Child Psych Disorders

Question 1

how to assess child for psych disorders

Answer 1

observe family together

Question 2

when involving afmily and others to counseling witch child don’t forget

Answer 2

emotional support
education
assure confidentiality(except danger)
try to get child to tell parents issues

Question 3

whole health care team for child psych

Answer 3

psychiatrist
social worker/teacher
psychologist

Question 4

PE for psych eval in child

Answer 4

congenital abnormalities
get head CT MRI when indicated
make sure had eye exam
hearing check

Question 5

3 main types of learning disorders

Answer 5

reading “dyslexia” M>F
math
disorder written expression

Question 6

key pattern in ADHD

Answer 6

extreme inattentiveness and or restlessness

Question 7

criteria ADHD

Answer 7

at least 2 settings for at least 6 mo and before age 7 with 6 Sx

Question 8

3 types ADHD

Answer 8

inattentive type
hyperactive-impulse type
combine type

Question 9

Sx of hyperactivity become obvious

Answer 9

in first grade when asked to sit still and focus

Question 10

Tx choice for ADHD

Answer 10

stimulants

Question 11

withoutTx adhd children and teens at increased risk for

Answer 11

arrest
suicide attempts
substance abuse
car accidents
poor school and work performance

Question 12

Sx for inattentive type ADHD

Answer 12

• not close attention to detail
• trouble keeping attention
• does not listen when spoken to
• does not follow instructions, chores etc
• trouble organizing activities
• avoids things that take a lot of mental effort
• loses things needed for tasks
• easily distracted
• forgetful

Question 13

Sx for hyperactive impulse type ADHD

Answer 13

• fidgets
• gets up from seat when asked to sit still
• runs about and climbs anything
• trouble playing leisure activities
• talks excessively
• blurts out answers
• trouble waiting ones turn
• interrupts or intrudes on others

Question 14

etiology ADHD

Answer 14

multi factorial

Question 15

MRI ADHD

Answer 15

prefrontal Cx
basal ganglia
cerebellar abnormalities

Question 16

co morbid disorders with ADHD

Answer 16

conduct disorder, seizures, oppositional defiant disorder or learning disorders

Question 17

side effects methyphenidate

Answer 17

dec appetite
irritability
insomnia
weight loss
abdominal pain
misuse abuse

Question 18

what nonstimulant used in ADHD

Answer 18

atomextine

Question 19

parental role in ADHD

Answer 19

learn behavioral management
limit setting
positive reinforcement technique

Question 20

school role in ADHD

Answer 20

teacher understands
minimize distraciton
divide work into smaller subsets of problems
students need to master one topic before next

Question 21

psychotherapy for ADHD

Answer 21

group therapy for social skills and impulse control

Question 22

what is conduct disorder

Answer 22

pattern that violates rights of others

• aggression to people and animals
• destruction property
• deceitfulness or theft
• serious violations of rules

Question 23

what is conduct disorder

Answer 23

pattern that violates rights of others

• aggression to people and animals
• destruction property
• deceitfulness or theft
• serious violations of rules

Question 24

which conduct disorder onset has worse prognosis

Answer 24

start before age 10

childhood onset

Question 25

conduct disorder can go on to what in adulthood

Answer 25

antisocial

Question 26

etiology conduct disorder

Answer 26

multifactorial

Question 27

what percent ADHD have conduct disorder

Answer 27

20-30%

Question 28

Tx conduct disorder

Answer 28

``` Tx parents and child individual therapy family therapy and parenting skills!!! structure and consistency medications to Tx other disorders ```

Question 29

Oppositional defiant disorder

Answer 29

defiant qualities lose tempers, argue with adults and refuse to follow rules boys>girls higher rates substance abuse than typical teens

Question 30

Tx oppositional defiant disorder

Answer 30

individual and family counseling train parent to set limits Tx other disorders with meds

Question 31

Tic

Answer 31

sudden rapid recurrent stereotyped motor movement or vocal sound

Question 32

transient tic

Answer 32

motor and/or vocal > 1 mo every day

Question 33

chronic tic

Answer 33

motor OR vocal at least 1 year AND no 3 mo period w/o tic

Question 34

tourettes

Answer 34

motor AND vocal for 1+ year with no 3 mo period w/o tic

Question 35

Tx tourettes

Answer 35

Tx sooner not later

Question 36

motor tic development age

Answer 36

3-8 y.o | vocal are later

Question 37

tics and time

Answer 37

get better over time usually

Question 38

motor tics

Answer 38

tongue protrusion | blinking, nodding, twitching

Question 39

vocal tics

Answer 39

abnormal grunting, barking or shouting

Question 40

can patient suppress tics

Answer 40

only for short periods time

Question 41

tics often in people with

Answer 41

OCD

Question 42

PANDAS

Answer 42

ped auto immune neuropsychiatric disorders assoc with Strep infections

Question 43

Tx tourettes

Answer 43

antipsychotic meds useful- haloperidol and risperidone always Tx other disorders like OCD and ADHD first alpha adrenergic like clonidine help support!!

Question 44

separation anxiety disorder

Answer 44

excessive anxiety upon separation by at least 3 Sx for 4+ weeks before age 18 severe disabling anxiety

Question 45

3 types distress in separation anxiety

Answer 45

distress from separation home worry that harm come to parents worry that child will be lost or separated

Question 46

3 types behavior separation anxiety

Answer 46

school refusal sleep refusal clinging

Question 47

2 types physiological behaviors of separation anxiety

Answer 47

nightmares | physical complaints: HA nausea etc

Question 48

Tx separation anxiety

Answer 48

return to school ASAP make sure no school problems educate parents not to give in make sure not due to academic problems