CAMHS

Question 1

what are the 3 main attachment styles

Answer 1

secure

insecure ambivalent/resistant

insecure avoidant

(disorganised = 4th ish)

Question 2

secure attachment

Answer 2

distressed when mum leaves

avoid stranger when alone but friendly when mum returns

Question 3

insecure ambivalent/resistant attachment

Answer 3

signs of distress when mum leaves
resists mum when back
cries the most out’ve all attachment styles

self - low value, dependent
others - insensitive, unpredictable, unreliable

Question 4

insecure avoidant attachment

Answer 4

no sign og distress when mum leaves
mother + stranger comfort baby equally

avoid intimacy, dependence, seen as cold - lack empathy or remorse

self - unloved, self-reliant
others - rejecting, controlling

Question 5

secure base vs safe haven

Answer 5

secure base = relationship/figure provides safe spaces from which to explore the world

safe haven = relationship/figure is a safe place to retreat to at times of danger or anxiety

Question 6

what causes reactive attachment disorder (RAD) ?

Answer 6

due to pathological care - emotional neglect, malnutrition, physical abuse

Question 7

what are the 2 subtypes of reactive attachment disorder (RAD) and how do they differ?

Answer 7

inhibited = fails to iniate/respond to social interactions in a developmentally appropriate way, doesnt seek comfort during times of threat/distress

disinhibited = inability to display selvetive attachements - extra familiar with strangers + unsociable with mum

Question 8

risk factors for RAD

Answer 8

adverse childhood experiences

• abuse
• neglect
• household dysfunction - divorse, incarcenated relative

Question 9

signs of RAD

Answer 9

neglectful behaviour from primary caregiver - not feeding, consoling, smiling, cleaning

excessive attempts to recieve comfort/extreme reluctance to accept comfort

Question 10

mangment of RAD

Answer 10

video feedback programme for parents/guardians
parent sensitivity + behavioural therapy
home visiting programmes

Question 11

conduct disorder

Answer 11

repetitive + persistent pattern of behaviour in violation of basic rights of others or age-appropriate norms are violated

(behavioural disorder)
highly co-morbid with ADHD - often misdiagnosed

Question 12

how does RAD + a conduct disorder differ?

Answer 12

kids with a conduct disoder are still able to form some satisfying relationship with peer + adult

Question 13

presentation of conduct disorder

Answer 13

3 or more in the last 12 months + 1 must be present in the last 6

• aggression to people or animals
• destruction of property - tarted fire
• deceitfulness or theft
• serious violation of rules

Question 14

treatment of conduct disorders

Answer 14

parent training + child focused programmes

medications (only in extreme of impulsivity + aggressive behaviour)

• risperidone (atypical antipsychotic)
• treat co-morbid - ADHD, depresion

Question 15

triad of ADHD

Answer 15

inattention
hyperactivity
impulsivity