child psych

Question 1

first line mx in mild depression?

Answer 1

watchful waiting

if continues -> discuss psychological therapies e.g. group CBT, guided self help

Question 2

First line mx in mod-severe depression?

Answer 2

refer on to CAMHS

provision of psychological therapies
SSRI e.g. fluoxetine

Question 3

ADHD rating scales?

Answer 3

Conners rating scales

Question 4

Triad of ADHD?

Answer 4

hyperactivity, attention deficit, impulsivity

Question 5

Diagnosing ADHD?

Answer 5

only made by specialist psychiatrist and paediatrician.
based on full clinical and psychosocial assessment
full developmental and psychiatric hx
observer reports

ICD-10 DSM-IV criteria

Question 6

ADHD 1st line mx?

Answer 6

Parent training programme

Question 7

first line mx for severe ADHD w severe impairment in school age?

Answer 7

methylphenidate

parent training programme

Question 8

Autism - presentation?

Answer 8

affects speech and lang, social communication and repetitive / ritualistic behaviour

Question 9

autism - speech and lang signs and symptoms?

Answer 9

monotonous voice, speech and lang delay,

odd intonation, non speech like vocalisations (random schreeching), rude responses

Question 10

Autism - social communication signs and symptoms?

Answer 10

reduced or absent awareness of personal space
social isolation
reduced interest in others
reduced social play
reduced eye contact, gestures, facial expressions

Question 11

autism - repetitive/ ritualistic behaviour eg?

Answer 11

throwing tantrums if rituals disrupted
repetitive stereotypical movements
over focused interests

Question 12

suspected maltreatment / child abuse?

Answer 12

communicate concerns to site safeguarding lead

coordinate a social worker

Question 13

pain around the umbilicus / chronic tummy pains

Answer 13

somatisation more likely