Child And Adolescant Psychiaty Flashcards
Enuresis
-> involuntary bladder emptying >5 years FH Psychological stress -evening fluid restriction -behaviour therapy -bladder training
Encopresis
-> passing faeces in inappropriate places >4 years Constipation Psychological Physical causes Abuses -education -diet -behavioural
Autism symptoms
Impaired social interaction
Impaired communication
Restricted, sterotyped interests and behaviours
Autism epidemiology, aetiology and management
1/1000-1/100 B:G 4:1 Genetic, biological, psychological 75% have significant intellectual disabilities -education -behaviour modification -SALT -medication
Asperger’s syndrome
-> impaired social interaction, restricted sterotyped behaviours and interests
Lack of social common sense, monologues
No significant abnormalities in language ability or IQ
M:F 8:1
3/1000
>5 years
Rett’s syndrome
-> loss or lack of development of language, loss of motor skills-> 6m to 1 year
Hand wringing
Girls
Progressive destructive encephalopathy
Conduct disorder
-> aggressive, destructive, deceitful, violate social expectations 4-8% B:g 4:1 > 6m duration -behaviour modification -parent training 40% become antisocial adults
Hyperkinetic disorder/ADHD
-> inattention, hyperactivity, impulsivity
1-5%
B:G 3:1
Emotional disorders
-> separation anxiety, phobias, somatic syndromes, sibling rivalry 2-3% B:G 0.7:1 Family anxiety, family or school stress -psychoeducation -parent training -exposure
Tourette’s syndrome
-> multiple motor tics and 1 or more vocal 3-5/10,000 Present for >1 year B:G 3-9:1 -psychoeducation -CBT -dopamine antagonists
Oppositional defiant disorder
-> defiant, disruptive, disobedient, hostile 15% B>G 3-8 years -parent training -behaviour modification -social support