Flashcards in Childhood Psychiatric Disorders Deck (18):
Depression in kids/adolescents. How common is this and how does it usually present?
8% in adolescents, 5% in children
Sx present as:
1. Physical complaints (stomach pain, trouble sleeping, nightmares, tension)
2. Disruptive behavior
How should you treat childhood/adolescent depression?
Combo of meds and psychotherapy:
Fluoxetine and Escitalopram are first line treatments
May increase risk for suicide ideations (not completed suicides).
Schizophrenia in kids. How common, and characterize the sx. Treatment.
1. SUPER RARE before adolescence (VEOS)
2. Sx can start with apathy, change in hygiene, withdrawal
3. Sx can be confused with normal child fantasies and slow development (vs hallucinations and disorganized speech) Are they normal kids or are they crazy. That is the question.
4. Low dose antipsychotics
What's going on with the brain of kids with schizophrenia
Their brains shrink over time. So sad
How does the prognosis of EOS compare to adult onset schizophrenia
It's worse. Makes sense, if there is more time for their brain to go crazy
Key sx to remember with schizophrenia
1. Motor impairments: repetitive movements, delayed motor milestones
2. Social impairments: weird behavior, isolation, withdrawal
3. Intellectual abilities: lower IQ and decline of function
What is the most important thing to discern from someone who is suicidal?
Plan and intent
Bipolar in kids. How does this present?
Characterized by mood sx: feelings that aren't appropriate for the situation and being episodic
2. Overly happy (I'm concerned for myself sometimes..)
Disruptive Mood Regulation Disorder. What is the diagnostic criteria
1. SUPER bad temper tantrums that don't make sense based on context.
2. Occur about 3+/week for a year
3. More than 1 setting (school and home)
4. Sx onset before age 10 but not before 4 or after 18
1. You're just a huge pain in the butt. (Stealing, destroy property, aggressive towards animals and people)
2. Onset sx before 18 years
3. Sx present for 1+ year
General trend between age of onset of disorder and severity of symptoms?
Earlier onset=worse sx.
Pretty self explanatory.
What are some tx options for Conduct Disorder
Oppositional Defiant Disorders
1. Angry/Irritable Mood
2. Argumentative/Defiant Behavior
Tx for ODD
1. Parenting classes (since this order can often result from inconsistent parenting techniques)
1. Encopresis: passes of feces into inappropriate places (1x/month for 3+ months
2. Enuresis: same as #1 with urine
Tx for enuresis
1. Bell and pad (alarm)
3. Drugs: desmopressin or TCA's
Separation Anxiety Disorder. Tell me about common sx and what the future risks are for the kid
1. Too much anxiety when leaving home or attachment figures
2. Often stay home from school (think that something bad will happen to parent if they leave)
3. Risk factor for future anxiety disorders