CAMHS

Question 1

What does CAMHS stand for?

Answer 1

Child and adolescent mental health services

Question 2

What protective factors are there for mental health in children?

Answer 2

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

Question 3

What are the symptoms of GAD in children?

Answer 3

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

Question 4

What is separation anxiety?

Answer 4

Anxiety manifests upon separation from attachment figures

• Nightmares with separation themes
• School refusal

Question 5

How are anxiety disorders treated?

Answer 5

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

Question 6

How does prevalence of mood disorders in children change?

Answer 6

More common in increasing age

Question 7

How can mood disorders appear in boys?

Answer 7

Masked by anger

Question 8

What is oppositional disorder?

Answer 8

Uncooperative, unwilling to comply with requests, frequent temper tantrums

May also be aggressive

Tends to escalate if not managed

Question 9

What are the different types of conduct disorder?

Answer 9

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

Question 10

What are the risk factors for behavioural problems?

Answer 10

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

Question 11

How are behavioural problems treated?

Answer 11

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

Question 12

How is ADHD diagnosed?

Answer 12

History and observation in different settings
QB test

Question 13

How often do ADHD symptoms persist into adulthood?

Answer 13

2/3 of cases

Question 14

What are the key features of ADHD?

Answer 14

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

Question 15

Why has the prevalence of autism increased?

Answer 15

Increasingly diagnosed

Question 16

How is autism diagnosed?

Answer 16

Clinical observation and structured appraisals

Question 17

What co-morbid conditions is autism associated with?

Answer 17

Anxiety
ADHD
Sleep problems
OCD
Learning difficulties

Question 18

What are the key features of autism?

Answer 18

• 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

Question 19

What are the significant issues of eating disorders in children?

Answer 19

Delayed puberty and growth
Prognosis worse if younger or male

Question 20

What are the different types of attachment?

Answer 20

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

Question 21

What factors influence resilience?

Answer 21

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