Exam 4 Elimin, SUD, sleep and Schizoph Flashcards
(25 cards)
What are the diagnostic criteria for Enuresis?
Repeated voiding of urine into bed or clothes, at least twice a week for 3 months, chronological age at least 5 years, not due to substances or medical conditions.
Enuresis is commonly known as bedwetting.
What are the diagnostic criteria for Encopresis?
Repeated passage of feces into inappropriate places, at least once per month for 3 months, chronological age at least 4 years, not attributable to substances or another medical condition.
What are the diagnostic criteria for Alcohol Use Disorder (AUD)?
Two or more symptoms within a 12-month period including:
* Alcohol used in larger amounts or over a longer period than intended
* Persistent desire or unsuccessful attempts to cut down
* Significant time spent on alcohol-related activities
* Cravings or strong urges to drink
* Recurrent use resulting in failure to fulfill obligations
* Continued use despite social problems
* Reduction of social, occupational, or recreational activities
* Recurrent use in hazardous situations
* Continued use despite physical or psychological problems
* Tolerance and withdrawal symptoms.
What are the severity specifiers for Alcohol Use Disorder?
Mild: 2–3 symptoms, Moderate: 4–5 symptoms, Severe: 6+ symptoms.
What are common pediatric sleep disorders?
- Nightmare Disorder
- Sleep Terror Disorder
- Sleepwalking Disorder.
What is the presentation of Nightmare Disorder?
Frequent frightening dreams, detailed recall upon awakening, distress, and sleep disturbance.
What is the treatment for Nightmare Disorder?
Comfort, CBT (Imagery Rehearsal Therapy), reducing stress.
What is the presentation of Sleep Terror Disorder?
Abrupt awakening, screaming, panic, disorientation, no detailed recall.
What is the treatment for Sleep Terror Disorder?
Scheduled awakenings, safety measures, reducing stress.
What is the presentation of Sleepwalking Disorder?
Repeated episodes of rising and walking during sleep, difficult to awaken, amnesia of the episode.
What is the treatment for Sleepwalking Disorder?
Safety measures, scheduled awakenings, sleep hygiene.
What are the diagnostic criteria for Childhood-Onset Schizophrenia (COS)?
Must have 2 or more symptoms for at least 1 month including:
* Delusions
* Hallucinations
* Disorganized speech
* Grossly disorganized or catatonic behavior
* Negative symptoms.
Duration: Continuous signs for at least 6 months.
What are the differences in presentation between Childhood/Adolescent Schizophrenia and Adult Schizophrenia?
- Onset: Rare and usually gradual in children, typical in late adolescence/adulthood
- Hallucinations: Often auditory and simpler in children, elaborate in adults
- Delusions: Less systematic in children, more coherent in adults
- Cognitive/social symptoms: May resemble autism in children, less overlap in adults.
- Prognosis: Poorer in children.
What are the etiological factors of Eating Disorders?
- Biological predisposition (genetics, serotonin imbalance)
- Sociocultural pressures (ideal body image)
- Family dynamics (high expectations, criticism)
- Psychological factors (perfectionism, low self-esteem, anxiety/depression).
What is the first-line treatment for Anorexia Nervosa?
Family-based treatment (Maudsley approach), individual psychotherapy (CBT), nutritional rehabilitation, medical monitoring.
What is the first-line treatment for Bulimia Nervosa?
Cognitive Behavioral Therapy (CBT), medications (SSRIs), nutritional counseling, interpersonal psychotherapy.
What is the treatment for Binge Eating Disorder?
CBT, interpersonal psychotherapy, SSRIs or Vyvanse.
What are the key differences between Childhood-Onset Schizophrenia (COS) and Autism Spectrum Disorder (ASD)?
- COS: Hallucinations and delusions present, social deficits secondary to psychosis, late developmental regression, thought disorder evident.
- ASD: No hallucinations or delusions, primary deficits in social interactions, early developmental delays, restricted repetitive behaviors/interests.
What are the must-know points for Elimination Disorders?
Diagnostic criteria, ages, frequency.
What should you focus on for Alcohol Use Disorder?
Diagnostic criteria, severity.
What are the key points for Sleep Disorders?
Presentation, Treatment.
What should you know about Childhood Schizophrenia?
Diagnostic criteria, Child vs. Adult.
What are the must-know points for Eating Disorders?
Etiology, Treatment.
What are the instructor’s recommendations for exam test-taking tips?
- Expect questions differentiating disorders
- Be clear on child/adolescent presentations vs. adults
- Be familiar with DSM-5 criteria
- Know core treatments discussed.