childhood anxiety and depressive disorders Flashcards
Students will be able to state 3 common fears in infancy, childhood, and adolescence. Students will be able to read a vignette and make an accurate diagnosis of an anxiety disorder. Students will be able to identify 3 common comorbidities of anxiety disorders. Students will be able to list 4 elements of cognitive behavioral therapy for childhood depression.
Dx criteria for seperation anxiety
developmentally inappropriate and excessive anxiety concerning seperation from home or from those whom the child is attached
gender difference in seperation anxiety
none
specific phobia diagnostic criteria
marked and persistant fear that is excessive or unreasonable, cued by the precense or anticipation of the specific object or situation
gender differences in specific phobia
more common in girls
common phobias in kids
heights, darkness, loud noises, injections, dogs,
social phobia dignostic criteria
marked and persistant fear of one or more social or performance situations in whoch the pt is eposed to unfamiliar people or to possible scrutiny by others
gender differences in social phobia
more common in girls
parental behaivior that can bring on social phpbia
high parental expectations, lack of social skills or isolation
GAD diagnostic driteria
excessive anxiety and worry occuring more days than not for at least 6 months
type of worry in GAD
more intense, rather than more worries
disorder with catastrophing prediction, feelings of perfectionism, and overestimation bias
GAD
gender diff in GAD
more common in girls
dx criteria for panic disorder
recurrent and unexpected panic attacks
probable phobia with Panic disorder
agoraphobia
time of onset of panic disorder
usually adolescence
gender differences in panic disorder
more common in girls
OCD dx criteria
recurrent and persistant thoughts (obessions) or repetitive behaivors or mental acts that theperson feels driven to perform in response to an obsession (compulsion)
gender differenes in OCD
equal rates, but eariler onset in boys
Dx criteria in selective mutism
consistant failure to speak in social situation (in which there is an expectation to speak) despite speaking in other situations
age of onset in selective mutism
before 5
gender differences in selective mutism
more common in girls
most common comorbidities in anxiety disorders
other anxiety disorders
general treatments of childhood anxiety disorders
behavioral/ cognitive-behavioral treamnets
pharmacotherapy
NOT psychdynamic
drug of choice for childhood anxiety
SSRI
behavior therapy treatments for anxiety disorders
exposure, systematic desensitiation, relaxation excercises, contingency management strategies, modeling
goals of CBT
- teaches children to understand how thoughts contribute to anxiety
- how to modify distorted thoughts to decrease sx
CBT techniques
psychoeducation about symptoms skill building exposure role play rewards
Dx criteria of Major Depressive disorder
epidode: 5 more depression sx within a 2 week period - or-
depressed mood for most of the day, for more days than not, for at least one year
assciated features of depressive disorders
social and peer difficulties,academic difficulties
age/gender differences in MDE
prepuberty - more common in boys
postpuberty - more common in girls
treatent of MDE/MDD
CBT
interpersonal psycotherapy
pharm (SSRI)
best treatment for adolecents with depresion
prozac and CBT
common comorbidity with MDE/MDD
anxiety
