CAMSH

Question 1

what does RAD stand for?

Answer 1

Reactive Attachment Disorder

Question 2

reactive attachment disorder is a condition found in children who have received grossly ________ care and do ___ form a healthy emotional __________ with their _______ caregivers before the age of _

Answer 2

reactive attachment disorder is a condition found in children who have received grossly NEGLIGENT care and do NOT form a healthy emotional ATTACHMENT with their PRIMARY caregivers before the age of 5

Question 3

what can be seen in the parents behaviours of a child with RAD?

Answer 3

disregard for Childs emotional needs for comfort, stimulation and affection

neglect

repeated changes of primary caregivers

Question 4

individuals with RAD have difficulty forming lasting, loving and intimate _____________

Answer 4

individuals with RAD have difficulty forming lasting, loving and intimate RELATIONSHIPS

Question 5

RAD is seen in _% of all children under there age of _ with about 20% in ___

Answer 5

RAD is seen in 1% of all children under there age of _ with about 20% in LAC

Question 6

children ________ at a young age have an increased likelihood of RAD

Answer 6

children ORPHANED at a young age have an increased likelihood of RAD

Question 7

how many subtypes of RAD are there?

Answer 7

2

Question 8

name the 2 subtypes of RAD

Answer 8

inhibited

disinhibited

Question 9

refers to children who continually fail to initiate and respond to social interactions in a developmentally appropriate way

inhibited or disinhibited?

Answer 9

inhibited

Question 10

refers to a child who has an inability to display appropriate selective attachments

inhibited or disinhibited?

Answer 10

disinhibited

Question 11

more enduring over time

inhibited or disinhibited?

Answer 11

disinhibited

Question 12

A child who displays excessive familiarity with strangers. indiscriminate sociability or lack of selectivity in their choices of attachment figure

inhibited or disinhibited?

Answer 12

disinhibited

Question 13

A child or infant that does not seek comfort from a parent or caregiver during times of threat, alarm or distress

inhibited or disinhibited?

Answer 13

inhibited

Question 14

Interactions are often met with a variety of approaches, avoidance and resisting to comforting, often hypervigilant or highly ambivalent

inhibited or disinhibited?

Answer 14

inhibited

Question 15

list some potential causes of RAD

Answer 15

frequent change in primary caregiver
extended separation
frequent moved in foster care/institutions
traumatic experiences
young/inexperienced mother with poor parenting skills
neglect
abuse

Question 16

list the alarming symptoms in very young children that should raise urgent safeguarding concerns

Answer 16

severe colic
poor eye contact, difficulty tracking
no reciprocal smile response
delayed gross motor skill development
difficulty being comforted
resists affection and cuddling from parent
stiff with tactile defensiveness
poor sucking when eating

Question 17

list some common symptoms in older children and young parents

Answer 17

lack of self control - impulsive
speech/language delays
lack of conscience/shows no remorse
lack an understanding of social boundaries
affectionate with strangers
inhibition or hesitancy in social interactions
avoids physical contact
hyperactive
aggressive
destructive 
food issues - hordes, gorges, refuses, hides
on guard/anxious/wary
prefers to play alone

Question 18

neurobiology of RAD:

Life experiences can dramatically _____ the number of neurons, increase or decrease the number of _________ branches and the number of ________

Answer 18

Life experiences can dramatically ALTER the number of neurons, increase or decrease the number of DENDRITIC branches and the number of SYNAPSES

Question 19

name the 4 differential diagnoses seen in someone with RAD

Answer 19

CD - conduct disorder
depression
ASD
ADHD

Question 20

children with CD are able to form ____ satisfying relationships with peers and adults

Answer 20

children with CD are able to form SOME satisfying relationships with peers and adults

Question 21

depression is a common differential diagnosis in someone with _________ type RAD as they are often _________. The difference is that depressed children are often able to form appropriate social relations with those who _____ ___ to them

Answer 21

depression is a common differential diagnosis in someone with INHIBITED type RAD as they are often WITHDRAWN. The difference is that depressed children are often able to form appropriate social relations with those who REACH OUT to them

Question 22

children with ASD present historical and _________ difficulties, while children with RAD are more able to _____ based on what they get out of _______ relationships

Answer 22

children with ASD present historical and PERVASIVE difficulties, while children with RAD are more able to ADAPT based on what they get out of CERTAIN relationships

Question 23

the difficulties of ADHD are __________ and across different settings, and are more able to initiate and _______ relationships

Answer 23

the difficulties of ADHD are PERSISTENT and across different settings, and are more able to initiate and MAINTAIN relationships

Question 24

name 5 effective treatments of RAD

Answer 24

family therapy
individual therapy
play therapy
medication
special education interventions

Question 25

what does CD stand for?

Answer 25

conduct disorder

Question 26

conduct disorder is a repetitive and __________ pattern of _________ in which the basic rights of others or major age-appropriate norms or rules are ________

Answer 26

conduct disorder is a repetitive and PERSISTENT pattern of BEHAVIOUR in which the basic rights of others or major age-appropriate norms or rules are VIOLATED

Question 27

CD is diagnoses with the presence of _ or more of the following criteria in the past __ months with at least _ criterion present in the past _ months:

__________ to people or animals
___________ of properly
deceitfulness or _____
serious ________ of rules

Answer 27

CD is diagnoses with the presence of 3 or more of the following criteria in the past 12 months with at least 1 criterion present in the past 6 months:

AGGRESSION to people or animals
DESTRUCTION of properly
deceitfulness or THEFT
serious VIOLATION of rules

Question 28

name the 4 types of conduct disorder

Answer 28

mild
moderate
severe - unsocialised
severe - socialised

Question 29

out of the 2 severe types of CD, which one is dealt withe the criminal justice system?

Answer 29

unsocialised - criminal system

socialised - ability to avoid it

Question 30

name the major co-morbidity related to CD

Answer 30

ADHD

Question 31

name the triad of difficulties seen in ADHD

Answer 31

inattention
hyperactivity
impulsivity

Question 32

name the 2 causes of ADHD

Answer 32

multifactorial - genetics and environmental

Question 33

name the causes of CD (3)

Answer 33

genetic
brain injury
environmental

Question 34

name some intra-familiar predictors of antisocial behaviour (lack of…)

Answer 34

lack of house rules
lack of clarity
lack of effective contingencies
lack of techniques
lack of supervision

Question 35

anger can protect you from _______ feelings

Answer 35

anger can protect you from PAINFUL feelings

Question 36

treatment for CD:

______ training if child is younger than __

child focused programmes where child is ages _ to __

__________ interventions to young people ages between 11 and 17

Answer 36

treatment for CD:

PARENT training if child is younger than 11

child focused programmes where child is ages 9 to 14

MULTIMODAL interventions to young people ages between 11 and 17

Question 37

medication is not ____ line but in _______ cases can help with impulsivity and __________ behaviour with CD

Answer 37

medication is not MAIN line but in EXTREME cases can help with impulsivity and AGGRESSIVE behaviour with CD

Question 38

name the common medication to treat CD

Answer 38

risperidone

Question 39

what type of drug is risperidone?

Answer 39

an atypical anipsychotic

Question 40

name the 2 types of drugs in CD to treat the following co-morbid conditions:

ADHD -
depression -

Answer 40

ADHD - stimulant medication

depression - SSRIs