Adolescent Psych Flashcards

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1
Q

It’s important to get multiple sources of info before diagnosing a child with something, where could you get it?

A
  • Them
  • Family (as many members as possible)
  • School
  • Social Work
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2
Q

Important to build a bio-psycho-social formulation of the child’s case. what sort of things fall under these categories?

A

Bio - FH, perinatal problems, drugs, psych history

Psychological - attachment, self-esteem/efficacy & motivation

Social - Relationships, peers, sports/clubs/groups, schooling

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3
Q

This includes

A

Conduct Disorders
ADHD
School Avoidance
Suicide

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4
Q

What is a conduct disorder?

A

A repetitive and persistant pattern of Antisocial, Aggressive & Defiant to authority behaviours that violate age-appropriate societal norms

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5
Q

Conduct disorders can cause problems with socializing, education, employment, mental health & criminal activity. How do we manage it?

A

Parent Training
Modifying school environment
Therapy incl Family therapy, social skills training & anger management

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6
Q

What are the features of ADHD?

A

Abnormal INNATENTION, HYPERACTIVITY & IMPULSIVITY present across time & situations

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7
Q

How do we treat ADHD?

A

Psychoeducation
Parent Training
School interventions
Meds 1st = Methylphenidate (Ritalin)
Meds 2nd = Atomoxetine (Noradrenalin reuptake inhibitor)

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8
Q

We should always look out for comorbidities in ADHD, how come?

A

Its super common, like 50%+ cases have another mental health disorder incl LD, ASD, CD, anxiety, depression or substance misuse

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9
Q

A teen comes in having attempted suicide, what risk factors are there for further attempts?

A
  • Persistant suicidal ideas
  • Previous suicidal behaviour
  • High lethality of method
  • High intent & motivation
  • Ongoing precipitating factors
  • Mental disorders
  • Poor physical health
  • Impulsivity
  • Parental mental health or suicidal behaviour
  • Abuse
  • Poor support network
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10
Q

How do we manage a suicidal child?

A

Admit temporarily for treatment and assessment

Mental health & risk assessment including psychiatric opinion

Refer to CAMHs, social work, child protection as needed

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11
Q

The major cause for kids avoiding school is anxiety, what are the two categories it’s important to distinguish?

A

Seperation anxiety - Problem leaving parents/home
Social Phobia - Problems arriving at school and with groups

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12
Q

What are the features of anxiety?

A
  • Anxious thoughts
  • Autonomic symptoms
  • Avoidance
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13
Q

How do we treat anxiety in kids?

A

CBT
Psychoeducation
SSRI
Return to school ASAP (to avoid fear growing with avoidance)

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