Child and Adolescent Psychiatry

Question 1

What % children experience mental health difficulties?

Answer 1

10%

Question 2

What are the 3 categories of attachment?

Answer 2

Serious attachment
Anxious ambivalent attachment
Anxious avoidant attachment

Question 3

What are potential impacts of illness on developing and family functioning? (4)

Answer 3

Halt development - child preocc w/ illness rather than growing up
Child may show delay in achieving normal milestones
Separation of norm adolescent development from illness
Makes it difficult for parents to let go

Question 4

What is the most severe type of Autism

Answer 4

Kanner Autism

Question 5

How prevalent is Kanner autism?

Answer 5

10/10,000

Question 6

Ratio Autism M:F

Answer 6

4:1

Question 7

What is the classic triad of deficits in autism?

Answer 7

Socialisation
Communication
Repeititive behaviour

Question 8

Prevalence of ADHD

Answer 8

1-5%

Question 9

Ratio ADHD M:F

Answer 9

3:1

Question 10

Before what age does ADHD onset?

Answer 10

7

Question 11

What are the 3 core settings of ADHD?

Answer 11

Inattention
Hyperactivity
Impulsivity

Question 12

Prevalence of most severe dyslexia

Answer 12

4%

Question 13

M:F Dyslexia

Answer 13

4:1

Question 14

How does dyslexia often present to CAMS?

Answer 14

With 2’ behaviour difficulties

Question 15

Are drugs commonly used in adolescent psychiatry?

Answer 15

No

Question 16

1st line Dx child depression

Answer 16

Fluoxetine

Question 17

Who can prescribe fluoxetine to children?

Answer 17

Specialist prescribers

Question 18

What 2 psychological interventions are commonly used in child psych

Answer 18

CBT

Family therapy

Question 19

stimulant Tx ADHD

Answer 19

Methylphenidate; Ritalin, concerta

Question 20

Non stimulant Tx ADHD

Answer 20

Atomoxetine

Question 21

MDT approach Autism

Answer 21

SALT
Paeds
Mental health 
Learning disability 
OT 
Education 
Social care

Question 22

When would you use medication in autism?

Answer 22

If sleeping problems/depressed/epilepsy/ADHD/self-harm/aggressive + challenging behaviours

Question 23

Support for parents with autistic kids?

Answer 23

Earlybird by National Autistic society

Question 24

School action plans for kids with dyslexia

Answer 24

Small group teaching w/ learning support assistance

Phonological skills focus

Question 25

What can parents do for kids w/ dyslexia?

Answer 25

Read to child Overlearning (read same book again) Silent reading

Question 26

Legal: What is a child

Answer 26

Younger child who lacks maturity and understanding to make important decisions for themselves

Question 27

Legal: What is a young person

Answer 27

Older/more experienced children who can make important decisions themselves

Question 28

What is the age restriction on the MHA?

Answer 28

No age restriction

Question 29

What age does the MCA apply to?

Answer 29

>16s

Question 30

If a child doesn't agree to disclose - what are the circumstances you should disclose info?

Answer 30

When = overriding public interest in the disclosure When you judge that disclosure = in best interests of child who doesn't have understanding to make decision about disclosure When disclosure = req by law

Question 31

Can parents override competent consent of a young person?

Answer 31

No