tongue protrusion
blinking, nodding, twitching

39

vocal tics

abnormal grunting, barking or shouting

40

can patient suppress tics

only for short periods time

41

tics often in people with

OCD

42

PANDAS

ped auto immune neuropsychiatric disorders assoc with Strep infections

43

Tx tourettes

antipsychotic meds useful- haloperidol and risperidone
always Tx other disorders like OCD and ADHD first
alpha adrenergic like clonidine help
support!!

44

separation anxiety disorder

excessive anxiety upon separation by at least 3 Sx for 4+ weeks before age 18
severe disabling anxiety

45

3 types distress in separation anxiety

distress from separation home
worry that harm come to parents
worry that child will be lost or separated

46

3 types behavior separation anxiety

school refusal
sleep refusal
clinging

47

2 types physiological behaviors of separation anxiety

nightmares
physical complaints: HA nausea etc

48

Tx separation anxiety

return to school ASAP
make sure no school problems
educate parents not to give in
make sure not due to academic problems