11.3 Child Mental Health

Question 1

4yr old, biting and hitting at childcare, looks well, mum finding it hard to connect

Answer 1

look at parents relationship:

• depression
• anxiety
• domestic violence
• substance abuse
• marital problems

Question 2

babies who can’t sooth themselves with caregiver in first year of lief at at risk of?

Answer 2

mental health problems later on

Question 3

babies and children strategies to connect to parents:

Answer 3

tantrums

clinging - soothing with a bit of anxiety

Question 4

if child is hitting, lashing out, think of?

Answer 4

speech/communication problems too

Question 5

oppositional defiant behaviour prognosis?

Answer 5

-depends on intervention:
Parent Management Training
-PPP
-Positive Parenting Program

Question 6

what strategy instead of time out?

Answer 6

-time out only intended for 2 weeks

• use time-in strategies
• parents collect themselves
• -then engage in chore, reading, talk about feelings
• reconnection

Question 7

best SSRI for teenagers?

Answer 7

• fluoxetine

- sertraline (acceptable alternative)