adolescent psychiatry Flashcards
are mental health problems more common in boys or girls ?
ages 5-10 more common in boys
11-15 more common in girls
what are the risk factors within the child for mental health problems ?
genetic influence low IQ and learning difficulties developmental delay communication difficulties difficult temperament
what is resilience ?
the ability to bounce back or balance between risk/stressful life events
what are the most common psychiatric complaints in young children ?
separation
feeding
what is the most common psychiatric complaint in primary school children ?
ADHD
Autism
what is the most common psychiatric complaint or disorder in the adolescent age group ?
depression
self harm
what are the different domains associated with a child’s psychiatric complaint ?
child’s biological makeup
immediate environment
social and economic context
cultural context
what is the general approach to the treatment of any psychiatric disease ?
bio-psycho-social
what is the bio part of the treatment approach ?
mainly medication anti depress : sertraline stimulants : methylphenidate antipsychotics : risperidone mood stabilizer : sodium valporate sleep : sedating anti-hitamines , melatonin, benzodiazepam
who is tier ! of the child and adolescent mental health services directed for ?
all children
Universal
tier 2 of CAMH ?
targeted
children and young people with additional needs
tier 3 of services in CAMH ?
referred
children and young people with high needs already indicated
tier 4 sercives ?
specialist
children with the highest need
what does forensic history focus on ?
previous arrests
convictions
what age group falls under the term adolescent ?
10-24 years old
what ortho related diseases are more commonly associated with adolescents ?
osgood-schlatter disease
scoliosis
scheuermann
what is the major criteria associated with the diagnosis of chronic fatigue syndrome ?
debilitating fatigue reducing activity to less than 50% for at least 6 months
other causes of fatigue excluded
what are the minor criteria that must be fulfilled for the diagnosis of CFS ?
4 out of 8 must exist : sore throat painful cervical or axillary lymph nodes muscle discomfort prolonged generalised fatigue headaches arthralgias neuropsychological disorders sleep disorders
what does the HEEEADSSSSS mnemonic stand for ?
home employment education eating Activities Drugs Sexuality Self harm Suicide Safety Sleep
what are the 4 aspects of gender ?
genetic sex
internal genital organs
external genital organs
psychological gender
what are the typical presentation of a suspected disorder of sexual differentiation ?
a girl with primary amenorrhea
a girl who virilises at puberty
a boy with pubertal delay
what is russel sign an indication of ?
bulimia nervosa
what is important to mention when ending the interview ?
Problem identified Alternatives given Select the alternative Trial Evaluate
what are the fraser guidlines regarding ?
treatment about contraception and sexual health
