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Year 2 Psych exam2 > Child Psych Disorders > Flashcards

Child Psych Disorders Flashcards

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1
Q

how to assess child for psych disorders

A

observe family together

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2
Q

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

A

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

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3
Q

whole health care team for child psych

A

psychiatrist
social worker/teacher
psychologist

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4
Q

PE for psych eval in child

A

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

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5
Q

3 main types of learning disorders

A

reading “dyslexia” M>F
math
disorder written expression

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6
Q

key pattern in ADHD

A

extreme inattentiveness and or restlessness

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7
Q

criteria ADHD

A

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

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8
Q

3 types ADHD

A

inattentive type
hyperactive-impulse type
combine type

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9
Q

Sx of hyperactivity become obvious

A

in first grade when asked to sit still and focus

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10
Q

Tx choice for ADHD

A

stimulants

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11
Q

withoutTx adhd children and teens at increased risk for

A 
arrest
suicide attempts
substance abuse
car accidents
poor school and work performance
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12
Q

Sx for inattentive type ADHD

A
  • 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
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13
Q

Sx for hyperactive impulse type ADHD

A
  • 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
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14
Q

etiology ADHD

A

multi factorial

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15
Q

MRI ADHD

A

prefrontal Cx
basal ganglia
cerebellar abnormalities

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16
Q

co morbid disorders with ADHD

A

conduct disorder, seizures, oppositional defiant disorder or learning disorders

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17
Q

side effects methyphenidate

A 
dec appetite
irritability
insomnia
weight loss
abdominal pain
misuse abuse
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18
Q

what nonstimulant used in ADHD

A

atomextine

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19
Q

parental role in ADHD

A

learn behavioral management
limit setting
positive reinforcement technique

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20
Q

school role in ADHD

A

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

21
Q

psychotherapy for ADHD

A

group therapy for social skills and impulse control

22
Q

what is conduct disorder

A

pattern that violates rights of others

  • aggression to people and animals
  • destruction property
  • deceitfulness or theft
  • serious violations of rules
23
Q

what is conduct disorder

A

pattern that violates rights of others

  • aggression to people and animals
  • destruction property
  • deceitfulness or theft
  • serious violations of rules
24
Q

which conduct disorder onset has worse prognosis

A

start before age 10

childhood onset

25
Q

conduct disorder can go on to what in adulthood

A

antisocial

26
Q

etiology conduct disorder

A

multifactorial

27
Q

what percent ADHD have conduct disorder

A

20-30%

28
Q

Tx conduct disorder

A 
Tx parents and child
individual therapy
family therapy and parenting skills!!!
structure and consistency
medications to Tx other disorders
29
Q

Oppositional defiant disorder

A

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

30
Q

Tx oppositional defiant disorder

A

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

31
Q

Tic

A

sudden rapid recurrent stereotyped motor movement or vocal sound

32
Q

transient tic

A

motor and/or vocal > 1 mo every day

33
Q

chronic tic

A

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

34
Q

tourettes

A

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

35
Q

Tx tourettes

A

Tx sooner not later

36
Q

motor tic development age

A

3-8 y.o

vocal are later

37
Q

tics and time

A

get better over time usually

38
Q

motor tics

A

tongue protrusion

blinking, nodding, twitching

39
Q

vocal tics

A

abnormal grunting, barking or shouting

40
Q

can patient suppress tics

A

only for short periods time

41
Q

tics often in people with

A

OCD

42
Q

PANDAS

A

ped auto immune neuropsychiatric disorders assoc with Strep infections

43
Q

Tx tourettes

A

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

44
Q

separation anxiety disorder

A

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

45
Q

3 types distress in separation anxiety

A

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

46
Q

3 types behavior separation anxiety

A

school refusal
sleep refusal
clinging

47
Q

2 types physiological behaviors of separation anxiety

A

nightmares

physical complaints: HA nausea etc

48
Q

Tx separation anxiety

A

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

Year 2 Psych exam2 (13 decks)

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