Behavioural and Emotional Problems Flashcards
Investigations
Hx and exam
Antecedents
Behaviour
Consequence
Separation Anxiety:
Define
When is it a normal part of development?
When should it reduce?
How would pathology present?
Anxiety about separation from main caregiver
6-8 months
2 yrs - can usually tolerate hrs away from caregivers
Its persistence or reemerges beyond this time
Temper tantrums - when are they common?
Kids reach an age when they have to comply with demands
School refusal
Define
Presentation
Rx
Inability to attend school due to overwhelming anxiety which can be either parental separation anxiety, school phobia or both.
Anxiety
Hyperventilation
May present as N&V which clears up at the weekend
Liaise with headteacher, parents and educational psychologist.
Escort by an education welfare officer aids prompt return.
What does ADHD stand for?
What sex is this more common in?
Attention Deficit Hyperactivity Disorder
Males
ADHD:
Presentation
What is the criteria for diagnosis?
Reduced concentration Disorganised Overactive Disinhibited Impulsive Temper tantrums School problems
Diagnosis requires the presence of symptoms in 2 or more settings (school, home, work).
ADHD:
Management:
1st line - what is done?
What environmental modifications can be done?
Education and support
Psychoeducation for patient and family including what behaviour is from ADHD and what is normal.
Using headphones, more frequent breaks
ADHD:
Management:
2nd line - what drug are give first?
What meds are given second?
What are some adverse effects of these meds?
What if symptoms persist?
What about Rx in adults?
Methylphenidate
Atomoxetine
Deamefetamine
Lisdexamfetamine
Can affect appetite and growth
CBT
CBT and meds given first line
Disruptive behaviour:
What is DMDD?
What does it present with?
Disruptive mood dysregulation disorder
Angry
Irritability which persists
Severe temper outbursts
Disruptive behaviour:
What is ODD?
What does it present with?
Oppositional Defiant Disorder
Argumentative
Defiant behaviour
Spiteful or vindicative
Angry and irritable though less severe than DMDD
Disruptive behaviour:
What is CD?
What does it present with?
Conductive Disorder
Antisocial acts (e.g. violence)
May harm animals, property, rule breaking, theft, deceit.
Eating disorders in the young people
When does anorexia peak?
Females?
When does bulimia onset peak?
14 yrs
10 times commoner in females
A few yrs after anorexia
