Child psychiatry

Question 1

Child behaviours relating to a secure attachment when parent leaves and enters room?

Answer 1

Cry when they leave
Happy to see them return
Cry for them when sad or scared

Question 2

How does caregiver and child behave in an insecure-avoidant relationship?

Answer 2

caregiver is unresponsive, uncaring and dismissive
Does not react to caregiver leaving
Does not react to caregiver returning
Does not seek comfort from caregiver when sad or scared

Question 3

How does caregiver and child behave in an insecure-ambivalent relationship?

Answer 3

Caregiver gives inconsistent attention to the child

Child cries when caregiver leaves but is not comforted by their return

Question 4

How does caregiver and child behave in an insecure-disorganised relationship?

Answer 4

Caregiver is abusive or neglectful

Child is often dazed, confused and apprehensive in the caregivers presence

Question 5

What cognitive development in adolescence predisposes children to risk taking behaviour?

Answer 5

Limbic system matures before prefrontal meaning reward system first

Question 6

3 areas of dysfunction in autistic children?

Answer 6

Communication
Social interactions
Restricted or repetitive behaviour

Question 7

Risks of boys having an eating disorder before puberty?

Answer 7

May not reach peak bone mass, growth or develop secondary sexual characteristics

Question 8

What happens in a crisis prevention assessment?

Answer 8

1 session for child
1 session for family
Section involving whole family

Question 9

Assessment of child mental health looks into what categories?

Answer 9

HoPC
Family circumstances
Use of services previously 
School and education
PMH
Drug and alcohol use
Forensic history
Medications already on
Child protection - any social worker?
relationships and sexual history

Question 10

5 steps of CAMHS intervention?

Answer 10

step 1 - universal/prevention
step 2 - target intervention
step 3 - specialist intervention (autism/eating disorder/addictions team)
step 4 - intermediate care (crisis resolution and home team)
Step 5 - high specialist inpatient