Flashcards in Child psychiatric d/o Deck (13):
1
Assessing the child and their family
-Development level (may not be age)
-Family relationships
-Social and environmental factors
-Resources and support
2
Neurodevelopmental d/o
-Intellectual disability
-Autism spectrum
-ADHD
3
Intellectual disability
-Used to be mental retardation
-Can have a disability in conceptual, social, and/or practical domains
-Good proxy: vocabulary
-Can be mild, moderate, severe, profound
4
Autism spectrum
-Intellectual and language impairment, 15% of males have fragile X
-Have impaired social interaction, unaware of nonverbal communication
-Lack of reciprocity (music to which you speak)
-Impaired communication (language delay)
-Stereotypic behaviors, interests, activities
5
Attention deficit/hyperactive d/o
-Can have Sx of inattention (usually girls) or Sx of hyperactivity (usually guys)
-Careless, forgetful, disorganized, distracted, impulsive, fails to finish tasks
-Onset before age 7 and persists at least 6 mo
6
Disruptive, impulse-control, and conduct d/o
-Oppositional defiant d/o
-Intermittent explosive d/o
-Disruptive mood dysregulation d/o
-Conduct d/o
7
Oppositional defiant d/o
-Angry/irritable mood, looses temper and easily annoyed
-Argues w/ authority, defies rules, blames other, deliberately annoys others
-Vindictive and spiteful
-Mild, moderate, or severe
8
Intermittent explosive d/o
-Recurrent behavioral outbursts (verbal, assaultive, destructive)
-Excessive or unprovoked
-Mood not persistently angry
-Must be older than 6
9
Disruptive mood dyregulation d/o
-Severe recurrent temper outbursts
-Manifested verbally and behaviorally
-Mood persistently disrupted btwn outbursts
-Must be older than 10
10
Conduct d/o
-Precursor to antisocial personality d/o
-Aggression to ppl and animals, bullies, threatens, intimidates, fights w/ others, steals, forces sex, cons, forgery
-Destructive of property and serious violations of rules
-Childhood or adolescent onset
-Lack of remorse, empathy, deficient affect
11
Anxiety d/o
-Separation anxiety: excessive distress away from family or home (precursor to generalized anxiety d/o)
-Excessive worry about loss of loved one
-Refusal to attend school, sleep alone
-Physical complaints when separated or separation threatened
-Onset before 6
12
Mood d/o
-Major depression d/o: depressed mood often manifests are irritability
-MDD w/ psychotic features in children likely become bipolar d/o (may respond to psychotherapy alone)
-Mania: may resemble antisocial behavior in adolescence
13