Adolescent Psychiatry Flashcards
What are the warning signs in adolescent psychiatric illness?
Mood swings
Hormonal changes
What are the adolescent psychiatric disorders?
Depression
Bipolar
Anxiety and OCD
Eating disorders
Schizophrenia and other psychoses
Deliberate self harm and suicide
Somatoform disorders
Substance abuse
Conduct disorder
What are the risk factors for suicide and self harm?
BIOLOGICAL Family history of suicide and DSH DSH in close friends Familial psychiatric disorders Neurotransmitter dysregulation Male sex
PSCHOLOGICAL Mood disorders (depression) Alcohol and substance abuse Anxiety disorders Eating disorders Conduct disorders Previous failed attempts Low self esteem Hopelessness Guilt Bullying Confusion with sexual orientation Abuse
SOCIAL Loss and bereavement Family discord Parental divorce Neglect Imitation
What are the signs of adolescent depression?
Irritable cranky mood
Boredom
Loss of interest
Overweight and failure to gain weight
Changes in sleep patterns
Low self esteem
Feelings of guilt
Decreased ability to concentrate
Indecisive
Recurrent suicidal ideation or behavior
What is Deliberate Self Harm?
Deliberate and voluntary physical act
To inflict self injury
That is not life threatening
And has no conscious suicidal intent
What are the principles of adolescent substance abuse treatment?
Identify and address as soon as possible
Intervention is always beneficial
Always ask in routine medical visits
Legal intervention and family pressure are good
Tailored uniquely
Treat the whole person, not just drug abuse
Behavioral therapy
Family and community help
Identify other mental disorders
Identify child abuse and violence
Monitor drug use during treatment
Continuity of care
