Child and adolescent psych Flashcards

1
Q

Attachment disorder- Eti

A
  • Formed within 12 months of life, primary caregiver

- Implications for behavioral issues later in life

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2
Q

Attachment disorder- Sx

A
  • Secure v avoidant v resistant v disorganized
  • Incapacity of mother to provide consistent affection
  • Pathologic imbalance
  • Insensitivity to infants affective states
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3
Q

Attachment disorder- Tx

A
  • Assess family and parent child interaction
  • Parent-infant psychotherapy
  • Parenting support groups
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4
Q

Oppositional defiant disorder- Eti

A
  • Evident before 8 yrs
  • Antecedent to development or conduct disorder
  • Common with caregiver dysfunction
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5
Q

Oppositional defiant disorder- Sx

A
  • Pattern of negativistic, hostile and defiant behavior > 6 months
  • Loses temper, argues with adults, defies rules
  • Blames others for own mistakes
  • Angry, annoyed, vindictive
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6
Q

Oppositional defiant disorder- Dx

A
  • Clinical criteria

- Does not meet criteria for conduct disorder

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7
Q

Oppositional defiant disorder-Tx

A
  • Take threats seriously
  • Positive parenting program- cognitive restructuring
  • Mental health treatment
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8
Q

Conduct disorder- Sx

A
  • 3+ in past 6 months
  • Aggression to people an animals
  • Destruction of property
  • Deceitfulness or threat
  • Serious violation of rules- running away,
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9
Q

Conduct disorder- Eti

A
  • Due to underlying genetic vulnerability plus environmental factors
  • 4-10% children
  • Maternal depression
  • Child abuse
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10
Q

Conduct disorder-Tx

A
  • Early mental health intervention

- Tx comorbid conditions- ADHD, anxiety

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11
Q

ADHD- Eti

A
  • Most common disorder in youth
  • 4-7% children
  • Maternal smoking and alcohol
  • Genetics
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12
Q

ADHD- Sx

A
  • Inattention in all settings > 6 moths
  • Failure to pay close attention
  • Difficulty sustaining attention
  • No follow through
  • Fidgeting and squirming
  • Runs and climbs in inappropriate situations
  • Difficulty awaiting turn
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13
Q

ADHD- Dx

A
  • clinical
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14
Q

ADHD- Tx

A
  • Stimulant medications

- Antidepressants

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15
Q

Autism spectrum disorders- Eti

A
  • Neurologic, developmental disorder
  • Dx around 3-4
  • Hereitable
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16
Q

Autism spectrum disorders- Sx

A
  • Impairment in social interaction
  • Impairment in nonverbal behavior
  • Failure to develop peer relationships
  • Lack of empathy
  • Delay in spoken language
  • Stereotyped, repetitive language
  • Lack of make believe play
  • Compulsive adherence to routines or rituals
17
Q

Autism spectrum disorders- Dx

A
  • DSM criteria

- No lab or imaging

18
Q

Autism spectrum disorders- Tx

A
  • Speech and language therapy

- Social and self help skills