Behavioral Assessment Flashcards

1
Q

screening and diagnosing behavior disorders in children

A

screening = one piece of puzzle
- obtains collateral infromation from family
- take pt. presenation and hx. into account
- where doe behaviors occur

Diagnosis
- according to the DSM

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2
Q

Anxiety
Screening tools

A

Anxiety in Children

SCARED: screening for child anxerty related disorders
- child and adult fille each one out

Example of questions
- stomach headache
- frighetedn or hard to breathed

Beck Anxiety Screening Inventrory

GAD 7
- helps to differentiate between mild and moderated GAD in adolecents

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3
Q

Anxiety Interventions

A

Interventions
Behavioral INterventions
- CBT: to help derail the anxiety throught processes

Systemic Desensitization
- exposure based therapy

Dearousal Techniques
- mindfulness
- diaphragmatic breathing
- muslce relaxation
- grounding

Taret avidant behaviors and intorduce gradede expsoures
- desensitize to ensure they wont just avoid locations where they feel anxious

Additional
- Activity Scheduling and CBT can help

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4
Q

Anxiety
Subtypes

A

Separation anxiety disorder
selective mutaism: location dependent
Specifi phobias
socail anziety disorder
panic disorder
agoraphobia (fear out outside)
generalized anxety
Obessive Compulsive Releated: a separate diagnosis category : bheavior extention techniques

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5
Q

Anxiety and the use of medication to treat

A

studies show
- medication + behvaioral therapy have bes outcomes for kids and adolecents
- ensure theray is structured

Prior to meds
- ensure proper workup, with labs to r/o other causing (thyroid, endocrine, etc.)
- utalized standard screenings to ensure its anxiety
- rule out depression or psychiatric hisotry

Meds
- SSRIs are used: watch increasd in suisiadality at risk use

best combo = SSRi and CBT

ensure proper follow up and monitorin for effects and side effects

can consider depresrcibing after 12 months of treatement for med. free trial (like summer break for kdis

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6
Q

Depression in Children

Screning & scores
including susicadailty questions for teens

A

Screening
- PHQ9

scores:
- 0-4 no or minor depression
- 5-9 = mild
- 10-14 = moderate
- 20-27 = severe

moderate to severe = must document discussion about intervention and treatment

Suicide
- must ask about this with depression screening
- ask about EVER in WHOLE LIFE thought about killing self
- or attempt to?
- if they + within 30 days = warrents emergency interventaion

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7
Q

Persistant Depressiove Disorders: Dysthmia

A

Dythmyia
- “blue cloud” persistant feelings of being down but not interferring significantly with daily activites: still gets up and goes to work, etc.
- exisiting for 1 year + in children
- 2+ symptoms of appetite or sleep issues, low energy, self esteem and concentration; difficult to made decisions
- never manic/bipolar

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8
Q

Treament
Depression
Dysthymia

Premenstrual Dysphoric Disorder

A

Depression: lift mood

Dysthmymias: focus on therapy and coping skills

PMDD: menstrual changes and mood chagnes severe enough to impact life
- ask about cycle and have thme log it

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9
Q

ADHD
define
dx.
types

A

Define
- inattention
- inpulsivitiy
- ihyperactivtiy
- a neurodevelopmentl disorder : dopamine and NE play a role

Diagnosis
- inattetntive symptoms
- hyperactivtiy/implusive symptoms
- happening in multiple locations (school and home) 2+ locations
- happening before age of 12
- happening > 6 months

Types
- combined: inattention and hyperactivity/impusivity
- predom. inattention v predom. hyperactive

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10
Q

ADHD
Meds
monitoring

Screening tools

A

stimulants are first line

viloxazine and atomoxetine are nonstimulant alternatives
viloxazine best for extended release?

Monitoring
- BP and HR
- cardiac complications and hx. of cardiac issues in fam
- appetite

ADHA Screening
vanderbilt scale
conners scale =

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11
Q

ASD
define
symptoms

A

define
- persistant deficits in socail communication and social interactions in multiple contexts with behvaiors that are restritive and patterned

Symptoms
- abnromal social aprraoch
- reduced wanting to share
- emotioanl failure to initaite or respond
- abnormal eye contact
- lack of facial expression
- unable to develop maintain or understand relationships
- inability to adjust or be flexible: needs routine
- unusal interest in sensory aspects of teh world

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12
Q

Oppositional Defiant Disorder
define
Symptms

A

ODD
- angry/irritable moode and defiant behaviors > 6 months
- 4 symptoms from the 3 categories
- occurs with at least 1 person pther than sibling

Symptoms
- angery, irritabel mood
- quick temper and resenful
- argumentative and defiant : authroitire figures and adults
- vindictive: spiteful for 6 months

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13
Q

Conduct Disoder

A

think law breakers, physcaill violent

Define
- repetitive and persistant pattern of behavior with basic rights of animals an humans are violeated and socail norms broken
- for past 6 months

Symptoms
- aggression to people/animals: killing, weapons, etc.
- destruction of property : fire starting
- decifulness and theft
- serious violation of rules (laws) etc, (running awayf rom home

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