Childhood Disorders

Question 1

risk factors

Answer 1

depressed parent
abuse/neglect
marital discord
low socioeconomic
maternal psych disorders
foster care
traumatic events

Question 2

genetic causes

Answer 2

hereditary: bipolar, autism, schizo, ADD, ADHD, mental retardation

Question 3

biochemical causes

Answer 3

elevated testosterone

altered neurotransmitters

Question 4

environmental causes

Answer 4

abuse

rejection

Question 5

resiliency

Answer 5

can adapt to changes
nurturing relationships
distance self from chaos
problem-solving skills

Question 6

mental health assessment

Answer 6

similar to adults but takes developmental level into consideration
emotional and intellectual maturity
strengths
weaknesses
stressors

Question 7

interventions

Answer 7

family therapy
group therapy: younger-play; grade school-talk and play, older-talk
behavioral therapy

Question 8

autistic spectrum disorders

Answer 8

genetic
2 or more:
-stereotyped/repetitive speech, motor, echolalia, use of objects
-excessive adherence to routine, resistance to change
-fixated interest
-hyporeactive/hyperreactive to joy, interest, sensory

Question 9

deficits in ASD

Answer 9

social
emotional
verbal/nonverbal for social behavior
maintaining relationships

Question 10

ASD assessment

Answer 10

developmental spurts and lags
parent-child relationship
strengths

Question 11

meds for ASD

Answer 11

risperidone for aggression
propranolol
SSRI

Question 12

anxiety

Answer 12

usually displayed with more somatic sx

Question 13

assessment for anxiety disorders

Answer 13

observe interactions
recent stressors
regression
parental response

Question 14

anxiety interventions

Answer 14

SSRI
emotional support
positive reinforcements
increase self-esteem
talk, play, draw

Question 15

PTSD age >6

Answer 15

externalize: fighting, school-work, bully
somatic
irritability
estrangement

Question 16

PTSD age <6

Answer 16

internalize: nightmare, night terrors, temper tantrum
increased fears
regressions
somatic
separation anxiety

Question 17

ADHD sx

Answer 17

inattention
hyperactivity
impulsivity

Question 18

ADHD interventions

Answer 18

behavior modification
psychostimulants: methylphenidate, Concerta, Adderall
clonidine hcl
guanfacine hcl-aggression and insomnia
TCA or buproprion

Question 19

ritalin s/e

Answer 19

insomnia
weight loss
decreased appetite
palpitations
blurred vision

Question 20

oppositional defiant disorder (ODD)

Answer 20

angry mood
defiant
for dx, sx must occur persistently and freqently

Question 21

assessment for ODD

Answer 21

parent-child relationship
parent understanding of growth and development
deficits of cognitive, psychosocial, moral development

Question 22

interventions for ODD

Answer 22

protect from harm
immediate nonthreatening feedback for unacceptable behaviors
immediate positive feedback for acceptable behaviors
impulse control
educate

Question 23

Tourette Disorder

Answer 23

stereotyped, rapid, involuntary motor movement
–blinking, facial grimacing, shoulder shrugging, head turning
usually involves head
vocal
coprolalia-rare
CNS stimulants worsen tics
clonidine and guanfacine work best

Question 24

therapies

Answer 24

bibliotherapy
drawing
family therapy
group therapy
behavioral therapy
time out
play therapy