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Year 4- Psychiatry > CAMHS > Flashcards

CAMHS Flashcards

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1
Q

What does CAMHS stand for?

A

Child and adolescent mental health services

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2
Q

What can cause chronic adversity in children?

A
  • Socio-economic
  • Parent mental illness
  • Death
  • Family conflict- violence
  • Parenting
  • Abuse (physical, sexual, emotional)
  • Exposure to community violence
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3
Q

What protective factors are there for mental health in children?

A
  • Temperament
  • Coping strategies
  • Problem-solving
  • Self-esteem
  • Stability
  • Secure relationships
  • Friendships
  • Achievements
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4
Q

What are the symptoms of GAD in children?

A
  • Anxiety
  • Fears of death (of child or parents)
  • Somatic manifestations, nausea, headaches, palpitations
  • Panic attacks
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5
Q

What is separation anxiety?

A

Anxiety manifests upon separation from attachment figures

  • Nightmares with separation themes
  • School refusal
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6
Q

How are anxiety disorders treated?

A
  • Behaviour therapy (systemic desensitisation, flooding, response prevention)
  • Psychotherapies (brief psychodynamic, family and cognitive therapy)
  • Fluoxetine
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7
Q

How does prevalence of mood disorders in children change?

A

More common in increasing age

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8
Q

How can mood disorders appear in boys?

A

Masked by anger

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9
Q

What is oppositional disorder?

A

Uncooperative, unwilling to comply with requests, frequent temper tantrums

May also be aggressive

Tends to escalate if not managed

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10
Q

What are the different types of conduct disorder?

A

Socialised
Less serious and tends to be phasic in nature

Unsocialised
Serious, potentially leads to criminality and later a diagnosis of antisocial personality disorder

Lying, stealing, taunting, violence to people and animals

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11
Q

What are the risk factors for behavioural problems?

A
  • Lack of clear boundaries
  • Rejection
  • Family conflict and violence
  • Child abuse
  • Child temperament
  • Comorbid learning or developmental difficulties
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12
Q

How are behavioural problems treated?

A
  • Consistent care and parenting
  • Behavioural therapy
  • School-based interventions
  • Community interventions
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13
Q

How is ADHD diagnosed?

A

History and observation in different settings
QB test

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14
Q

How often do ADHD symptoms persist into adulthood?

A

2/3 of cases

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15
Q

What are the key features of ADHD?

A

Poor attention and concentration
Physical overactivity
Impulsivity
Needs to occur in more than one environment
Diagnosis after 6 years, symptoms present before

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16
Q

Why has the prevalence of autism increased?

A

Increasingly diagnosed

17
Q

How is autism diagnosed?

A

Clinical observation and structured appraisals

18
Q

What co-morbid conditions is autism associated with?

A

Anxiety
ADHD
Sleep problems
OCD
Learning difficulties

19
Q

What are the key features of autism?

A
  • Communication difficulties
  • Sensory processing problem difficulties
  • Effects on thinking, lack of flexibility
  • Needs to occur in more one than environment
  • Symptoms present before 3 years old
20
Q

How is autism managed?

A

No definitive treatment
- Psycho-education
- Stress reduction
- Enviornmental changes
- Treat comorbidities

21
Q

What are the significant issues of eating disorders in children?

A

Delayed puberty and growth
Prognosis worse if younger or male

22
Q

What are the different types of attachment?

A

Secure
Child values relationships and is confident within themselves

Insecure avoidant
Does not value relationship and is independent

Insecure anxious
Values relationships but views them as unpredictable, develops strategies to secure attention, confidence is dependent on praise from others

Insecure ambivalent
Values relationships, unsure how secure they are

Disorganised
Does not value relationships, not confident in themselves

23
Q

What social factors affect children and adolescents?

A
  • Abuse
  • Trauma
  • Sickness
  • Loss
  • Family history or mental illness
  • Financial
  • Child-rearing
24
Q

What factors influence resilience?

A

RESILIENT
Relationship between child and carer
Empathy
Social skills
IQ
Laughing (humour)
I-achiemevents at school
Extra- curricular actiities
Nuturing upbringing
Temperament

Year 4- Psychiatry (22 decks)

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