Childhood Psych Disorders

Question 1

in which type of disorders do you usually need to max out the serotonergic drug that you are treating with?

Answer 1

anxiety disorders like OCD

Question 2

a mother presents with her child who is frustrated because it has been taking an hour each day to convince her child to get on the school bus. the child says she is afraid that her mother will die while she is at school and she will never see her again. DX?

Answer 2

separation anxiety disorder

Question 3

what are 3 risk factors for developing separation anxiety disorder?

Answer 3

1) close-knit family
2) mom shows anxiety about leaving kid also (kid copies)
3) exposure to traumatic separation

Question 4

dad presents with his kid because his teacher says he never raises his hand and doesn’t communicate with his classmates during free time. he’s confused cause his kid is a chatterbox at home. DX?

Answer 4

selective mutism

Question 5

when do animal phobias typically originate?

Answer 5

childhood

Question 6

when do blood-injection-injury type phobias typically originate?

Answer 6

adolescence

Question 7

what is the technique where feared stimuli is paired with relaxation training to get over a phobia?

Answer 7

systematic desensitization

Question 8

what is the technique characterized by massive exposure to a feared stimulus until anxiety subsides?

Answer 8

flooding

Question 9

mom brings her daughter in because she has noticed that her child refuses to speak or eat in public, urinate in public, or attend any social events. DX?

Answer 9

social anxiety disorder

Question 10

how do we treat social anxiety disorder?

Answer 10

paroxetine and ASSERTIVENESS TRAINING

Question 11

how do we treat social anxiety with predominant public speaking SX?

Answer 11

propranalol

Question 12

what criteria must be met for diagnosis of panic disorder?

Answer 12

4 of the 13 symptoms listed in the DSM which i do not have but along the lines of…

sweating, SOB, palpitations, chest pain, nausea

patient must exhibit persistent concern or worry of the recurrence of these attacks and make significant maladaptive changes in behavior to avoid them

Question 13

when do the feelings of intense fear, impending doom, and discomfort that accompany panic attacks usually peak?

Answer 13

1 minute

Question 14

treatment for panic disorder?

Answer 14

benzos as needed

SSRI or SNRI for maintenance

CBT!!

Question 15

what is the criteria for diagnosing generalized anxiety disorder?

Answer 15

excessive poorly controlled anxiety about most routine things for more than 6 months

3+ of the following
restlessness
easily fatigued
poor concentrated
irritability
muscle tension
sleep disturbance

Question 16

treatment of GAD?

Answer 16

antidepressants and anxiolytics as needed

behavior therapy such as relaxation therapy and biofeedback!