Child and Adolescent Psych -Blumer

Question 1

What is the basic criteria for ADHD?

Answer 1

• One or both of the following
  1. Inattention: 6 of 9 criteria (5 of 9 greater than 17 yo):
• Poor attention or careless mistakes, poor sustained attention, doesn’t listen, doesn’t follow through, difficulty organizing, avoids, loses things, easily distracted, forgetful.
  2. Hyperactivity and impulsivity: 6 of 9 criteria: Fidgets/squirms, leaves seat, runs about, can’t play quietly, talks excessively, blurts out, can’t wait turn, interrupts

New—symptom onset prior to age 12

• The symptoms actually cause difficulties in the individuals life
• The symptoms are not caused by another disorder

Question 2

What are the basic criteria for Autism Spectrum Disorder?

Answer 2

• Both of the following:
  1. Persistent deficits in social communication and social interaction
• Poor reciprocity, poor nonverbal communication, relationships are not at expected age level
  2. Restricted, repetitive patterns of behaviors, interests or activities
• Stereotyped movements (Flapping, rocking, flailing arms), inflexible routines, need for sameness, restricted/fixated interests, hyper/hypo-reactivity to sensory input
• New—symptom present in early developmental period (used to have specific age)
• The symptoms actually cause difficulties in the individuals life
• The symptoms are not better explained by another disorder

Question 3

What are the basic criteria for Separation Anxiety Disorder?

Answer 3

Developmentally inappropriate and excessive fear concerning separation from attachment figures (parents)—need 3 of the following:

• Excessive distress when anticipating or experiencing separation from home/parental figure
• Persistent and excessive worry about losing major attachment figure
• Persistent and excessive worry about untoward event
• Persistent reluctance or refusal to go out (school)
• Persistent and excessive worry about being alone
• Persistent reluctance to sleep away from home with attachment figure
• Repeated nightmares
• Repeated physical complaints
• Lasts at least 1 month in kids/teens (6 months in adults)

Question 4

Which of the following are symptoms of bipolar disorder?
A. Mood swings
B. Aggression
C.Impulsivity
D. Irritability
E. Hyperactivity
F. Low frustration tolerance
G. Grandiosity
H. Hallucinations

Answer 4

all of the above

Question 5

Which of the following are symptoms of ADHD?
A. Mood swings
B. Aggression
C.Impulsivity
D. Irritability
E. Hyperactivity
F. Low frustration tolerance
G. Grandiosity
H. Hallucinations

Answer 5

A-F

Question 6

What are the basic criteria for bipolar disorder (in kids)?

Answer 6

-Manic episode: distinct period of abnormally and persistently elevated, expansive, or irritable mood AND increased energy/activities lasting at least 1 week (unless severe enough for hospitalization).

-Need 3 of the below (4 if irritable mood):
Inflated self esteem
Decreased need for sleep
Pressured speech
Racing thoughts/flight of ideas
Distractibility
Increased goal directed activities
Excessive involvement in high risk activities

Question 7

If there are no psychotic symptoms, what medication is indicated for a child with bipolar disorder?

Answer 7

mood stabilizer OR second generation antipsychotics

Question 8

If there are psychotic symptoms present, what is the best treatment for a child with bipolar disorder?

Answer 8

both a mood stabilizer and an antipsychotic

Question 9

What would the treatment for a child with depression and anxiety be?

Answer 9

SSRI and therapy