CAMHS Flashcards

1
Q

What are the differences between AMH and CAMHS?

A

AMH

  • Individual focused
  • Family history of mental health

CAMHS

  • Young person as part of family system
  • Family history of mental illness and life events
  • Developmental stage essential in process of assessment and diagnosis
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2
Q

What is important to ask when speaking to a young person about their mental health?

A

Do they know why they’re there?

What would they like help with?

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3
Q

What is different between young children and adolescents in how you should speak to them?

A

Young children - speak to them via play

Adolescents - try to understand matters in their world

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4
Q

Why is development important?

A

16 and capacity - assume under don’t have capacity

ADHD only diagnosable over 6

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5
Q

How may depression present in a young child compared to an adolescent?

A

Young child

  • Many not be able to describe depression and presents as irritable, temper tantrums, refusal to go to school and clingy to mum
  • Rating scales helpful if child finds it difficult to explain

Adolescent
- Tearfulness, difficulty sleeping, feeling down, doesn’t want to go out with her friends, recently had suicidal thoughts

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6
Q

How do you gather a history using the family unit?

A

Interview family together to gain a better understanding of relationships/environment around the child
Speak to the young person on their own to get crucial information they may not volunteer with family present

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7
Q

What is good about the family unit?

A

Safety network around young person

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8
Q

What is a challenge with the family unit?

A

May feel vulnerable which can be expressed as anger and want you to sort out child

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9
Q

What is useful about school?

A

Good insight into how the young person manages socially and academically
Must obtain permission from young person and family before contacting the school
Most CAMHS services have link workers to schools who are very helpful

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10
Q

What is a challenge with schools?

A

Vary in their understanding of mental illness

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11
Q

What are the common neurodevelopmental disorders in young people?

A

ADD

ASD

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12
Q

Explain ADD

A

Triad of poor concentration, overactivity, inattention
Diagnosed over 6
Treated with parenting advices and stimulant medication

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13
Q

Explain ASD

A

Difficulties in social understanding, rituals, preoccupations, language difficulties
Multi-disciplinary assessment
Treatment support in schools and to parents

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14
Q

What are conduct disorders?

A

Description of young person with behavioural presentation eg tantrums, breaking things, disruptive in school, trouble with police
Controversial as medical diagnosis as breaking social norms

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15
Q

What are the common emotional disorders in CAMHS?

A
Eating disorders
PTSD
Self-harm
Depression
Anxiety disorders
OCD
Psychosis
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16
Q

How do anxiety disorders present?

A

Emotional - fear, worry
Physical - sweating, tremor, palpitations, nausea, breathlessness
Behavioural - avoidance of feared object, irritable, mood swings

17
Q

How does OCD present?

A

Repetitive, intrusive thoughts that are ego dystonic
Feeling compelled to carry out certain acts
Both of above to stop something negative happening to self or others
Interferes with daily living
Symptoms same as adults but with shorter length of illness and illness often hidden

18
Q

How does psychosis present?

A
Key symptoms same as in adults
Specific diagnosis less clear
Most common - hallucinations
Delusions
Ideas of reference
Thought disorder unusual
Most common onset late teens but can occur in childhood
19
Q

What systems regulate mental health?

A

Limbic system - emotional regulation
Autonomic system - systemic arousal/energy conservation
Hippocampus/median temporal lobe and brain stem - memory
Temporal lobes and visual cortex - perception
Pituitary/endocrine - sleep/wake cycle

20
Q

How does emotional dysregulation present?

A

Extreme emotional outbursts
Uncontrolled temper
Self-harm
Difficulty maintaining relationships

21
Q

What can cause emotional dysregulation?

A
Disrupted attachment
PTSD
Temporary effect of trauma
Life event
Stress
22
Q

What is attachment?

A

Attach to caregiver who feeds you
Functions to protect infants from external dangers
Emotional connection gives meaning/importance for functioning
Social animals
Essential for child development
Affects individuals throughout lifetime
Reaction to separation occurs quickly in babies

23
Q

What does attachment involve?

A

Oxytoxin
Limbic system
Right hemisphere

24
Q

What does separation involve?

A

Autonomic system regulation

25
Q

How does separation present?

A

Increased pulse and decreased temperature
If prolonged and frequent can lead to changes in cortisol
Affects antibodies in response to stress eg increase in infection

26
Q

What are the types of attachment?

A

Secure
Anxious
Ambivalent
Avoidant

27
Q

How can you treat attachment issues?

A

DBT

Brain remains plastic into early 20s so can treat

28
Q

What can affect attachment?

A

Primary caregiver emotionally unavailable eg depression
Drugs/alcohol (ambivalent)
Abuse/neglect (avoidant)

29
Q

What is secure attachment?

A

Able to internally self-regulate the emotional neural systems and response to environment
Around around 5 and up
Develop reciprocal social bonds

30
Q

What is anxious attachment?

A

Maintaining attachment with caregiver who is unpredictable

Clingy

31
Q

What is ambivalent attachment?

A

Alternate clinging with excessive submissiveness to no trust
Role reversal - parent cared for by child
Dysregulation of fear and anger

32
Q

What is avoidant attachment?

A

Child tries to minimise need for attachment to avoid rebuff
Remains in distant contact with caregiver
When severe can freeze when reunited with parent

33
Q

What can happen with no attachment?

A

Clear delay in brain development, language, motor and socioemotional development
Often went to many different people to try and get care