child psychiatry

Question 1

oppositional defiant disorder

Answer 1

pattern of angry irritable mood, argumentative/defiant behavior or vindictiveness lasting at least 6 months. need four symptoms and has to occur with at least one non sibling.

Question 2

symptoms

Answer 2

anrgy/irritable mood, touchy easily annoyed, angry and resentful, argumentative/defiant behavior, argues with authority figures, actively defies or refuses to comply with authority figures. often deliberately annoys others. blames others for his mistakes.has been spiteful or vindictive at least 2x in 6 months.

Question 3

mild symptoms? moderate? severe?

Answer 3

mild: 1 setting ,
moderate 2 settings,
severe 3 +

Question 4

treatment for ODD

Answer 4

parent-child therapy. bug in ear parenting. authoritative parenting.

Question 5

conduct disorder

Answer 5

behavior in which rights of others/social norms for age have been violated. repetitive and persistent behavior. has to have 3 in last year/1 in last 6 months.

Question 6

symptoms of CD

Answer 6

billies, threatens, intimidates. starts physical alterations, has used a weapon that could seriously harm. physically cruel to people, or animals. stolen while confronting victim. forced sexual activity. deliberately engaged in fire-setting or causing serious damage. broken into homes, truant from school, styae rout at night despite parental cautions. has to be impairment.

Question 7

when does this occur?

Answer 7

childhood onset: 1 symptom <10

can also be unspecified.

Question 8

worse prognosis when?

Answer 8

when there is little prosocial emotion. lack of remorse or guilt, callous -lack of empathy. unconcerned about performance. shallow or deficit affect.

Question 9

treatment for CD

Answer 9

multisystemic. probation etc. foster care. functional family therapy. anger control management. parent management training.

Question 10

autism

Answer 10

abnormal or impaired development in social interaction and communication. restricted repertoire of interests. vary greatly depending on the developmental level.

Question 11

who gets autism?

Answer 11

4X more prevalent in boys. not affected by income, education.

Question 12

characteristics of autism

Answer 12

does not coo by 12 months. does not gesture point wave by 12 months. does not say single words by 16 months or 2 word phrases by 24. has any loss of language or social skill at any age. does not play with parents, does not show interest in others. doesn’t enjoy peek a boo. does not bring or show objects to parents. insists on sameness, difficulty expressing needs, tantrum selfinjurous or aggressive.

Question 13

aspergers

Answer 13

part of ASD. impaired social interactions such s eye contact, motor bx, posture, facial feature.s no delays in language or other communications issues. tend to have an above average IQ.

Question 14

childhood disintegrative disorders

Answer 14

marked regression in multiple areas following two years of previously normal development. begins to resemble ASD. loses language, social skills, toileting, play, motor skills.

Question 15

rett’s syndrome

Answer 15

normal birth. after 5 months head growth rate decelerates. this only occurs in females. social interaction, locomotion, language problems develop.

Question 16

how do we diagnose ASD

Answer 16

interview. observation.

Question 17

most effective treatment for behavioral issues?

Answer 17

reinforcement therapies are the best.

Question 18

most effective for learning new behaviors

Answer 18

discrete trial instruction. applied behavioral analysis.

Question 19

intellectual disability (mental retardation)

Answer 19

need 3 criteria. 1 subaverage IQ (below 70), deficits in adaptive functioning (communication, self care, social skills, academics, work), onset needs to be before 18.

Question 20

mild retardation

Answer 20

50-70 IQ. most kids are similar for the first few years of life. can achieve a 6th grade academic level. can support self with minimal supervision.

Question 21

moderate.

Answer 21

35-50 academic skills up to 2nd grade. benefit from extensive social and vocational training. can performed unskilled or semi-skilled tasks under supervision.

Question 22

severe retard

Answer 22

20-40 can acquire some basic skills (feeding) can learn to read. simple task under supervision. requires assistance for most activities of daily living.

Question 23

profound retard

Answer 23

below 20. difficulty with simple tasks even under supervision. function best at highly structure settings.