Child and Adolescent Psychology Flashcards

1
Q

What are the criteria for conduct disorder?

A

violent towards people or animals, destruction of property, deceitfulness, serious violation of rules

**violation of the basic rights of others or social norms/rules

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2
Q

What is conduct disorder a/w?

A

antisocial personality disorder

ADHD

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3
Q

What is the treatment of conduct disorder?

A

firm, consistently reinforced rules, psychotherapy

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4
Q

What are the criteria for oppositional defiant disorder?

A
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
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5
Q

How do we treat ODD?

A

psychotherapy

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6
Q

How is ODD different from conduct disorder?

A

ODD doesnt steal

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7
Q

What are the types of ADHD?

A

predom hyper active
predom inattentive
combined

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8
Q

What are the criteria for ADHD?

A

inattention- problems listening, concentrating, paying attention, organizing tasks, easily distracted, forgetful

hyperactivity- blurting out, interuptive, fidgety, leaving seat, talking excessively

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9
Q

When does ADHD have to be diagnosed by?

A

7 yo

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10
Q

2/3 of kids with ADHD also have ______________.

A

ODD

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11
Q

How do we treat ADHD?

A

stimulants, SSRI, psychotherapy

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12
Q

What is enuresis?

A

involuntary voiding after 5yo

2x wk for 3 mo

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13
Q

What is the treatment for enuresis?

A

behavioral modification

antidiuretics

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14
Q

What is encopresis?

A

involuntary or intentional passage of feces in inappropriate places
at least once a month for 3 mo

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15
Q

When are most kids both urinary and bowel continent?

A

4yo

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16
Q

How do we treat encopresis?

A

psychotherapy, stool softners

17
Q

40%–90% of youth with depressive disorders also have ____________.

A

other psychiatric disorders

18
Q

The most frequent co-morbid diagnoses in children with MDD are:

A

Anxiety disorders
Disruptive disorders
Attention-deficit/hyperactivity disorder (ADHD)
In adolescents, substance use disorders. `

19
Q

The single most predictive factor associated with the risk of developing MDD:

A

high family loading

20
Q

Most Common Antidepressant Approval in Children:

A
Fluoxetine (Prozac) 
Depression, age 8+ 
OCD, age 7+
Escitalopram (Lexapro)
Depression, age 12+
Sertraline (Zoloft) 
OCD, age 6+
21
Q

What is the black box warning on antidepressants in children?

A

increased suicidality up till 24 yo

22
Q

SSRIs- Common Side Effects in Children:

A
CNS stimulation
Insomnia, anxiety, agitation, nervousness
Manic activation
Sexual side effects: decreased libido & anorgasmia
Gastrointestinal symptoms, nausea
Tremor
Weight loss/gain
Headache
23
Q

What is the narrow phenotype for bipolar disorder in children?

A

Meet adult criteria for bipolar disorder

24
Q

What is the broad phenotype for bipolar disorder in children?

A

Chronic severe explosive irritability and aggression

“severe mood dysregulation” (different from classic bipolar in its course)

25
Q

Childhood onset depression leads to an increased chance of this:

A

bipolar disorder