Child And Adolescent Mental Health Part 3 Flashcards
What are the two groups of people who are unwilling to go to school?
School refusal- simply won’t even leave house
Truancy- leaves house, doesn’t make school
What problems arise from having a mental health problem in school
Learning difficulties due to poor attention Co- morbid specific Difficulty controlling emotion Anxiety Lack of energy/motivation Difficulties joining in Sensory problems Preoccupation Associations between mental health and learning difficulties e.g. dyslexia
What anxiety disorders affect those in school?
Separation anxiety- fear of leaving parents and home, problems on doorstep
Social phobia- fear of joining group, problems at school gate
An opus thoughts and feelings
Autonomic symptoms
Avoidant behaviour
What factors drive school attendance
Learning difficulties Lack of friends/relationships Bullying Lack of parental attention or concern Encouraging one to stay home Maternal psychiatric disorder, lack of parental attention or control
How does brain physiology contribute to anxiety
Reduced connectivity between the amygdala and the ventrolateral cortex . The ventrolateral cortex suppresses the activity of the amygdala, reducing anxiety
How do you avoid feeding fears and increasing child anxiety
By testing and acknowledging conditions that may not be pathological this reinforces the anxiety experience in the parent and the child
How do you treat the cycle of anxiety
Behavioural
Learning. Alternative pathways
Desensitisation
Overcome fear
Manage feelings
Behaviour (fluoxetine)
What is the underlying principle of CBT
Our behaviour, thoughts and feelings are all interlinked. By changing one we break the cycle
What is the positive cycle of behavioural treatment
Challenge –> Success –> Self confidence –> Resilience
What is the negative cycle of behavioural therapy
Challenge –> Avoidance –> Low self confidence –> Vulnerability
How do we use CBT to overcome difficulties
Children don’t have cognitive behaviour so we usually use behavioural therapy
Parents are the collaborators in the team
Step-wise approach on the ladder to success
Externalisation- disorder is not a matter of blame
Overcoming barriers to change- problem solving
What are good practice when using psychological therapy to treat an eating disorder?
Get everyone on board to achieve a limited goal, use metaphors like climbing mountains.
Sand dune metaphor- taking every step up leads to a small step backwards
What are the key concepts of psychological therapy upon mental health disorders in children?
Psychoeducation - explain the problem in terms that make sense to everyone
Goal- setting choosing reasonable objectives that can be achieved
Step-wise progression
Motivating
Externalising, taking blame, anger and guilt out of the equation
What is autism
A neurodevelopmental disorder
A problem with the growing brain defined as persistent, pervasive and distinctive behavioural abnormalities
What is the difference between autism and Aspergers?
Aspergers- normal IQ
Autism - low IQ
old terms so it’s all defined as an autism spectrum as of now