Childhood And Adolescent Psychiatric Disorders

Question 1

Factors increasing psychiatric problem risk in children

Answer 1

Low intelligence
Difficult temperament
Physical illness
Developmental delay
Genetics
Peer relationship problems
Social deprivation
School factors

Question 2

Pre school behaviour problems

Answer 2

Habit problems
Failure to develop routines
Temper tantrums
Attachment difficulties
Autism/social communication problems
Hyperkinetic disorder
Anxiety
Separation anxiety
Abuse

Question 3

Conduct disorder

Answer 3

Disorder of behaviour characterised by repetitive and persistent pattern of dissocial, aggressive, or defiant conduct

Question 4

Conduct disorder symptoms in under 5s

Answer 4

Aggression
Destruction
Poor attention
Frequent severe tantrums

Question 5

Conduct disorder symptoms 5-12 yrs

Answer 5

Lying
Stealing
Defiance
Cruelty to animals
Fire setting

Question 6

Conduct disorder symptoms in adolescence

Answer 6

Truancy
Delinquency
Violence
Sex offences
Drug/alcohol/substance misuse

Question 7

Conduct disorder risk factors

Answer 7

Boys
Inner city
Socioeconomic disadvantage
Family conflict
Looked after children
Difficult temperament
Reading disability

Question 8

Emotional disorder

Answer 8

Disturbance of mood, persistent and not in response to a single identified stressor

Question 9

Emotional disorder symptoms

Answer 9

Fears, anxiety, phobias
Lack of pleasure
Physical symptoms - abdo pain, headache
Fall I. School performance
Truancy

Question 10

Emotional disorder risk factors

Answer 10

Parental anxiety
Quiet compliant temperment

Question 11

DSH and suicide risk factors

Answer 11

Family history
Alcoho/drug misuse
Bereavement
Mental health problems
Isolation
Abuse
Academic pressure

Question 12

Adjustment disorders

Answer 12

Distress and emotional disturbances arising in a period of adaptation to a significant life change or the consequence to a stressful life event

Question 13

When do adjustment disorder symptoms usually start

Answer 13

Within 3 months of event
Subside around 6 months after event

Question 14

ADHD symptoms

Answer 14

Hyperactivity
Impulsivity
Inattention
Occur in more than 1 setting

Question 15

ADHD risk factors

Answer 15

Boys
Genetics
Neuro developmental abnormalities
Maternal depression
Smoking during pregnancy

Question 16

ADHD treatment

Answer 16

Behavioural therapy
Parenting programmes
Methylphenidate- Ritalin
Lisdexamfetamine

Question 17

Autism symptoms

Answer 17

Impaired reciprocal social interaction
Difficulty developing peer relationships
Impaired communication
Verbal/non verbal
Restricted and repetitive behaviours

Question 18

Attachment disorders

Answer 18

Distress and social impairment due to an extreme abnormal pattern of attachment

Question 19

Main cause of attachment disorders

Answer 19

Repeated changes of care giver in early childhood

Question 20

2 types of attachment disorder

Answer 20

Reactive/ inhibited - child withdrawn, detached, resistant to comforting
Disinhibition - child anxious, doesn’t prefer parents over strangers, seeks comfort from anyone

Question 21

Types of abuse

Answer 21

Physical
Emotional
Sexual
Neglect
Munchausen by proxy/ factitious induced illness

Question 22

Physical symptoms of eating disorders

Answer 22

Hair and skin changes
Tooth erosion
Incr heart failure risk
Brittle bones
Constipation
Diarrhoea
Bloating
Irregular/absent periods

Question 23

Schizophrenia symtoms

Answer 23

Positive symptoms - hallucinations, delusions
Negative symtoms - emotional apathy, poverty of speech, social withdrawal

Question 24

Psychiatric assessment

Answer 24

Description and history of problems
Peri natal, developmental , medical, educational, and social history
Family history
Mental state of child
Family relationships
Interventions so far

Question 25

Psychiatric disorder treatments

Answer 25

Psycho education
Parental training/advice
Talking therapy
Pharmacotherpay

Question 26

What affects prognosis of psychiatric disorders

Answer 26

Nature and severity of disorder
Family and environmental context
Treatment