anxiety disorders childhood Flashcards

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1
Q

what are the anxiety disorders of childhood?

A
  1. PTSD
  2. GAD
  3. OCD
  4. separation
  5. panic attacks
  6. agoraphobia
  7. social
  8. selective mutism
  9. phobias
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2
Q

prevalence

A

5-15%

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3
Q

child presenting with anxiety may actually have

A

something else eg ASD
mood disorder
early onset psychosis

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4
Q

what are the early childhood disorders?

A

separation
specific phobias
selective mutism

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5
Q

what are the late childhood disorders

A

OCD
social
panic

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6
Q

all ages disorders?

A

GAD

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7
Q

aetiology of anxiety disorders?

A
  1. genetic
  2. personality traits
  3. anxious attachment
  4. negative life events
  5. serotonin, NA disregulation
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8
Q

precipitating factors

A

recent LE

loss

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9
Q

perpetuating factors

A

negative cognitions
poor coping
family

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10
Q

features of GAD?

A
  1. females
  2. 2/3 dont’ seek help
  3. worry most days
  4. disfunction
  5. comorbidity 90%
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11
Q

onset of OCD?

A

10yrs in kids

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12
Q

gender OCD in kids?

A

m:f 3:2

equal in teens

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13
Q

comorbidities in OCD?

A

yep - 70%

  1. mood
  2. other anxiety disorder
  3. tic
  4. ADHD
  5. substances
  6. eating disorders
  7. LD
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14
Q

rating for OCD?

A

CY-BOCS

children’s yale-brown obsessive compulsive scale

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15
Q

what is PANDAS?

A

paediatric AI neuro disorder associated with strep

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16
Q

features of PANDAS?

A
  1. associated with OCD and tics
  2. onset pre-puberty
  3. episodic sx
  4. GBS infxn
17
Q

tx for OCD?

A
  1. psych: CBT, graded exposure therapy and response prevention, involve family, psychoeducate
  2. bio: SSRIs eg sertraline/fluvoxamine, tx 1-2 yrs - high relapse on discontinuation
18
Q

sx of PTSD in children?

A
  1. repetitive play involving event
  2. loss of developmental skills (language, toileting)
  3. separation anxiety
  4. behavioural probs
19
Q

tx of PTSD in kids?

A
  1. play therapy helps to assess and tx
  2. anxiety management techniques
  3. CBT
  4. SSRI
20
Q

features of separation anxiety

A
  1. won’t go school
  2. won’t sleep alone
  3. nightmares about separation
  4. distressed when separated
  5. physical complaints when separated
21
Q

prevalence of separation anxiety in kids?

A

3.5%

22
Q

prevalence of panic disorder in kids?

A

3-6%

23
Q

gender in panic

A

f>m

24
Q

tx panic

A

CBT

SSRI

25
Q

agoraphobia gender

A

f>m

26
Q

tx agoraphobia

A

CBT

SSRI

27
Q

gender in social phobia?

A

m=f

28
Q

prevalence of social phobia in adolescent

A

5-15%

29
Q

tx social phobia?

A

CBT

SSRI

30
Q

simple phobia gender?

A

f>m

31
Q

tx simple phobia?

A

CBT

32
Q

what is selective mutism?

A
  1. only speaks some situations eg okay at home, not in school
    2.
33
Q

associations of selective mutism?

A

social anxiety

oppositional behaviour

34
Q

classic presentations of anxiety in young people?

A
  1. no school
  2. somatic complaints
  3. poor peer relationships
  4. low self-esteem
35
Q

organic causes of anxiety in young people?

A
  1. hyperthyroid
  2. arrhythmia
  3. neuro disease
  4. substances incl caffeine
36
Q

guide for medicating?

A
  1. in severe when CBT doesn’t work
  2. poor evidence base
  3. benzos - disinhibit!
  4. SSRIs - suicidal
  5. TCAs - cardiotoxic
  6. buspirone - aggression