anxiety disorders childhood

Question 1

what are the anxiety disorders of childhood?

Answer 1

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

Question 2

prevalence

Answer 2

5-15%

Question 3

child presenting with anxiety may actually have

Answer 3

something else eg ASD
mood disorder
early onset psychosis

Question 4

what are the early childhood disorders?

Answer 4

separation
specific phobias
selective mutism

Question 5

what are the late childhood disorders

Answer 5

OCD
social
panic

Question 6

all ages disorders?

Answer 6

GAD

Question 7

aetiology of anxiety disorders?

Answer 7

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

Question 8

precipitating factors

Answer 8

recent LE

loss

Question 9

perpetuating factors

Answer 9

negative cognitions
poor coping
family

Question 10

features of GAD?

Answer 10

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

Question 11

onset of OCD?

Answer 11

10yrs in kids

Question 12

gender OCD in kids?

Answer 12

m:f 3:2

equal in teens

Question 13

comorbidities in OCD?

Answer 13

yep - 70%

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

Question 14

rating for OCD?

Answer 14

CY-BOCS

children’s yale-brown obsessive compulsive scale

Question 15

what is PANDAS?

Answer 15

paediatric AI neuro disorder associated with strep

Question 16

features of PANDAS?

Answer 16

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

Question 17

tx for OCD?

Answer 17

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

Question 18

sx of PTSD in children?

Answer 18

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

Question 19

tx of PTSD in kids?

Answer 19

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

Question 20

features of separation anxiety

Answer 20

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

Question 21

prevalence of separation anxiety in kids?

Answer 21

3.5%

Question 22

prevalence of panic disorder in kids?

Answer 22

3-6%

Question 23

gender in panic

Answer 23

f>m

Question 24

tx panic

Answer 24

CBT

SSRI

Question 25

agoraphobia gender

Answer 25

f>m

Question 26

tx agoraphobia

Answer 26

CBT

SSRI

Question 27

gender in social phobia?

Answer 27

m=f

Question 28

prevalence of social phobia in adolescent

Answer 28

5-15%

Question 29

tx social phobia?

Answer 29

CBT

SSRI

Question 30

simple phobia gender?

Answer 30

f>m

Question 31

tx simple phobia?

Answer 31

CBT

Question 32

what is selective mutism?

Answer 32

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

Question 33

associations of selective mutism?

Answer 33

social anxiety

oppositional behaviour

Question 34

classic presentations of anxiety in young people?

Answer 34

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

Question 35

organic causes of anxiety in young people?

Answer 35

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

Question 36

guide for medicating?

Answer 36

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