Childhood Disorders Flashcards
risk factors
depressed parent abuse/neglect marital discord low socioeconomic maternal psych disorders foster care traumatic events
genetic causes
hereditary: bipolar, autism, schizo, ADD, ADHD, mental retardation
biochemical causes
elevated testosterone
altered neurotransmitters
environmental causes
abuse
rejection
resiliency
can adapt to changes
nurturing relationships
distance self from chaos
problem-solving skills
mental health assessment
similar to adults but takes developmental level into consideration emotional and intellectual maturity strengths weaknesses stressors
interventions
family therapy
group therapy: younger-play; grade school-talk and play, older-talk
behavioral therapy
autistic spectrum disorders
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
deficits in ASD
social
emotional
verbal/nonverbal for social behavior
maintaining relationships
ASD assessment
developmental spurts and lags
parent-child relationship
strengths
meds for ASD
risperidone for aggression
propranolol
SSRI
anxiety
usually displayed with more somatic sx
assessment for anxiety disorders
observe interactions
recent stressors
regression
parental response
anxiety interventions
SSRI emotional support positive reinforcements increase self-esteem talk, play, draw
PTSD age >6
externalize: fighting, school-work, bully
somatic
irritability
estrangement
PTSD age <6
internalize: nightmare, night terrors, temper tantrum increased fears regressions somatic separation anxiety
ADHD sx
inattention
hyperactivity
impulsivity
ADHD interventions
behavior modification psychostimulants: methylphenidate, Concerta, Adderall clonidine hcl guanfacine hcl-aggression and insomnia TCA or buproprion
ritalin s/e
insomnia weight loss decreased appetite palpitations blurred vision
oppositional defiant disorder (ODD)
angry mood
defiant
for dx, sx must occur persistently and freqently
assessment for ODD
parent-child relationship
parent understanding of growth and development
deficits of cognitive, psychosocial, moral development
interventions for ODD
protect from harm
immediate nonthreatening feedback for unacceptable behaviors
immediate positive feedback for acceptable behaviors
impulse control
educate
Tourette Disorder
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
therapies
bibliotherapy drawing family therapy group therapy behavioral therapy time out play therapy
