Child Psychiatry - part 1

Question 1

What is key part to full history in child psychiatry?

Answer 1

• Development history - milestones, pregnancy etc
• View in context of family and culture

Question 2

MH biological RF

Answer 2

• Genetics
• Personality
• Neurodevelopment

Question 3

MH illness psychological RF

Answer 3

• Attachment - bond of child and carer
• Emotional - ability to understand, express
• Learning
• Cognition - understanding, reasoning

Question 4

What is attachement?

Answer 4

Bond between child and carer

Question 5

Different types of attachement

Answer 5

• Secure - value relationships, confident in self
• Insecure avoidant - not value relationships, independent
• Insecure anxious - values relationships but see as unpredictable, confidence dependent on praise from others
• Insecure ambivalent - values relationships but unsure how secure
• Disorganised - does not value relationships, not confident in self

Question 6

Social risk factors for MH illness

Answer 6

• Abuse (any type)
• Trauma - direct or witnessed
• Sickness
• Loss
• FH MH illness
• Financial pressure
• Parenting style

Question 7

Factors that influence resilience

Answer 7

• Temperament
• IQ
• Social skills
• Empathy
• Humour
• Parenting
• Relationship between child and carer
• School achievements
• Extra-curricular activities

Question 8

What can affect when child presents?

Answer 8

• Age
• Frequency - frequent issue
• Severity - self harm, suicidal thoughts
• Individual temperament
• Impact on others
• Family/social circumstances

Question 9

Types of child mental health services

Answer 9

• Health services - specialist or universal
• Local authority - school services or community based
• Voluntary sector

Now MH team in lots of schools - seperate to CAMHs