Child and adolescent mental health

Question 1

Definition of ADHD

Answer 1

Disorder of marked hyperactivity/impulsivity and/or inattention, that is more frequent and severe than for their developmental level

Question 2

Co-morbidity in ADHD (6)

Answer 2

Substance abuse
Higher risk of harm
Learning difficulties
Personality disorder
Mood disorder
Anxiety disorder

Question 3

Prognosis in ADHD

Answer 3

May persist into adulthood; some will “grow out” of it

Question 4

Psychological therapies (3)

Answer 4

Parent training
Behavioural classroom management strategies
Social skills therapy

Question 5

How do stimulant medications work in ADHD?

Answer 5

Improve dopaminergic neurotransmission in networks involved in executive function, esp. prefrontal cortex

Question 6

Examples of stimulants used for ADHD (3)

Answer 6

Methylphenidate
Dexamfetamine
Atomoxetine

Question 7

3rd line drug therapy in ADHD

Answer 7

Antidepressants, antihypertensives, antipsychotics

Question 8

Autistic triad of impairments (3)

Answer 8

Impairments in reciprocal social interaction
Language and speech deficits
Inflexible thought and behaviour

Question 9

What might be considered to treat sleep problems in ASD?

Answer 9

Melatonin