Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psych > CAMHS > Flashcards

CAMHS Flashcards

1
Q

Which anxiety disorder will see in under 3s

A

Separation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which anxiety disorder seen in 3-6 year olds

A

Phobias
Monsters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How does depression present in a child

A

Irritability as opposed to low mood
Somatic symptoms
Social withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Management of anxiety in a child

A

1st line- psychoeducation, Group CBT
Second line- fluoxetine or sertaline if OCD
Liaise with school if pertinent to presentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is SSRI for OCD in children

A

Sertaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What required for diagnosis of BPAD in children in the UK

A

1 epidose of manic episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is encopresis

A

Voluntarily letting out stool into clothes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are examples of behaviour disorders

A

Sleep disorder
Encopresis
Enuresis
Feeding disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Management principles of behaviour disorders

A
  1. Rule out physiological cause
  2. Behavioural therapy based around conditioning and positive behaviour rewards
    - eg if sleeping disorder look at sleep environment and hygiene, if encopresis look at using toilet after meals
  3. Last line medication like melatonin for sleep and desmopressin for enuresis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is difference between school refusal and truancy

A

School refusal the parents are aware
Truancy the child skips school and the parents have no idea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Difference in age presentation of school refusal versus truancy

A

School refusal- 5-12
Truancy- teenagers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What can cause school refusal

A

Underlying mental disorder- anxiety and depression
Somatisation
Bullying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is truancy related to

A

Conduct disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What can normally cause truancy

A

Academically unable
Large/disorganised families

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are key features of conduct disorders

A

Repetitive and persistent pattern of defiant behaviour for over 6 MONTHS
Beyond appropriate age norms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are features of conduct disorder as opposed to opposional defiant disorder

A

ODD
- severe tantrums
- defiance and refusal to comply with rules

Conduct disorder
- truancy
- stealing
- physical fights

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Behavioural management of conduct disorder and ODD

A

Identify triggers or pre-emptive factors and sort these out
Reward positive behaviour consitently and repetitively
Ignore negative behaviour and have clear boundaries with explicit consequences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is triad for ADHD

A

Impulsivity
Inattention
Hyperactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Criteria for ADHD versus hyperkinetic disorder

A

ICD 10 did not formally identify ADHD as a condition instead hyperkinetic disorder
ICD-10 for hyperkinetic disorder
- symptoms over 6 months
- present under age of 6
- combination of inattention and hyperactivity present in at least 2 settings

DSM-V for ADHD
- present under 12
- for 6 months
- presence of 6 inattention symptoms and 6 hyperactivity
- NOT better explained by conduct disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Difference in ADHD in adults (17 and over) versus children (16 and under)

A

Children
- present under age of 12
- at least 6 months
- presence of 6 symptoms

Adult
- at least 6 months
- presence of 5 inattention symptoms and 5 hyperactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is main neurological pathology behind ADHD

A

Prefrontal cortex hypoactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Imaging findings in ADHD

A

Frontal cortex atrophy
Reduced blood flow fMRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Risk factors for ADHD

A

Foetal alcohol syndrome
Low birth weight
Prematurity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Management of ADHD

A

Refer to specialist to make diagnosis
First line is family education and training
Second line methyphenidate if symptoms still severe
Third line if does not work- lisdexamfetamine
Fourth line if does not work- dexamfetamine
Can also consider Atmoxetine
If medication unsuccessful use CBT
MLD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Who is pharmacotherapy only given to in ADHD

A

Over 5s
Those who family education does not work
Functional impairment severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Side effects of methylphenidate

A

Arrythmias
Insomnia
Anorexia
Hypertension
Tics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Side effects of amfetamines in ADHD

A

Arrythmias
Insomnia
Anorexia
Hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What needs to be monitored with methylphenidate and amfetamines

A

Baseline ECG and BP
Monitor growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Class of atmoxetine

A

SNRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Side effects of atmoxetine

A

Suicidal thoughts
Anorexia
GI upset
Difficulty starting work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Physical conditions associated with causing autsm

A

Frgaile X
Tuberous sclerosis
Downs syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Management of autism

A

Psycho-education of family
MDT- specialist schools, occupational therapy, SALT
Behaviour management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What does IQ stand for

A

Intelligence quotient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Ranges for IQ

A

Normal - above 70
Mild- 50-69
Moderate- 35-49
Severe- 20-34
Profound is less than 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Autistic features
Hypotonia
Microcephaly
Seizures
Abnormal gait

A

Rett syndrome

36
Q

How does rett syndrome present

A

Autistic features
Hypotonia
Microcephaly
Seizures
Abnormal gait

37
Q

Pathophysiology of RETT syndrome

A

X linked autosomal dominant- normally present in girls as boys die
Is progressive neurological condition

38
Q

If sleep difficulties in someone with learning difficulties what give to help sleep

A

Melatonin

39
Q

Learning difficulty versus learning disability

A

Learning disability means would struggle to live independently

40
Q

Management of different IQs in terms of social care

A

Mild- at school with supervidion
All else special schools

41
Q

What is systemic thinking when it comes to psychiatric conditions

A

Thinking about all of the factors which may contribute to development of the disease from an individual, family and environmental side of things- think of them in systematic way using the 4ps

42
Q

What are 4 ps for systematic thinking

A

Predisposing
Precipitating
Perpetuating
Protective

43
Q

What is systemic versus systematic thinking

A

Systemic- thinking about the aetiology from an individual, family and environmental factor
Systematic- thinking about these factors in a structured manner using the 4ps

44
Q

What conditions does high criticism lead to

A

Depression
Schizophrenia
Conduct disorder

45
Q

What anxiety disorder seen between 6-12

A

Performance anxiety

46
Q

What anxiety disorder seen between 12-18

A

Social anxiety

47
Q

Advice for all CAMHS patients with depression

A

Psychoeducation
Advice on sleep, exercise etc
Manage stressors- eg school

48
Q

Mild depression management in children

A

Can offer 2 weeks watchful waiting
or
3 months low intensity psychological therapy, digital CBT, group CBT

49
Q

Moderate- severe depression management in children

A

Reviewed by CAMHS
3 months of higher intensity psychological therapy- family therapy, individual therapy, brief psychosocial intervention
2nd line- switch psychological therapy or add fluoxetine

50
Q

When admit for CAMHS depression

A

High risk to self
Poor home supervision
Intensive assessment required

51
Q

Prognosis of anxiety and depression in children

A

Anxiety- most cases will resolve by adulthood
Depression- in 1 year 10% will still be depressed

52
Q

How can mania present in children

A

Irritability- especially in children
Impulsivity
Grandiosity

53
Q

Why is identifying psychosis hard in children

A

Have to differentiate from autism, learning difficulties and perceptual abnormalities
There are age appropriate behaviours which could be considered as psychosis such as seeing monsters

54
Q

Management of psychosis in an adolescent

A

Early inerevention psychosis delivered by CAMHS
Very important as early management leads to far better outcomes in future

55
Q

Management of substance misuse in adolescents

A

Refer to CAMHS
Rule out underlying causes and identify triggers
Motivational interview

56
Q

Reasons for school refusal

A

Fears
- bullying
- phobia of school
Somatisation

57
Q

Management of school refusal

A

Treat underlying psych disorder
Early graduated return to school
Liaise with education welfare officer

58
Q

Management of truancy

A

Effective boundary setting
Supporting needs at school
Liaise with education welfare officer

59
Q

What are the habits disorders

A

Sleeping
Eating
Bowel and urinary incontinence

60
Q

When are habit disorders seen

A

Pe-school

61
Q

Management of ODD or conduct disorder

A

Treat underlying disorder
Target risk factors
Parenting programmes
Mentoring

62
Q

What underlying mental disorder most often seen in ODD

A

ADHD

63
Q

What is extinction

A

A response to a behaviour fades over time

64
Q

Which conditions in children have massive biological aetiology

A

ADHD
Autism

65
Q

What tests can you use to test prefrontal cortex in ADHD

A

Wisonsin card sorting
Stroop
- colours written out but colour of text different

66
Q

Triad for autism

A

Poor social interactions
- less interest in sharing/time with others
- poor non verbal communication
- no friends
Communication difficulties
- delay in language development
- lack of back and forth chat
Ritualistic
- repeats same behaviour
- likes routine

67
Q

Co-morbid disorders seen in autism

A

Low IQ
Phobias
ADHD
Epilepsy

68
Q

How is intellectual impairment measured

A

Wechsler adult intelligence scale

69
Q

What does wechsler adult intelligence scale assess

A

Verbal IQ- general knowledge, maths, vocab
Performance IQ- visuospatial, picture

70
Q

How is adaptive/social functioning assessed

A

Adaptive behaviour assessment system II (ABAS) in a clinical interview

71
Q

How is learning diability assessed in children

A

Clinical interview
School reports

72
Q

Causes of severe learning disabilities

A

Brain damage
Genetic abnormalities
Hypothyroidism

73
Q

Physical causes of learning disability

A

Poor diet and obese
Poor eyesight and hearing

74
Q

Management of learning disabilities

A

Psycho
- Family therapy
- CBT
- creative therapies
Social
- skills training
- community inclusion

75
Q

How is autism diagnosed

A

Autism diagnostic inventory

76
Q

How is irritability managed in autism pharmacologically

A

Risperidone and aripiprazole

77
Q

How are obsessional behaviours treated pharmacologically in autism

A

SSRIs

78
Q

How are stereotypical motor behaviours treated in autism

A

Dopamine antagonists

79
Q

What are paediatric autoimmune psychiatric conditions associated with strep infection

A

Post strep infections can get OCD or tic disorder

80
Q

How does childhood disintegrative disorder present

A

Initial period of normal social development then loss of skills and social withdrawal

81
Q

What is difference between tourettes syndrome and tic disorder

A

Tourettes includes both vocal and motor tics
Tic disorderhas only 1 of the 2

82
Q

How long must a tic be there to be classified as tourettes

A

1 year

83
Q

Management of tourettes

A

If mild
- Self help- education about them and identifying triggers
If debilitating
- risperidone
- exposure with response prevention

84
Q

How does methylphenidate OD present

A

HTN
Tachycardic
High fever
Restless
Cant sleep

85
Q

What do if develop tics on methylphenidate

A

Switch medication

Psych (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions