Child Psychiatry Flashcards
What is CAAMHS
Child And Adolescent Mental Health Service
When do we get involved with children and their families
- There may be a mental health illness (ICD-10)
2. Functional impairment or risk
What sort of functional imaprments do we watch out for in children
Not attending school
Poor grades
Loss of friends
What sort of risk do we try and avoid
Suicide Self-harm (may lead to suicide) Alcohol and drug abuse Being groomed Being abused Running away Abusing others Seeing/hearing things
What sort of presenting complaints do kids have
Not sleeping Not eating Not getting out of bed Being anxious Washing hands 13 times day
What’s a good way to find out HOPC
“If we could wind the clock back to a time where you this didn’t affect you when would that be”
What’s the difference by neurotic and psychotic
Neurotic- anxiety and depressive symptoms
Psychotic- detachment from reality
What’s the difference between anorexia and anorexia nervosa?
Anorexia- loss of appetite
Anorexia nervosa- body image distortion, negative thoughts
Is hearing voices necessarily a bad thing in kids?
Not necessarily, might have an imaginary friend.
Are compulsions a neurotic or psychotic symptoms?
Are obsessions neurotic or psychotic symptoms?
Both neurotic, they ruminate through the head and are expressed through behaviour.
What sort of presentations may parents say
Kid locked herself in room Kid is an awkward loner Child tried to overdose Child is thin Daughter is always on the go and is getting in trouble in school
What is formulation?
Predisposing factors Precipitating factors
PROBLEMS
Perpetuating factors Protective factors
When do you use formulation
Use this when a child presents, very easy way to get the thoughts
What should you include in past psychiatric history
Including precious counselling and therapy
What medical conditions can disguise themselves as psychiatric problems in children
Seizures and head aches- may be temporal lobe epilepsy
Anemia and endocrine disorders may present as mood disorder
What should you ask about in social history specifically in teenagers
Remember to ask about legal highs
What is important in family history
Psychiatric and appropriate medical history
What is involved in the personal history in children
Schools- changing schools housing life events- death of a parent, divorce(higher risk of mental health problems), physical illness relationships bullying, abuse
What is involved in developmental history
Birth to now, looking for any
What is a SCABU
Special care baby unit
How do you do appearance
Pretend you’re describing a photograph of them
How do you assess behaviour
Describe behaviour as if you have the sound turned down
Rythym
Tone
Volume
What is the WISC
IQ test for kid, shows the cognitive profile of a child
Good for assessing cognition
What should you take away from this lecture
Biopsychosocial diagnosis
