Child and Adolescent Psychology Flashcards
What are the criteria for conduct disorder?
violent towards people or animals, destruction of property, deceitfulness, serious violation of rules
**violation of the basic rights of others or social norms/rules
What is conduct disorder a/w?
antisocial personality disorder
ADHD
What is the treatment of conduct disorder?
firm, consistently reinforced rules, psychotherapy
What are the criteria for oppositional defiant disorder?
6 mo of negativistic, hostile, and defiant behavior during which there is: a frequent loss of temper arguments defying of rules annoying people easily annoyed anger and resentment blames others for mistakes
How do we treat ODD?
psychotherapy
How is ODD different from conduct disorder?
ODD doesnt steal
What are the types of ADHD?
predom hyper active
predom inattentive
combined
What are the criteria for ADHD?
inattention- problems listening, concentrating, paying attention, organizing tasks, easily distracted, forgetful
hyperactivity- blurting out, interuptive, fidgety, leaving seat, talking excessively
When does ADHD have to be diagnosed by?
7 yo
2/3 of kids with ADHD also have ______________.
ODD
How do we treat ADHD?
stimulants, SSRI, psychotherapy
What is enuresis?
involuntary voiding after 5yo
2x wk for 3 mo
What is the treatment for enuresis?
behavioral modification
antidiuretics
What is encopresis?
involuntary or intentional passage of feces in inappropriate places
at least once a month for 3 mo
When are most kids both urinary and bowel continent?
4yo
How do we treat encopresis?
psychotherapy, stool softners
40%–90% of youth with depressive disorders also have ____________.
other psychiatric disorders
The most frequent co-morbid diagnoses in children with MDD are:
Anxiety disorders
Disruptive disorders
Attention-deficit/hyperactivity disorder (ADHD)
In adolescents, substance use disorders. `
The single most predictive factor associated with the risk of developing MDD:
high family loading
Most Common Antidepressant Approval in Children:
Fluoxetine (Prozac) Depression, age 8+ OCD, age 7+ Escitalopram (Lexapro) Depression, age 12+ Sertraline (Zoloft) OCD, age 6+
What is the black box warning on antidepressants in children?
increased suicidality up till 24 yo
SSRIs- Common Side Effects in Children:
CNS stimulation Insomnia, anxiety, agitation, nervousness Manic activation Sexual side effects: decreased libido & anorgasmia Gastrointestinal symptoms, nausea Tremor Weight loss/gain Headache
What is the narrow phenotype for bipolar disorder in children?
Meet adult criteria for bipolar disorder
What is the broad phenotype for bipolar disorder in children?
Chronic severe explosive irritability and aggression
“severe mood dysregulation” (different from classic bipolar in its course)