Child psychiatric d/o

Question 1

Assessing the child and their family

Answer 1

• Development level (may not be age)
• Family relationships
• Social and environmental factors
• Resources and support

Question 2

Neurodevelopmental d/o

Answer 2

• Intellectual disability
• Autism spectrum
• ADHD

Question 3

Intellectual disability

Answer 3

• 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

Question 4

Autism spectrum

Answer 4

• 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

Question 5

Attention deficit/hyperactive d/o

Answer 5

• 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

Question 6

Disruptive, impulse-control, and conduct d/o

Answer 6

• Oppositional defiant d/o
• Intermittent explosive d/o
• Disruptive mood dysregulation d/o
• Conduct d/o

Question 7

Oppositional defiant d/o

Answer 7

• 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

Question 8

Intermittent explosive d/o

Answer 8

• Recurrent behavioral outbursts (verbal, assaultive, destructive)
• Excessive or unprovoked
• Mood not persistently angry
• Must be older than 6

Question 9

Disruptive mood dyregulation d/o

Answer 9

• Severe recurrent temper outbursts
• Manifested verbally and behaviorally
• Mood persistently disrupted btwn outbursts
• Must be older than 10

Question 10

Conduct d/o

Answer 10

• 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

Question 11

Anxiety d/o

Answer 11

• 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

Question 12

Mood d/o

Answer 12

• 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

Question 13

Childhood schizophrenia

Answer 13

• Very rare before adolescence, typically prodrome w/ premorbid relational, academic, and social problems
• Abnormal thinking and language
• “pseudobackwardness” of thought d/o