adolescent psychiatry

Question 1

are mental health problems more common in boys or girls ?

Answer 1

ages 5-10 more common in boys

11-15 more common in girls

Question 2

what are the risk factors within the child for mental health problems ?

Answer 2

genetic influence 
low IQ and learning difficulties 
developmental delay 
communication difficulties 
difficult temperament

Question 3

what is resilience ?

Answer 3

the ability to bounce back or balance between risk/stressful life events

Question 4

what are the most common psychiatric complaints in young children ?

Answer 4

separation

feeding

Question 5

what is the most common psychiatric complaint in primary school children ?

Answer 5

ADHD

Autism

Question 6

what is the most common psychiatric complaint or disorder in the adolescent age group ?

Answer 6

depression

self harm

Question 7

what are the different domains associated with a child’s psychiatric complaint ?

Answer 7

child’s biological makeup
immediate environment
social and economic context
cultural context

Question 8

what is the general approach to the treatment of any psychiatric disease ?

Answer 8

bio-psycho-social

Question 9

what is the bio part of the treatment approach ?

Answer 9

mainly medication 
anti depress : sertraline 
stimulants : methylphenidate 
antipsychotics : risperidone 
mood stabilizer : sodium valporate 
sleep : sedating anti-hitamines , melatonin, benzodiazepam

Question 10

who is tier ! of the child and adolescent mental health services directed for ?

Answer 10

all children

Universal

Question 11

tier 2 of CAMH ?

Answer 11

targeted

children and young people with additional needs

Question 12

tier 3 of services in CAMH ?

Answer 12

referred

children and young people with high needs already indicated

Question 13

tier 4 sercives ?

Answer 13

specialist

children with the highest need

Question 14

what does forensic history focus on ?

Answer 14

previous arrests

convictions

Question 15

what age group falls under the term adolescent ?

Answer 15

10-24 years old

Question 16

what ortho related diseases are more commonly associated with adolescents ?

Answer 16

osgood-schlatter disease
scoliosis
scheuermann

Question 17

what is the major criteria associated with the diagnosis of chronic fatigue syndrome ?

Answer 17

debilitating fatigue reducing activity to less than 50% for at least 6 months
other causes of fatigue excluded

Question 18

what are the minor criteria that must be fulfilled for the diagnosis of CFS ?

Answer 18

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

Question 19

what does the HEEEADSSSSS mnemonic stand for ?

Answer 19

home 
employment 
education 
eating 
Activities 
Drugs 
Sexuality 
Self harm 
Suicide 
Safety 
Sleep

Question 20

what are the 4 aspects of gender ?

Answer 20

genetic sex
internal genital organs
external genital organs
psychological gender

Question 21

what are the typical presentation of a suspected disorder of sexual differentiation ?

Answer 21

a girl with primary amenorrhea
a girl who virilises at puberty
a boy with pubertal delay

Question 22

what is russel sign an indication of ?

Answer 22

bulimia nervosa

Question 23

what is important to mention when ending the interview ?

Answer 23

Problem identified
Alternatives given
Select the alternative
Trial 
Evaluate

Question 24

what are the fraser guidlines regarding ?

Answer 24

treatment about contraception and sexual health

Question 25

what are the conditions regarding consent in adolescents ?

Answer 25

1. if less than 16 yo they must fulfill fraser or gillick criteria
2. if more than 16 assumed consent
3. patients consent overrides parents refusal

Question 26

what are the conditions regarding refusal of treatment ?

Answer 26

cannot refuse if under the age of 18

judge can refuse treatment or agree with your patient