child and adolescent psychiatry

Question 1

what is attachment

Answer 1

• emotional tie between a child and their primary care giver
• influenced by parenting style and environment in which child grows up in
• implications in later life (can influence how future relationships are formed)

Question 2

what does secure attachment suggest

Answer 2

balanced and attuned parenting style

Question 3

what does anxious avoidant attachment suggest

Answer 3

avoidant or unresponsive parenting style

Question 4

what does anxious ambivalent attachment suggest

Answer 4

unpredictable or scary parenting style

Question 5

what does disorganised attachment suggest

Answer 5

significant trauma or chaos

Question 6

what is temperament

Answer 6

inherent, constitutionally based characteristics that make up the core of a person’s personality

Question 7

diagnostic triad of ADHD

Answer 7

• hyperactivity
• impulsivity
• inattention

Question 8

what is needed for diagnosis of ADHD

Answer 8

symptoms need to be developmentally inappropriate, present for at least 6 months and be present in multiple settings

Question 9

non-pharmacological management of ADHD

Answer 9

• parent training
• social skills training
• classroom strategies (sit at front of class)
• sleep and diet changes (melatonin can be used to improve sleep cycle)
• encourage normal healthy balanced diet

Question 10

pharmacological management for ADHD

Answer 10

• 1st line: methylphenidate
• 2nd line: atomoxetine
• 3rd line: anti-depressants, anti-psychotics

Question 11

what is autism spectum disorder

Answer 11

umbrella term used to describe all types and severity of autistic symptoms

Question 12

autism spectrum disorder social interaction presentation

Answer 12

• find relations difficult to establish
• show little interest in others and little awareness of their feelings

Question 13

autism spectrum disorder thoughts and behaviour presentation

Answer 13

• rigid and concrete in their thinking
• lack imagination and struggle to understand what others are thinking or their point of view
• very routine oriented and struggle to cope with change from this routine
• restricted, repetitive and stereotyped behaviour such as spinning or rubbing head
• become interested and fixated on one task or hobby

Question 14

autism spectrum disorder communication presentation

Answer 14

• delay in receptive and expressive language
• struggle to make eye contact
• struggle with abstract or non-verbal communication
• struggle to initiate and sustain conversation
• stress, pitch or rhythm of speech may be odd

Question 15

autism spectrum disorder sensory hypersensitivity presentation

Answer 15

have issues with certain sensations like taste or texture of food, or feelings of certain objects against their skin