CAMHS

Question 1

How are children with moderate- severe depression managed by CAMHs

Answer 1

Psychological therapy- CBT, Interpersonal/ family therapy
Fluoxetine first line in children- 10mg up to 20
Sertraline and citalopram are second line

If child responds to treatment continue for 6 months after remission is achieved

Question 2

What is the medical management of ADHD

Answer 2

CNS stimulants

Methylphenidate (Ritalin)
Dexamfetamine
Atomoxetine

Can cause growth restriction so monitor height in children

Question 3

What are the features and treatment of referring syndrome

Answer 3

In people with severe nutritional deficit

Hypomagnesaemia
Hypokalaemia
Hypophosphataemia

As metabolism in cells slows down

Management
Slowly reintroduced food
Mg, K, PO and glucose monitoring
Fluid balance
Monitor ECG
Supplements

Question 4

What are the features of Paranoid personality disorder

Answer 4

Difficulty trusting/ revealing personal info to others

Question 5

What are the features of Schizoid personality disorder

Answer 5

Lack of interest/ desire to form relationships with others
Feeling this has no benefit for them

Question 6

What are the features of Schizotypal personality disorder

Answer 6

Unusual beliefs and behaviours, social anxiety

Question 7

What are the features of Borderline personality disorder

Answer 7

Flucuating strong emotions and difficulty maintaining healthy relationships

Question 8

What are the features of Histrionic personality disorder

Answer 8

Needs to be the centre of attention and perform for others

Question 9

What are the the features of Narcissistic personality

Answer 9

Feeling special and need others to recognise this
Put themselves first