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Flashcardlet > 1229 Exam 6: Emotional Disorders > Flashcards

1229 Exam 6: Emotional Disorders Flashcards

1
Q

Epidemiology

A

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

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2
Q

Attention Deficit Hyperactivity Disorder (ADHD)

A

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

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3
Q

Juvenile Onset Bipolar Disorder

A

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

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4
Q

Bipolar 1

A

at least one episode of mania alternating with major depression

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5
Q

Bipolar 2

A

hypomanic episodes alternating with major depression

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6
Q

Oppositional Defiant Disorder

A

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

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7
Q

Conduct Disorders

A

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

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8
Q

4 Types of Conduct Disorders

A

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

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9
Q

Risk Factors

A

Witnessed violence

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10
Q

Risk Factors

A

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

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11
Q

Risk Factors

A

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

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12
Q

Risk Factors

A

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

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13
Q

Biological Factors

A

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

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14
Q

Temperament

A

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

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15
Q

Resilience

A

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

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16
Q

Characteristics for Resilience include:

A

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

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17
Q

Environmental Factors

A

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

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18
Q

Cultural Considerations

A

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

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19
Q

Assessing Development and Functioning

A 
Assessment data
Data collection
Mental status exam
Developmental assessment
Suicide risk
Cultural influences
READ BOX 28-2!!
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20
Q

Developmental Assessment

A 
Psychomotor skills
Language skills
Cognitive skills
Interpersonal and social skills
Academic achievement
Behavior
Problem solving and coping skills
Energy level and motivation
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21
Q

Neuro Assessment

A 
Cerebral function
Cerebellar function
Sensory function
Reflexes
Functions can be observed during developmental assessment and while playing games involving a specific ability
22
Q

Medical History

A 
Review of body systems
Traumas, hospitalizations, operations, and response
Illnesses or injuries affecting CNS
Past and present medications
Allergies
23
Q

Family History

A

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

24
Q

Mental Status Assessment

A 
General appearance
Activity level
Coordination and motor function
Affect
Speech
Manner of relating
Intellectual function
Thought process and content
Characteristics of play
25
Q

Family Therapy

A

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

26
Q

Group Therapy

A

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

27
Q

Milieu Management

A

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

28
Q

Behavioral Therapy

A

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

29
Q

Seclusion and Restraint

A

used properly

child/adolescent will always perceive seclusion as punishment

30
Q

Cognitive Behavioral Therapy

A

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

31
Q

Play Therapy

A

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

32
Q

Mutual Story telling

A

technique for helping young children express themselves verbally

33
Q

Bibliotherapy

A

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

34
Q

Therapeutic Games

A

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

35
Q

Therapeutic drawing

A

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

36
Q

Psychopharmacology

A

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

37
Q

Autistic Disorder

A

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

38
Q

Asperger’s Disorder

A

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

39
Q

Rhett’s Disorder

A

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

40
Q

Drug treatment for ADHD

A 
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
41
Q

Anxiety

A

is a normal part of development

42
Q

Anxiety is a problem when:

A

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

43
Q

Separation Anxiety Disorder

A

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

44
Q

Post Traumatic Stress Disorder

A

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

45
Q

Assessment for Anxiety Disorders

A

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

46
Q

Most frequently diagnosed mood disorders:

A

Major depressive disorder
Dysthymic disorder
Bipolar disorder

47
Q

Symptoms of Mood disorders

A

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

48
Q

Tourette’s Disorder

A

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

49
Q

Adjustment Disorder

A

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

50
Q

Feeding and Eating Disorders

A

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

51
Q

BOXES to read

A

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

Flashcardlet (44 decks)

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