childhood psych disorders

Question 0

how many children are receiving service?

Answer 0

1 in 4- most NOT in formal mental health settings

Question 1

rates of mental illness in children

Answer 1

14-20%

Question 2

suicide # leading cause of death in teens

Answer 2

3rd

Question 3

most common mental health disorders

Answer 3

ADHD
depression
anxiety

Question 4

risk factors for mental health issues

Answer 4

chronic health issues
brain damage
temperament
genetics
family factors
psychosocial factors

Question 5

comorbidies

Answer 5

rule rather than exception

about 1/3 of children with ADHD have ADHD alone

Question 6

internalizing

Answer 6

affecting you

Question 7

externalizing

Answer 7

affecting those around you

Question 8

gender in childhood vs adult depression

Answer 8

childhood: males= females
adults: females 2:1 males

Question 9

childhood depression more at risk for

Answer 9

substance abuse
anxiety disorders
adult depression
bipolar disorder

Question 10

best evidence for depression treatment

Answer 10

cognitive behavioral therapy

–ssris?

Question 11

adolescents with MDD

Answer 11

1 in 20

Question 12

percent of adolescents that make suicide attempts each year

Answer 12

9%

Question 13

suicides versus completion

Answer 13

rare event, but hard to predict

Question 14

increased SSRi linked to

Answer 14

decrease suicide attempt

Question 15

FDA lable for ped OCD

Answer 15

zoloft
luvox
prozax
anafranil

Question 16

FDA label for Ped-MDD

Answer 16

prozac > 8 years

Question 17

onset of action

Answer 17

6-12 weeks

Question 18

trend in antidepressants

Answer 18

decline

Question 19

best treatment for child MDD

Answer 19

floxtine + CBT

Question 20

TADS columbia study

Answer 20

gave antidepressants black box warning- use with caution!

Question 21

chilren with anxiety

Answer 21

look shut down, but physiologically very aroused

Question 22

anxiety risk factors

Answer 22

temperament
genetics/epigenetics
attachment (anxious-resistant)
anxiety/depression in parent
anxious, hostile parenting style
trauma/environmental stress

Question 23

what are the worst type of anxious parenting styles?

Answer 23

randomly/inconsistently hostile

Question 24

on their own, stressful life events

Answer 24

do not provide a full explanation for the development of anxiety disorders

Question 25

percentage of US children with anxiety

Answer 25

10-20%

Question 26

most common childhod psych disorder

Answer 26

anxiety

Question 27

anxiety and comorbidies

Answer 27

has a high rate

Question 28

normal dev fears birth-6 months

Answer 28

loud noises loss of physical support rapid position changes rapidly approaching/unfamiliar objects

Question 29

7-12 months

Answer 29

``` strangers looming objects sudden confrontaton unexpected objects unfamilar people ```

Question 30

1-5 years fears

Answer 30

``` strangers storms animals dark separation from parents machines objects loud noises toilet monsters ghosts insections bodily harm ```

Question 31

6-12 years fears

Answer 31

``` supernatural beings bodily injury disease (AIDS, cancer) burglars staying alone failure criticism puihsment ```

Question 32

12-18 years fears

Answer 32

``` tests bodily injury scrutiny appearance body image performance ```

Question 33

abnormal anxiety is more

Answer 33

frequency and intensity than content

Question 34

pathology categorized by

Answer 34

pervasiveness intensity time consuming debility

Question 35

placebos nad children

Answer 35

very responsive to

Question 36

combined therapy is best in

Answer 36

moderate-severe anxiety

Question 37

majority of primary anxiety disorders in children

Answer 37

remit over time greater than 1/3 develop new disorders GAD-greatest risk

Question 38

3 types of child ADHD

Answer 38

inattentive hyperactive/impulsive combined

Question 39

percentage of childhood adhd that continues into adulthood

Answer 39

60%

Question 40

adhd brain

Answer 40

dysregulation of Ne and DA in frontal striatl systems | temporalar insular cortex to feed up- much less efficient

Question 41

pleasurable, on

Answer 41

positive reinforcement

Question 42

pleasurable, off

Answer 42

extinction

Question 43

averse, on

Answer 43

punishment

Question 44

averse, off

Answer 44

negative reingorcement

Question 45

punishment vs extinction

Answer 45

punishment is faster but extinction re-establishes neural networks to change behavior is long-term

Question 46

side effects of meds for adhd

Answer 46

insomnia tics appetite suppresion/decreased growth

Question 47

OCD in children

Answer 47

1-2% of population