CAMHS Flashcards
what is attatchement
child’s relationship with primary caregiver and their behaviour towards them
what is secure base
Attachment figure providing a safe space to explore
what is safe haven
attachment figure being safe place in signs of danger
what is attunement
caregiver and infant tune in and mirror each other’s emotions
what are the 4 attachment types in the strange situation
secure, insecure/ resistant/ anxious, avoidant, disorganised
what personality types do ‘secure’ children display
secure, happy, exploitive - distressed when mother leaves and wary of strangers without her
what personality do ‘insecure/ resistant/ anxious/ children display
fear of strangers, doesn’t explore, shows distress when mother leaves but not a strong reunion when she returns
what personality types do ‘avoidant’ children display
emotionally distant, doesn’t acknowledge mother
what personality types do ‘disorganised’ children display
cries, lies on floor, erratic, frightened, depressed
what personality do insecure/ anxious children develop on adolescence
disruptive, attention seeking, insecure and coercive, friendly and aggressive, impulsive, poor concentration, feel a sense of injustice and unfairness, over arousal, dysregualted emotions
what personality do avoidant children develop on adolescence
avoid intimacy, hard to engage and seen as cold, uninterested in people, higher incidence f physical illness and hard drug use
what personality do disordered children develop on adolescence (behavioural/ cognitive/ emotional/ social/ physical)
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
what can cause disordered attachment (8)
unplanned/ considered abortion, postpartum depression, emotional neglect/ abuse, separation, maternal addiction, trauma, poor parenting, undiagnosed painful illness eg colic
how do you manage disordered attachment
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
what is a reactive attachment disorder (RAD)
inability to form healthy relationship with caregivers
what can cause RAD
normally pathological care: disregard for childs emotional needs, stimulation and affection, repeated change of caregiver
what medical conditions are associated with RAD
malnutrition, growth delay, physical abuse/ trauma, vitamin deficiencies, infections
who commonly develops RAD
young, orphaned children
what is inhibited RAD
child persistently fails to initiate and respond to social interactions well - avoidance, resistance hypervigillence. does not seek comfort when distressed, uninterested
what is disinhibited RAD or disinhibited social engagement disorders (DSED)
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
what are alarming symptoms of RAD in young children
persistant colic, poor eye contact, no reciprocal smile, delayed motor development, resist cuddling, appear stiff
what are alarming symptoms of RAD in older children
lack of self control, speech and language delays, avoids physical contact, aggressive and hyperactive, loner
what are differentials of RAD
CD, depression, autism, ADHS
what is a conduct disorder CD
repetitive and resistant pattern where basic age-appropriate norms are violated (lesser degree of ODD)
what are the symptoms of CD
aggression towards people/ animals, destruction of property, deceitfulness or theft, serious violation of rules
what are the ends of the spectrum of CD
severe unsocialised vs socialised
what causes CD
genetics, brain injury, environment
what does CD develop into in adulthood
antisocial personality disorder
how do you manage CD
family/ individual/ play therapy, medications
what is CD associated with
ADHD, RAD, learning difficulties, depression, substance abuse, deviant sexual behaviour
what are symptoms of ADHD
inattention, hyperactive, impulsive
