CAMHS + legality

Question 1

inattention features ADHD

Answer 1

bad at following instructions // doesnt like to be mentally challenged // easily distracted // can’t sustain tasks // cant organise tasks // forgetful // loses things // does not seem to listen

Question 2

hyperactive and impulse symptoms ADHD

Answer 2

cannot play quietly // talk too much // does not wait turn // leaves seat // interruptive and intrusive // answer questions prematurely // run and climb too much

Question 3

diagnostic criteria ADHD

Answer 3

ages up to 16 need 6 features // ages 17 over need 5

Question 4

how long is the wait and watch period ADHD

Answer 4

10 weeks

Question 5

mx ADHA mild to moderate

Answer 5

parent training and education

Question 6

1st line mx ADHD kids + monitoring requirement

Answer 6

methylphenidate (ritalin) - weight and height every 6 months

Question 7

2nd line mx kids ADHD

Answer 7

2 = lisdexamfetamine // 3 = dexafetamine

Question 8

adult mx ADHD

Answer 8

Methylphenidate or lisdexamfetamine (if one doesnt work switch)

Question 9

what invx needs to be done before starting ADHD medication

Answer 9

ECG as cardiotoxic

Question 10

last line drug mx ADHD

Answer 10

SNRI eg atomoxetine // alpha blocker eg clonidine

Question 11

who is ASD and ADHD more common in

Answer 11

boys

Question 12

what age does ASD usually present

Answer 12

before 2-3

Question 13

features ASD

Answer 13

impaired social + communication: play alone, fail to regulate social interaction (eg no eye contact), no friends // repetitive behaviour + interests: motor repetition, inflexible, routine and rituals // intellectual and language impairment // epilepsy

Question 14

non-pharmacological mx ASD

Answer 14

early education and behaviour // family support and counselling

Question 15

when might SSRIs be helpful in ASD

Answer 15

repetitive behaviour, anxiety, aggression

Question 16

when might antipsychotic drugs be indicated in ASD

Answer 16

aggression, self injury

Question 17

what IQ suggests learning disability

Answer 17

under 70

Question 18

what needs to be present to have capacity

Answer 18

understand info, retain it, use it (to weigh up pros and cons), communicate decision

Question 19

who makes decisions initially if a patient lacks capacity

Answer 19

medical team

Question 20

what can the patient initiate when they have power so a family member can make medical decisions for them if they lose capacity

Answer 20

power of attorney

Question 21

what are advance decisions

Answer 21

someone with capacity lays out what treatment they would/ wouldnt want if they lose capacity

Question 22

who can carry out assessment for capacity

Answer 22

must be F2 or older

Question 23

at what age are children deemed to have capacity

Answer 23

<12 = parents // 12-16 = depends // 16+ = capacity

Question 24

what is section 2 (emergency detention) + how long can they be detained

Answer 24

emergency detainment // 72 hours for assessment (no treatment)

Question 25

who can initiate emergence detention (section 4) and can it be appealed

Answer 25

GP(or F2+) plus mental health professional (AMHP) or nearest relative // not appealed

Question 26

how long is a section 2 (short term) + what treatment can be given

Answer 26

admitted for 28 days + treatment against patients wishes

Question 27

who needs to sign a section 2 (emergency detention) + can it be appealed

Answer 27

approved mental health professional on recommendation of 2 doctors // approved by an MHO

Question 28

how long is a section 3 of mental health act + what treatment can be given

Answer 28

6 months // AMHP + 2 doctors who have seen patient in last 24 hours // give against patients wishes

Question 29

what is section 5 mental health act

Answer 29

patient in hospital can be detained for 72 hours (by doctor) or 6 hours (by nurse)