Behavioural medicine Flashcards
What blood tests do you need to do for PICA?
FBC, ferritin, zinc - deficiancy can cause
Lead - toxiciity secondary to what has eaten
Define Truancy
Lack of desire to go to school rather than anxiety re attendence
Define School refusal
Irrational fear about school attendence
Define oppositional defiant disorder
Typically <11yr
Severe temper tantrums inappropriate for age, refusing to comply with rules/requests. Blames others for mistakes
Define Conduct disorder
Bullying, aggression, commits actual crimes > 6 months
Define catoplexy
Suddenly dropping asleep.
What are the investigations you would request for narcolepsy?
Multilatency sleep test +/- CSF orexin level
Define Avoidant Restrictive Feeding Intake Disorder (ARFID)
Feeding disturbance not explained by medical condition/lack of food/ concern about body image
A/w ASD
How to manage depression?
2 week period of watchful waiting.
IF fail to respond ref to CAMHS
CBT +interpersonal therapy +/- Fluoxetine
What is first line treatment for bipolar disorder?
Aripiprazole
Define Kleine-Levin Syndrome
Sleeping Beuty syndrome
Very rare, predominantly affecting teenage boys
Hypersomnia, hunger, emotional prblems.
Sudden onset reolves in a few days
How to manage anxiety?
Psychoeducation, breathing exercises and mindfulness
2nd line CBT +/- SSRI
Define delusion
Falsly held belief including paranoia an grandiosity
Define hallucination
Perceptions in the absence of stimulous . Usually auditory.
What are the screening tools that may be used to aid with ADHD diagnosis?
Conner’s Parent Rating Scale
Conner’s Teacher Rating Scale
Strength and Difficulty Questionnaire
