10.2. Child and Adolescent Psychiatry - Assessment / Management of Common Presentations Flashcards

1
Q

What Factors have to be Considered when Formulating Management in Child / Adolescent Psychiatry?

A
  1. Biological Aspects
  2. Psychological Aspects
  3. Social Aspects
  4. Identify Predisposing / Precipitating / Maintaining / Protective Factors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What Biopsychosocial Factors need to be considered when Formulating Management in Child / Adolescent Psychiatry?

A
  1. Biological - Genetic Predisposision / Neuro-developmental Insults / Illness …
  2. Psychological - Temperament / Attachment Style / Psychological Attributes (Impulsivity / Perfectionism …)
  3. Social - Family Relationships / Peer Relationships / Hobbies / Religious Faith / Neighbourhood / School…
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are Characteristics of Conduct Disorders?

A

Repetitive and Persistent Patterns of Antisocial / Aggressive / Defiant Behaviours, which Violate Age-Appropriate Societal Norms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the Course of Conduct Disorders?

A

It is a Persistent Disorder with Increase Risk of:

  1. Early Death - Often by Sudden / Violent Means
  2. Social Exclusion
  3. Poor School Achievement
  4. Long-Term Unemployment
  5. Criminal Activity
  6. Adult Mental Health Problems
  7. Poor Interpersonal Relationships - including their kids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the Management of Conduct Disorders?

A

Will be based on Biopsychosocial Assessment:

  1. Parent Training Programme
  2. Modify School Environment - Behavioural Support
  3. Functional Family Therapy
  4. Multi-Systemic Therapy
  5. Child Interventions - Social Skills / Problem Solving / Anger Management / Confidence Building
  6. Treat Comorbidity
  7. Address Child Protection Concerns
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the Characteristics of Hyperkinetic Disorders?

A
Core Features of:
1. Developmentally Abnormal Inattention
2. Hyperactivity
3. Impulsivity
Present Across Time and Situations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the Symptoms of Hyperkinetic Disorders?

A
  1. Learning Disability
  2. Autism Spectrum Disorders
  3. Conduct Disorder
  4. Tics
  5. Motor-Coordination Problems
  6. Substance Misuse
  7. Anxiety / Depression
    Note - Majority are Symptomatic into Adulthood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the Management of Hyperkinetic Disorders?

A
  1. Psychoeducation
  2. Medications - Atomoxetine / Guanfacine / Stimulants (Methylphenidate)
  3. Behavioural Interventions
  4. Parent Training - PinC / School Interventions
  5. Treat Comorbidity
  6. Volunteer Organisations / Benefits
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What Factors increase the Risk of Suicide in Child / Adolescent Psychiatry?

A
  1. Persistent Suicidal Ideas / High Intent / High Motivation
  2. Past Suicidal Behaviours / High Lethality of Method
  3. Ongiong Precipitating Stresses
  4. Mental Disorder / Poor Physical Health
  5. Parental Psychopathology / Suicidal Behaviour
  6. Physical / Sexual / Emotional Abuse
  7. Disconnection from Support Systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the Management of Self-Harm in Child / Adolescent Psychiatry?

A
  1. Usually Admit to Age-Appropriate Medical Ward
  2. Mental Health Risk Assessment - Specifically Trained Staff
  3. Further Referral to Agencies as Appropriate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly