Childhood And Adolescent Psychiatric Disorders Flashcards
Factors increasing psychiatric problem risk in children
Low intelligence
Difficult temperament
Physical illness
Developmental delay
Genetics
Peer relationship problems
Social deprivation
School factors
Pre school behaviour problems
Habit problems
Failure to develop routines
Temper tantrums
Attachment difficulties
Autism/social communication problems
Hyperkinetic disorder
Anxiety
Separation anxiety
Abuse
Conduct disorder
Disorder of behaviour characterised by repetitive and persistent pattern of dissocial, aggressive, or defiant conduct
Conduct disorder symptoms in under 5s
Aggression
Destruction
Poor attention
Frequent severe tantrums
Conduct disorder symptoms 5-12 yrs
Lying
Stealing
Defiance
Cruelty to animals
Fire setting
Conduct disorder symptoms in adolescence
Truancy
Delinquency
Violence
Sex offences
Drug/alcohol/substance misuse
Conduct disorder risk factors
Boys
Inner city
Socioeconomic disadvantage
Family conflict
Looked after children
Difficult temperament
Reading disability
Emotional disorder
Disturbance of mood, persistent and not in response to a single identified stressor
Emotional disorder symptoms
Fears, anxiety, phobias
Lack of pleasure
Physical symptoms - abdo pain, headache
Fall I. School performance
Truancy
Emotional disorder risk factors
Parental anxiety
Quiet compliant temperment
DSH and suicide risk factors
Family history
Alcoho/drug misuse
Bereavement
Mental health problems
Isolation
Abuse
Academic pressure
Adjustment disorders
Distress and emotional disturbances arising in a period of adaptation to a significant life change or the consequence to a stressful life event
When do adjustment disorder symptoms usually start
Within 3 months of event
Subside around 6 months after event
ADHD symptoms
Hyperactivity
Impulsivity
Inattention
Occur in more than 1 setting
ADHD risk factors
Boys
Genetics
Neuro developmental abnormalities
Maternal depression
Smoking during pregnancy
ADHD treatment
Behavioural therapy
Parenting programmes
Methylphenidate- Ritalin
Lisdexamfetamine
Autism symptoms
Impaired reciprocal social interaction
Difficulty developing peer relationships
Impaired communication
Verbal/non verbal
Restricted and repetitive behaviours
Attachment disorders
Distress and social impairment due to an extreme abnormal pattern of attachment
Main cause of attachment disorders
Repeated changes of care giver in early childhood
2 types of attachment disorder
Reactive/ inhibited - child withdrawn, detached, resistant to comforting
Disinhibition - child anxious, doesn’t prefer parents over strangers, seeks comfort from anyone
Types of abuse
Physical
Emotional
Sexual
Neglect
Munchausen by proxy/ factitious induced illness
Physical symptoms of eating disorders
Hair and skin changes
Tooth erosion
Incr heart failure risk
Brittle bones
Constipation
Diarrhoea
Bloating
Irregular/absent periods
Schizophrenia symtoms
Positive symptoms - hallucinations, delusions
Negative symtoms - emotional apathy, poverty of speech, social withdrawal
Psychiatric assessment
Description and history of problems
Peri natal, developmental , medical, educational, and social history
Family history
Mental state of child
Family relationships
Interventions so far
Psychiatric disorder treatments
Psycho education
Parental training/advice
Talking therapy
Pharmacotherpay
What affects prognosis of psychiatric disorders
Nature and severity of disorder
Family and environmental context
Treatment
