CAMHS Flashcards
How might a child with depression present
Low mood
Low energy
Anhedonia
Anxiety
Clinginess
Irritability
Avoiding social situations
Hopelessness
Poor sleep
Poor appetite or over eating
Poor concentration
Abdominal pain
What is the management for a child with depression
Mild: watch and wait for 2 weeks
Moderate to severe: talking therapy, fluoxetine, sertraline, citalopram
Continue antidepressants for 6 months after remission
Admit if high risk
What is the management for children with generalised anxiety disorder
Mild: watch and wait, self help strategies, diet and exercise advice, avoidance of drugs and alcohol
Moderate to severe: refer to CAMHS, counselling, CBT, consider SSRI (sertraline)
What is the management for OCD in children
Refer to CAMHS
Patient and carer education
CBT
Consider SSRI
What are the 3 features of autism spectrum disorder
Deficit in social interaction
Deficit in communication
Deficit in flexible behaviour
What are the features of ADHD
Very short attention span
Quickly move from one activity to another
Quickly lose interest in a task
Constantly moving or fidgeting
Impulsive behaviour
Disruptive or rule-breaking behaviour
What is the management for ADHD
Healthy diet and exercise
Ritalin (methylphenidate) for severe cases
What is the management for eating disorders in children
Self help resources
Counselling
CBT
Consider admission
SSRIs
What are the electrolyte abnormalities of refeeding syndrome
Hypomagnesaemia
Hypokalemia
Hypophosphataemia
What is the management for refeeding syndrome
Slowly reintroduce food
Electrolyte monitoring
Fluid balance monitoring
ECG
Vitamin and thiamine supplements
What are Tourette’s and Tics
Tourette’s: development of tics that are present for over a year
Tics: involuntary movements/sounds performed repetitively, more when stressed/excited
Present at around 5
What are some examples of simple tics
Clearing throat
Blinking
Head jerking
Sniffing
Grunting
Eye rolling
What are complex tics
Twisting on the spot
Touching objects
Obscene gestures
Saying obscene words
Repeating other people’s words
What is the management for Tourette’s and tics
Usually improve over time
If severe: habit reversal training, exposure and response prevention, antipsychotics
