Chapter 11- Internalizing Disorders

Question 1

What are internalizing disorders?

3pts

Answer 1

• Over-controlled impulses/behaviors
• Directed inwards, towards the self
• Anxiety, depression, disordered eating

Question 2

What is the prognosis for anxiety?

2pts

Answer 2

• Youth and adolescents do not “outgrow” their fears
• Anxiety disorders tend to persist into adulthood

Question 3

What are some interventions?

What’s the most effective?

5pts

Answer 3

• SSRI’s
• Fluoxetine (Prozac)- most promising
• CBT
• Parent training

Most effective intervention combines Fluoxetine (Prozac- type of SSRI) and CBT

Question 4

• Children between 6-18 y/o. Onset before 10 y/o
• Chronic irritability (<6
  months)
• Temper outbursts
• Differential diagnosis
  important

Answer 4

Disruptive mood dysregulation disorder

Question 4

Gender differences:

Depression before adolescence…

After adolescence and into adulthood…

Answer 4

Depression before adolescence: equal

After adolescence and into adulthood: females: males (2:1)

Question 5

• At least 2 weeks with 5
  symptoms (depressed
  mood or loss on
  interest)
• Significant
  distress/impairment
• May show irritability
  instead of sadness
• Physiological changes
  (appetite, sleep,
  fatigue, suicidal
  ideation, worthlessness

Answer 5

MDD

Question 6

Less severe than MDD,
but longer duration (1
year in children and
adolescents)

Answer 6

Dysthymia