5 - Paeds - Safeguarding - CAMHS - Tantrums, Aggressive behaviour + Conduct disorder

Question 1

Tantrums are a …

what guides your history?

Answer 1

ordinary response to failure

take history and analyse with ABC :

• Antecedents - what happened in minutes before
• Behaviour - what did episode consist of?
• Consequences - what happened as result? eg what parent did and outcome of that

Question 2

Tantrums - After history..? what medical factors could contribute?

Answer 2

examine child

global/language delay, hearing impairment and meds with bronchodilators/anticonvulsants

Question 3

MGMT - before tantrum?

Answer 3

affection/attention before, distraction, avoid antecedents

Question 4

MGMT - during tantrum?

after?

Answer 4

ignore with no surrender
time out for + reinforcement (go away and return when quietens)
use naughty chair/sibling separation
hold firmly if acting dangerously

star chart to prevent future episodes

Question 5

Aggressive behaviour - how to manage? what is 1-2-3 principle?

Answer 5

same rules as tantrums apply
1 - stop doing that because ..
2 - if you don’t stop that, you must go to your room
3 - go to your room

Question 6

Conduct disorder - what is it? things they may do?

Answer 6

antisocial behaviour so severe it handicaps general functioning
steal, lie, disobey, light fires, destroy things and pick fights

Question 7

Conduct disorder - typically from where?

Answer 7

homes of discord, with coercive r’ships and poor supervision/limited boundaries

Question 8

Conduct disorder - 1st intervention? problems with this?

Answer 8

parent mgmt training - minimal benefit if poor parental cooperation

Question 9

Conduct disorder - what other mgmt options are there?

Answer 9

anger mgmt, indiv/group based interventions focused on problem solving

Question 10

Conduct disorder - MGMT needs what? and who?

Answer 10

need motivation from child

all need psychiatrists, teachers, police, parents