5 - PSY - Child and Adolescent Psych

Question 1

Prevalence of mental health difficulties in children?

Answer 1

10%

Question 2

Normal child social development - newborn

Answer 2

preferential response to human face and voice - cries for comfort/food

Question 3

Normal child social development - 9-months

Answer 3

starts to indicate wants without crying

Question 4

Normal child social development - 18-month

Answer 4

tantrums, parallel play with peers

Question 5

Normal child social development - 5y

Answer 5

develop friendships

Question 6

3 categories of attachment theory

Answer 6

secure attachment
anxious-ambivalent insecure attachment
anxious-avoidant insecure attachment

Question 7

When do stranger anxiety + selective attachments present

Answer 7

9-month

Question 8

When do kids separate more easily from parents

Answer 8

3/4y

Question 9

ASD = ?

Answer 9

Autistic Spectrum Disorder

Question 10

Boys:Girls ratio of ASD

Answer 10

4:1

Question 11

ASD triad of deficits?

Answer 11

socialisation
communication
repetitive behaviour

Question 12

ASD aetiology - 3 things

Answer 12

• genetic
• biological, NT’s, brain injury
• psychosocial factors affect how problem presents and how patient copes

Question 13

ADHD is ?

Answer 13

Attention deficit hyperactivity disorder

Question 14

ADHD Boys to girl ratio

Answer 14

3:1

Question 15

ADHD must be …

3 criteria for diagnosis

Answer 15

onset <7y
Persistent >1 setting (school and home)
Maladaptive and inconsistent with childs developmental level

Question 16

Core ADHD symptoms

Answer 16

inattention, hyperactivity, impulsivity

Question 17

Dyslexia - boys : girls

Answer 17

4:1

Question 18

define dyslexia

Answer 18

persistent difficulties in processing and producing written material out of keeping with persons other abilities

Question 19

What is vital in assessment of a childs mental health?

Answer 19

including family

social context - can’t control their own like adults

child protection/safe guarding - abuse may underlie presentation

Question 20

ADHD Tx - bio?

Answer 20

stimulants - methylphenidate (ritalin, concerta)

non-stimulants - atomoxetine

Question 21

AHDH Tx - psycho?

Answer 21

parenting course

Question 22

ADHD Tx - Social?

Answer 22

educational liason (special needs)

Question 23

Gillick competency/Fraser guidelines?

Answer 23

started with “can Dr give contraceptive to underage girls without parental consent” - now more widely used to assess whether child has maturity to make decisions about their care