1229 Exam 6: Emotional Disorders

Question 1

Epidemiology

Answer 1

1 in 5 children in US have a major mental illness

2/3 of all young ppl with mental health problems are not getting treatment

Question 2

Attention Deficit Hyperactivity Disorder (ADHD)

Answer 2

a degree of inattention, impulsiveness & hyperactivity
Attention problems contribute to low frustration tolerance, temper outburst, labile moods, poor school performance, peer rejection, & low self esteem

Question 3

Juvenile Onset Bipolar Disorder

Answer 3

mood disorder that includes one or more manic episode & depressive episode

Question 4

Bipolar 1

Answer 4

at least one episode of mania alternating with major depression

Question 5

Bipolar 2

Answer 5

hypomanic episodes alternating with major depression

Question 6

Oppositional Defiant Disorder

Answer 6

a recurrent pattern of negativistic, disobedient, hostile, defiant behavior toward authority figures w/o going so far as to seriously violate the basic rights of others

Question 7

Conduct Disorders

Answer 7

persistent behavior in which the rights of others are violated and age appropriate societal norms or rules are disregarded
It is one of the most frequently diagnosed disorders of childhood and adolescence

Question 8

4 Types of Conduct Disorders

Answer 8

Aggression toward people and animals
Property destruction
Theft
Serious violations of rules

Question 9

Risk Factors

Answer 9

Witnessed violence

Question 10

Risk Factors

Answer 10

Child who has a parent with depression could have anxiety disorder, conduct disorder, alcohol dependence

Question 11

Risk Factors

Answer 11

History of abuse or neglect are at risk for developing emotional, intellectual, social handicaps

Question 12

Risk Factors

Answer 12

History of abuse/stressful live events such as physical/sexual abuse/trauma can lead to increased incidence of accidental injuries, anxious children, depression, suicidal behaviors, insecure attachments, PTSD, conduct disorders, delinquency, impaired social/cognitive function, also at risk for dissociative identity disorder

Question 13

Biological Factors

Answer 13

Genetic:
Autism, bipolar, schizophrenia, attention deficit problems, mental retardation
Direct Genetic Links:
Tay-Sachs, Phenylketonuria, Fragile X

Question 14

Temperament

Answer 14

style of the behavior the child habitually uses to cope w/ the demands/expectations from the environment
thought to be genetically determined and may be modified by the parent-child relationship

Question 15

Resilience

Answer 15

formed by the relationship between the child/s constitutional endowment and environmental factors

Question 16

Characteristics for Resilience include:

Answer 16

temperament that adapts to environmental change, ability to form nurturing relationships with other adults when the parent is not available, ability to distance self from emotional chaos of parent/family, good social intelligence, ability to use problem solving skills

Question 17

Environmental Factors

Answer 17

abusive, rejecting, overly controlling, the child of these parents may suffer detrimental effects at the developmental point at which the trauma occurs

Question 18

Cultural Considerations

Answer 18

culture shock and conflicts
Immigrant children are at risk for mental and learning disorders
Differences in expectations, stresses, support or lack of by the dominant culture have an effect on development and risk of mental, emotional and academic problems

Question 19

Assessing Development and Functioning

Answer 19

Assessment data
Data collection
Mental status exam
Developmental assessment
Suicide risk
Cultural influences
READ BOX 28-2!!

Question 20

Developmental Assessment

Answer 20

Psychomotor skills
Language skills
Cognitive skills
Interpersonal and social skills
Academic achievement
Behavior
Problem solving and coping skills
Energy level and motivation

Question 21

Neuro Assessment

Answer 21

Cerebral function
Cerebellar function
Sensory function
Reflexes
Functions can be observed during developmental assessment and while playing games involving a specific ability

Question 22

Medical History

Answer 22

Review of body systems
Traumas, hospitalizations, operations, and response
Illnesses or injuries affecting CNS
Past and present medications
Allergies

Question 23

Family History

Answer 23

Illnesses in family-seizures, mental disorders, mental retardation, hyperactivity, drug and alcohol abuse, diabetes, cancer
Background of family-occupation, education, social, religion
Family relationship-separation, divorce, death, contact with extended fam, support system

Question 24

Mental Status Assessment

Answer 24

General appearance
Activity level
Coordination and motor function
Affect
Speech
Manner of relating
Intellectual function
Thought process and content
Characteristics of play

Question 25

Family Therapy

Answer 25

critical to improve the function of a young person with a psychiatric illness Counseling is a key component of treatment Specific goals are defined Learn how to solve problems and build strengths Develop insight and improve judgment Develop lasting relationships with other families

Question 26

Group Therapy

Answer 26

Takes the form of play for younger children Combines play and talking for grade school children Talking for older children and adolescents

Question 27

Milieu Management

Answer 27

to provide physical and psychological security, promote growth and mastery of developmental task, and improve psychiatric disorders

Question 28

Behavioral Therapy

Answer 28

desired behavior is rewarded Undesirable behavior is ignored or has limits Has increasing levels of privileges that can be earned

Question 29

Seclusion and Restraint

Answer 29

used properly | child/adolescent will always perceive seclusion as punishment

Question 30

Cognitive Behavioral Therapy

Answer 30

to change cognitive and behavioral processes, reducing the frequency of maladaptive responses and replacing them with new competencies

Question 31

Play Therapy

Answer 31

child's way of learning to control impulses and adapt to environment

Question 32

Mutual Story telling

Answer 32

technique for helping young children express themselves verbally

Question 33

Bibliotherapy

Answer 33

uses literature to help child express feelings in a supportive environment, gain insight, learn new ways to cope with difficult situations

Question 34

Therapeutic Games

Answer 34

the development of a therapeutic alliance and provides an opportunity for conversation

Question 35

Therapeutic drawing

Answer 35

capturing thoughts, feelings, and tensions a child may not be able to express verbally

Question 36

Psychopharmacology

Answer 36

typically works best when combined with another treatment such as cognitive behavioral therapy

Question 37

Autistic Disorder

Answer 37

impairment in communication and imaginative activity impairment in social interactions restricted stereotypical patterns of behavior, interest, and activities

Question 38

Asperger's Disorder

Answer 38

recognized later than autistic disorder no significant delays in cognitive and language development or self help severe or sustained impairment in social interactions, development of restricted, repetitive patterns of behavior in interest or activities

Question 39

Rhett's Disorder

Answer 39

Seen only in females onset before age 4 Characteristics include: persistent loss of manual skills, development of stereotyped hand movements, problems with coordination and gait, severe psychomotor retardation, problems w/ expressive and receptive language, loss of interest in social interactions

Question 40

Drug treatment for ADHD

Answer 40

``` Classification: Trade Name Methylphenidate: Ritalin and Methylin Transdermal Patch: Ritalin SR/LA, Metadate ER/CD, Concerta, Daytrana Dexmethylphenidate ST: Focalin Dextroamephetamine: Dexedrine, Dexedrine Spansule Lisdexamfetamine dimesylate: Vynanse Amphetamine mixture: Adderall Atomoxetine: Strattera ```

Question 41

Anxiety

Answer 41

is a normal part of development

Question 42

Anxiety is a problem when:

Answer 42

a person fails to move beyond the fears associated with a particular problem It interferes with normal functioning over an extended period of time anxiety disorders affect as many as 10% of young people

Question 43

Separation Anxiety Disorder

Answer 43

child becomes excessively anxious when separated or anticipating separation from home or parental figure

Question 44

Post Traumatic Stress Disorder

Answer 44

children of any age can develop PTSD younger children appear to react more with behaviors indicative of internalized anxiety older children and adolescents find the anxiety is more externalized

Question 45

Assessment for Anxiety Disorders

Answer 45

Anxiety and conflict between child and parents recent stressors parents understanding of developmental norms Parenting skills Childs developmental level S/S of anxiety and coping style

Question 46

Most frequently diagnosed mood disorders:

Answer 46

Major depressive disorder Dysthymic disorder Bipolar disorder

Question 47

Symptoms of Mood disorders

Answer 47

they are similar to adult s/s such as depression, psychomotor retardation and hypersomnia, associated factors are physical and sexual abuse, neglect, death, divorce, learning disabilities, conflicts with peers

Question 48

Tourette's Disorder

Answer 48

motor and verbal tics, causes marked distress, causes significant impairment in social functioning and occupational functioning avg age of onset of motor tics is 7 years old, can appear as early as 2 symptoms are obsessions, compulsions, hyperactivity, distractibility, impulsivity, low self esteem

Question 49

Adjustment Disorder

Answer 49

psychological response to an identifiable stressor but do not meet other DSM-IV-TR axis I criteria for another disorder symptoms develop within 3 months of stressors Decreased performance at school and changes in social relationships Subtypes classified according to presenting symptoms

Question 50

Feeding and Eating Disorders

Answer 50

Pica-persistent eating of nonnutritive substances Rumination disorder-the repeated regurgitation and rechewing of food Feeding and eating disorder of infancy or early childhood

Question 51

BOXES to read

Answer 51

28-2, 28-4, 28-5, 28-6