Psych Written - CAMHS Flashcards
Criteria for conduct disorder
Repetitive & persistent pattern of behaviour which violates the basic rights of others OR major age-appropriate social norms/rules
Across 4 domains:
- aggression toward people or animals
- destruction of property
- deceitfulness or theft
- serious violations of rules
at least 3 features present for at least 1 year
Tx for Conduct disorder
Treat any psych disorder e.g., ADHD
Target major modifiable RF at early age
Parent programmes
- individual (books) or group
- focus on behavioural therapy techniques e.g. clear rules, modelling good behaviour
Cognitive problem solving skills training
Multi-systemic therapy
Mentoring
Criteria for oppositional defiant disorder
Childhood (<11yo) psych diagnosis of behavioural problems not due to substance abuse or psychotic disorder
pattern:
- angry / irritable mood
- argumentative / defiant behaviour
- vindictiveness
lasting at least 6 months
Criteria for learning disability
significantly reduced ability to understand new or complex information OR learn new skills
reduced ability to cope independently
impairment started before adulthood - with lasting effect on development
Levels of learning disability
Profound <20
Severe 20-34
Moderate 35-49
Mild 50-70
Difference between LD and learning difficulty?
Difficulty e.g. dyscalculia, dyspraxia, dyslexia
With adequate support, will not impact IQ
Tx of Tic disorder
Stress management + re-assurance
Medical
- clonidine (adrenergic alpha 2 agonist)
- antipsychotics
Tx of depression
Mild depression persisting >4 weeks = CBT
Antidepressants only in combo with therapy
- prescribed by specialist
- require MDT discussion
- Fluoxetine = only med licensed
Childhood self-harm management
Any <16yo with self harm has to be reviewed by CAMHS before discharge
Can be admitted to Paeds ward to allow this to happen if necessary
Assessment tools for ADHD
Conners Rating scale
SNAP questionnaire
