5 - PSY - Child and Adolescent Psych Flashcards
Prevalence of mental health difficulties in children?
10%
Normal child social development - newborn
preferential response to human face and voice - cries for comfort/food
Normal child social development - 9-months
starts to indicate wants without crying
Normal child social development - 18-month
tantrums, parallel play with peers
Normal child social development - 5y
develop friendships
3 categories of attachment theory
secure attachment
anxious-ambivalent insecure attachment
anxious-avoidant insecure attachment
When do stranger anxiety + selective attachments present
9-month
When do kids separate more easily from parents
3/4y
ASD = ?
Autistic Spectrum Disorder
Boys:Girls ratio of ASD
4:1
ASD triad of deficits?
socialisation
communication
repetitive behaviour
ASD aetiology - 3 things
- genetic
- biological, NT’s, brain injury
- psychosocial factors affect how problem presents and how patient copes
ADHD is ?
Attention deficit hyperactivity disorder
ADHD Boys to girl ratio
3:1
ADHD must be …
3 criteria for diagnosis
onset <7y
Persistent >1 setting (school and home)
Maladaptive and inconsistent with childs developmental level
Core ADHD symptoms
inattention, hyperactivity, impulsivity
Dyslexia - boys : girls
4:1
define dyslexia
persistent difficulties in processing and producing written material out of keeping with persons other abilities
What is vital in assessment of a childs mental health?
including family
social context - can’t control their own like adults
child protection/safe guarding - abuse may underlie presentation
ADHD Tx - bio?
stimulants - methylphenidate (ritalin, concerta)
non-stimulants - atomoxetine
AHDH Tx - psycho?
parenting course
ADHD Tx - Social?
educational liason (special needs)
Gillick competency/Fraser guidelines?
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
