Child Psychiatry

Question 0

Describe specific learning disorders.

Answer 0

Includes reading disorders (dyslexia), mathematics,

Question 1

Describe intellectual disability.

Answer 1

Otherwise known as mental retardedness. Described as a difficulty in IQ. IQ lower than 70, between 70-90 is borderline, above 90 is normal IQ. 55-70 mild, 35-55 moderate, 20-35 severe, below 20 profound. Causes Downs, FAS, hypoxia during birth. Must be put in mainstream schools with special classes. Issues include aggression, sterilization.

Question 2

Describe motor inco-ordination disorders.

Answer 2

Children who are clumsy beyond their years. Physical exercise adds muscular development. Disorder more prevalent now as children do less chores and exercise.
Rx- occupational therapy.

Question 3

Describe communication disorders.

Answer 3

Child who speaks in babyish way for their age, eg lisps, stutters, phonologically.
Rx- speech therapist.

Question 4

Describe persuasive developmental disorders. (Autism and Aspergers)

Answer 4

Autism spectrum disorder- a condition in which people have a deficit in language development, forming emotional ties with others and intellectual disabilities. Child with autism plays alongside other children and does not understand the symbolic value of things and the emotional value of life. These children tend to not make friendships and emotional contact. They have associated language delay and need special schooling.
Aspergers- only deficit is ability to form emotional ties. These children often end up in solitary pursuits ie careers where you can work alone. They do not understand ‘exception to the rule’ and rules of empathy.

Question 5

What is the theory of the mind

Answer 5

It is the beginning of understanding of how the world works influenced by the environment.

Question 6

Describe disruptive behaviour disorders.

Answer 6

ADD/ADHD- methylphenidate (Ritalin) is the same as Tik and not given on weekends and holidays and non school going child.
Oppositional defiant ds- child oppositional and defiant far beyond years and afraid of no one.
Conduct ds- child who lies, steals, beats up other children, kills, rapes. Often come from dysfx family backgrounds where discipline was brutal and inconsistent.

Question 7

Describe ‘Tic’ ds

Answer 7

Main one is Taurettes- involuntary motor movements and verbal tics. Children display copralobia- saying obsene things in public sometimes when they know tic is coming.

Question 8

Describe elimination ds.

Answer 8

Bed wetting- enuresis

Soiling yourself- encopressis