Child psych Flashcards
Separation anxiety ds
Impairment of function
Tourette sn
10-11 yo stereotyped movements – tics -vocal -motor -copralalia – potty mouth -copropraxia – obsene jestures
tics > 1 yr
Can persist into adulthood most resolve by 18 yo
Tx: CBT
A2 agonist – clonidine
Anti-dopamine drugs – fluphenazine, pimozide (neuroleptics)
Conduct disorder
Pattern of behaviors violate social norms and rights of others Aggressive behavior Violence Threatening/bulling Destruction of property Deceitfulness Theft
Antisocial personality disorder
Over 18 yo
Conduct ds as teenagers
Oppositional defiant disorder
Pattern of disobeying authority and hostile behavior
No serious violations of social norms
No disregard of rights of others
Child abuse
Physical, sexual, emotional – w/ or w/o neglect
Inconsistent hx Burns Bruising on immobile infants Fractures at various phases of healing Rib fractures Spiral fractures Subdural hematomas Retinal detachment
Report to CPS
Sexual abuse
Evidence of anal or genital trauma
STI
Sexual knowledge or behavior
Child neglect
Failure to provide adequate food/shelter
Failure to supervise
Medical neglect – not caring for illness/injury
Fail to send to school
Report to CPS
Results of neglect
Poor socialization skills/language skills Inability to trust others Poor feeding Wt loss Failure to thrive Poor muscle tone
Reactive attachement disorder
Emotionally withdrawn
Sadness
Fearfulness
Irritability
Features of Autism Spectrum disorder
Deficits in social communication and social interaction:
- living in own world
- lack of responsiveness to others, poor eye contact, absence of social smile
Restricted/repetitive patterns of behavior
- peculiar repetitive motor behaviors – rocking, spinning, hand flapping
- insistence on sameness, inflexible adherence to routine
- fixation or fascination w/ specific interests or objects (e.g. vacuum cleaners, sprinklers)
- Hyperreactivity or hyporeactivity to sensory input
ADHD medications – stimulants
Increase catecholamines in synapse
Block reuptake NE:
Methylphenidate
Dexmethylphenidate
Increase NE release:
Mixed amphetamines
Dextroamphetamine
Norepinephrine reuptake inhibitor
Atomoxetine
A2 agonists – decrease NE output
Clonidine
Guanfacine
ADHD
Sx before 12
M>F
Sx into adulthood
Attention deficient and /or hyperactivity
-multiple settings
Hair-pulling disorder – trichotillomania
Compulsive, nervous hair pulling
More common in young girls
Unusual patterns of broken hairs of varying length
Tx: education -> CBT -> fluoxetine or clomipramine
