CAMHS

Question 1

At roughly what age does stranger anxiety appear in infants?

Answer 1

~9 months

Question 2

What are the 4 attachment types?

Answer 2

Secure (65%)
Insecure ambivalent (15%)
Insecure avoidant (20%)
Disorganised (4%)

Question 3

What are the 3 domains in which people with autistic spectrum condition (ASC) struggle?

Answer 3

Communication
Social interaction
Rigidity of thinking
The problems persist across settings i.e. school and home. The problems must present before 36 months or it’s not ASC

Question 4

How common is ASC?

Answer 4

Affects about 1 in 100 children.

Males more commonly affected than females.

Question 5

What interventions are there to help someone with ASC?

Answer 5

MDT input with: Family support and educating the family, info and education, behaviour management, treating any comorbid psych conditions, Cygnet groups, speech therapy, teaching social skills.

Question 6

What are the 3 key features of ADHD in children?

Answer 6

Attention
Hyperactivity
Impulsivity

Question 7

What is required for a DSM-5 diagnosis of ADHD?

Answer 7

At least 5 features of attention, hyperactivityimpulsivity problems and needs to have been present from an early age and present in more than one setting (school and home)

Question 8

How is ADHD managed?

Answer 8

Make alterations to assist attention i.e. move to front of class, regular breaks, change task regularly. Teach behavioural methods. Parenting groups.
Medication: Methylphenadate (Ritalin).

Question 9

What information should a patient’s parent be given if their child is started on Methylphenadate?

Answer 9

Works by stimulating the frontal lobe to inhibit behaviours.
Takes 1-2 days to have its effects.
Effective for ~3 years then effectiveness fades.
S/E: loss of apetite, affects height and weight (so avoid use outside of school if possible), cardiac arrhythmias
~50% will have stopped treatment by the time they are 18