Final- Children/Adults/Sleep Flashcards

1
Q

What percentage of adults diagnosed with psych disorders are first diagnosed between ages 11 and 18

A

75%

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2
Q

Is it easy to diagnosed children?

A

No because their brains/behaviors are not fully developeda

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3
Q

How do mental health disorders in children differ from those in adults?

A

They are not the stereotypical behaviors, the disorder comes out through anger outbursts and in other ways

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4
Q

What are some of the causes of intellectual development disorders?

A

Fetal alcohol syndrome, infectious disease, trauma/hypoxia, etc.

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5
Q

Dyslexia

A

Difficulty in learning to read or interpret words, letters, and other symbols but otherwise do not affect appearance

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6
Q

Dyscaculia

A

Severe difficulty in performing mathematical calculations as a result of a brain disorder

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7
Q

Dysgraphia

A

Learning disability that affects writing abilities-difficulty spelling, poor handwriting and trouble putting words thoughts on paper

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8
Q

What is the rule for being diagnosed with a learning disorder?

A

The learning disorder cannot be related to another abnormal problem

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9
Q

Tourettes syndrome, definition and cause

A

Brief involuntary vocal or motor activity caused by too much dopaminergic activity in the basal ganglia

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10
Q

Management of tourettes syndrome

A

Anti-psychotic medications (dampen excitability), behavioral therapy, and deep brain stimulation

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11
Q

Rettes

A

Normal development to 18 months then sudden change, and full blown by age 3. Progressive loss of motor skills and language
Examples: ataxia, hand flapping, bruxism, hypotonia

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12
Q

Is there a cure for Retts in girls? what is treatment

A

No. treatment is supportive therapy, PT, speech therapy, family counseling, and antipsychotics

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13
Q

Aspergers

A

A form of autism spectrum disorder. Young people with this disorder can find difficulty in relating to to others socially and can have behavior/thinking patterns that appear rigid and redundant

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14
Q

Autism Spectrum Disorders example behaviors

A

Delayed speech development, spinning of objects, preference to play alone, hyperactivity, sleep problems, rejecting cuddles

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15
Q

Autism IQ

A

Sometimes very high IQ, greater than 70

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16
Q

Autism occurs by what age

A

Age 3

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17
Q

True or false, autism is primarily regarded as ideopathic

A

True

18
Q

Autism is classified as what 3 categories

A

Mild, moderate, severe

19
Q

What age do you have to be diagnosed with autism typically

A

Age 3

20
Q

Management of autism, meds and other

A

Medications: anti-depressants, SSRIs and anti-psychotics for hyperactivity

21
Q

True or false- people with aspergers have no mental retardation

A

True

22
Q

Aspergers appears as

A

An emotionally blunt individual, may have developmental and social symptoms, can be treated with regular school, behavioral interventions and pharmacology

23
Q

ADHD is more common in ____ and the average is ____

A

boys, 7 years old

24
Q

Three types of ADHD

A

Inattention, ADHD, and Combined

25
Q

ADD is regarded as a disorder related to ____

A

Inattention

26
Q

ADHD is a disorder related to _____ &_____

A

Impulsiveness/Hyperactivity

27
Q

Combined ADHD

A

You have impulsiveness/hyperactivity/ and inattention

It is more difficult to treat

28
Q

To diagnosed ADD or ADHD the symptoms must be present in what

A

2 settings- school/home

29
Q

To be diagnosed with ADHD types, symptom presence?

A

at least 6 months

30
Q

Diagnosis age for ADHD types

A

before 12 years old, typically before puberty

31
Q

Management of ADHD

A

structure activities, behavioral, diet, play therapy with meds (Stimulants most common)

32
Q

How long does medication take to reach full therapeutic response for ADHD meds

A

Up to 6 months

33
Q

MOA of stimulants for ADHD

A

Works in CNS by blocking reabsorption of dopamine

34
Q

Stimulants have a paradoxical affect in those with ADHD, true or false

A

true

35
Q

Non stimulant drugs for ADHD, increase dopamine? how long to see effects

A

Longer to see effects and do not increase dopamine

36
Q

Atomoxetine (Straterra) MOA use

A

Non-stimulant, blocks reuptake of norepinephrine, black box warning with suicidal thoughts especially in the beginning- contraindicated for those with depression

37
Q

Clonidine and Guanfacine

A

Anti hypertensive, lower BP and HR, only time release of Guanfacine is approved for ADHD in children
Can overshoot mark

38
Q

What is ODD

A

Oppositional Defiant Disorder- authority problems, argumentative but with no violence usually. More common in males

39
Q

Conduct Disorder

A

More severe than ODD, violence against others, crime- Once 18 generally diagnosed with Antisocial personality disorder

40
Q

Paroxetine (Paxil) appropriate for children?

A

Only anti-depressant approved for children over 8 years old

41
Q

Are anti-anxiety meds generally prescribed to children?

A

No not usually