Child and Adolescent Psychiatry

Question 1

Conduct disorders?

Answer 1

Repetitive and persisten patterns of antisocial, aggressive or defiant behaviours which violate age-appropriate social norms

Question 2

Conduction disorder management?

Answer 2

Based on biopsychosocial assessment and likely to need multiagency communicaton
Parent training
Family therapy
Behavioural support
Social skills, anger management

Question 3

ADHD

Answer 3

Core features of developmentally abnormal inattention, hyperactivity and impulsivity present across time and situations
Symptomatic into adulthood

Question 4

ADHD management

Answer 4

Psychoeducation
Medication - stimulants, atomoxetine
Behavioural interventions
Parent training
School interventions
Treat comorbidity

Question 5

ADHD management - medication

Answer 5

Methylphenidate orally
Non addictive, purely symptomatic treatment - 4 hours then wears off
S/E appetite, weight, sleep
Acts on NAd and DA systems
2nd line Atomoxetine - non stimulant also acts on Nad systems