Adolescent Mental Health Flashcards
What does CAMHS stand for?
- Child and Adolescent Mental Health Services
What are the implications of mental health problems in young people?
- educational attainment
- social relationships
- life chances
- physical health
What is the most common mental health d.o in kids?
- anxiety d.os
- likely to persist into ADULTHOOD
What genetic factors predispose as pt to anxiety d.o?
- abnormal fxn of SEROTONIN, NE, GABA and dopamine
- limbic system can be overactive
- irritable, shy, cautious and quiet temperament
- biological vulnerability to inherit FEARFUL disposition
What behavioural factors contribute to the making of anxiety d.O?
- acquisition of fear through CLASSICAL CONDITIONING
- maintenance of fear through OPERANT conditioning
- observational training
What is classical conditioning?
- individual associates threatening stimulus with a NON-THREATENING stimulus
- nausea triggered with the sight or smell of food that made your tummy upset before.
What is operant conditioning?
- negative reinforcement manifested by AVOIDANCE and/or escape learning
- phobia of dogs; person crosses the road to avoid the dog
What are the cognitive factors seen in Anxiety d.os?
- distorted judgments
- attentional Biases (can’t consider alternatives)
- negative spin on non-threatening sit.
- selective memory processing
- tendency to remember anxiety-provoking cues
- perfectionist beliefs
- inflated sense of responsibility
Name the diff. kinds of anxiety d.os.
- social phobia
- GAD
- OCD
- PTSD
- Panic d.o
- Phobias
How long do you continue SSRIs for anxiety d.o ?
12 weeks for effect to set through
How does depression appear in children and young people?
- persistent SADNESS
- feeling of Hopelessness and mood changes
- irritable or anger
What are the biological symptoms for depression in youngsters?
- change in apppetite, sleep
- can’t conc
- fatigue and low energy
- worthless and guilt
- can’t function socially and academically
List potential causes of depression.
- conflict between parents
- depression in parents
- divorce in parents
- conflicts with friends
- social disadvantage
- school stress, bullying
How do you manage emotional disorders?
- parenting TRAINING and guidance
- talking therapy
- medication (when others don’t work)
What are diff. forms of talking therapies?
gold standard: CBT (group/ family/online) IPT EMDR Solution focused therapy CAT Psychodynamic Pschotherapy