child and adolescent psychiatry Flashcards
What is ADHD according to the ICD-11
Persistent pattern of inattention symptoms or combination of hyperactivity and impulsivity symptoms
What are the characteristics required for ADHD diagnosis according to the ICD-11
Persistent pattern of inattention symptoms or combination of hyperactivity and impulsivity symptoms
Symptoms have onset before age 12:
- outside the limits expected for age and level of intellectual development
- Persistent over 6 months and severe enough to have a negative life in day to day life
- Evident across multiple setting such as work and at home
What are the inattentive symptoms
- Difficulty sustaining attention to tasks that dont provide a high level of mental effort
- Lack attention to detail
- Makes careless mistakes
- Doesn’t complete tasks
- Easily distracted by stimuli
- Doen’t listen when spoken to directly
- Frequently day dreaming
- Forgetful
- Difficult remembering to complete tasks or planning
What is the pharmaceutical treatment for ADHD in children
- Methylphenidate
- Lisdexamfetamine
- Atomoxetine/Guanfacine
What are the symptoms of Tourette’s syndrome
motor and phonic tics for at least a year
Whats the main Non pharmalogical management of Tics
- Educatimng the young person and family
- CBT
What are the main medical treatments for Tics
- Alpha-2-adrenergic agonists: Clonidine and Guanfacine
- ## Atypical antipsychotics
What is the ICD-11 presentation of autism
Persistent deficits in initiating and sustaining social communication and reciprocal social interactions that are outside the expected range of typical functioning given the individual’s age and level of intellectual development. Specific manifestations of these deficits vary according to chronological age, verbal and intellectual ability, and disorder severity.
Persistent restricted, repetitive, and inflexible patterns of behaviour, interests, or activities that are clearly atypical or excessive for the individual’s age and sociocultural context.
The onset of the disorder occurs during the developmental period, typically in early childhood, but characteristic symptoms may not become fully manifest until later, when social demands exceed limited capacities.
The symptoms result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.
What is the most established treatment for anorexia nervosa in children
Family based therapy - empowers family members to engage in the treatment process and foucs on restoring the health of the young person
What are the pharmalogical tratments for depression in children
SSRIs usually - fluoxetine and setraline
What are the pharmaceutical treatments used in anorexia in children
Olanzapine - used to reduce the extreme beliefs about body image
What is the ICD-11 description of traits in personality disorder
Functioning of aspects of the self (e.g., identity, self-worth, accuracy of self-view, self-direction), and/or interpersonal dysfunction (e.g., ability to develop and maintain close and mutually satisfying relationships, ability to understand others’ perspectives and to manage conflict in relationships) that have persisted over an extended period of time (e.g., 2 years or more).
Manifest in patterns of cognition, emotional experience, emotional expression, and behaviour that are maladaptive (e.g., inflexible or poorly regulated) and is manifest across a range of personal and social situations (i.e., is not limited to specific relationships or social roles).
Not developmentally appropriate and cannot be explained primarily by social or cultural factors.
Associated with substantial distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.
What is the ICD-11 definition of PTSD
PTSD - post traumatic stress disorder can develop following traumatic events
