CAMHS Flashcards

1
Q

what is attatchement

A

child’s relationship with primary caregiver and their behaviour towards them

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2
Q

what is secure base

A

Attachment figure providing a safe space to explore

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3
Q

what is safe haven

A

attachment figure being safe place in signs of danger

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4
Q

what is attunement

A

caregiver and infant tune in and mirror each other’s emotions

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5
Q

what are the 4 attachment types in the strange situation

A

secure, insecure/ resistant/ anxious, avoidant, disorganised

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6
Q

what personality types do ‘secure’ children display

A

secure, happy, exploitive - distressed when mother leaves and wary of strangers without her

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7
Q

what personality do ‘insecure/ resistant/ anxious/ children display

A

fear of strangers, doesn’t explore, shows distress when mother leaves but not a strong reunion when she returns

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8
Q

what personality types do ‘avoidant’ children display

A

emotionally distant, doesn’t acknowledge mother

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9
Q

what personality types do ‘disorganised’ children display

A

cries, lies on floor, erratic, frightened, depressed

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10
Q

what personality do insecure/ anxious children develop on adolescence

A

disruptive, attention seeking, insecure and coercive, friendly and aggressive, impulsive, poor concentration, feel a sense of injustice and unfairness, over arousal, dysregualted emotions

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11
Q

what personality do avoidant children develop on adolescence

A

avoid intimacy, hard to engage and seen as cold, uninterested in people, higher incidence f physical illness and hard drug use

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12
Q

what personality do disordered children develop on adolescence (behavioural/ cognitive/ emotional/ social/ physical)

A

impulsive, lack of fear, aggressive, petty crime eg vandalism/ stealing, lying. animal cruelty, fire, inappropriate sexual behaviours, learning disorder, low self esteem or egotistical, black and white style thinking, anger, fear, shame, unaffectionate, lacks trust, bully, bossy, poor hygiene, high pain tolerance

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13
Q

what can cause disordered attachment (8)

A

unplanned/ considered abortion, postpartum depression, emotional neglect/ abuse, separation, maternal addiction, trauma, poor parenting, undiagnosed painful illness eg colic

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14
Q

how do you manage disordered attachment

A

get young person to accept and understand - professional attachment eg develop trust, eye contact, playful and empathetic, never threat, good role model, build self esteem

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15
Q

what is a reactive attachment disorder (RAD)

A

inability to form healthy relationship with caregivers

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16
Q

what can cause RAD

A

normally pathological care: disregard for childs emotional needs, stimulation and affection, repeated change of caregiver

17
Q

what medical conditions are associated with RAD

A

malnutrition, growth delay, physical abuse/ trauma, vitamin deficiencies, infections

18
Q

who commonly develops RAD

A

young, orphaned children

19
Q

what is inhibited RAD

A

child persistently fails to initiate and respond to social interactions well - avoidance, resistance hypervigillence. does not seek comfort when distressed, uninterested

20
Q

what is disinhibited RAD or disinhibited social engagement disorders (DSED)

A

children who has inability to display appropriate attachment, more enduring than inhibited, excessively comfortable with strangers and lack of selectivity with attachment figures - OPPOSITE OF INHIBITED

21
Q

what are alarming symptoms of RAD in young children

A

persistant colic, poor eye contact, no reciprocal smile, delayed motor development, resist cuddling, appear stiff

22
Q

what are alarming symptoms of RAD in older children

A

lack of self control, speech and language delays, avoids physical contact, aggressive and hyperactive, loner

23
Q

what are differentials of RAD

A

CD, depression, autism, ADHS

24
Q

what is a conduct disorder CD

A

repetitive and resistant pattern where basic age-appropriate norms are violated (lesser degree of ODD)

25
Q

what are the symptoms of CD

A

aggression towards people/ animals, destruction of property, deceitfulness or theft, serious violation of rules

26
Q

what are the ends of the spectrum of CD

A

severe unsocialised vs socialised

27
Q

what causes CD

A

genetics, brain injury, environment

28
Q

what does CD develop into in adulthood

A

antisocial personality disorder

29
Q

how do you manage CD

A

family/ individual/ play therapy, medications

30
Q

what is CD associated with

A

ADHD, RAD, learning difficulties, depression, substance abuse, deviant sexual behaviour

31
Q

what are symptoms of ADHD

A

inattention, hyperactive, impulsive