**Childhood Psych Disorders

Question 1

*Autism spectrum d/o (ASD) c/f

Answer 1

<3yrs
Symptoms:
1. Communication problems
2. Social - Failure to use non verbal cues in social setting
3. Behavioral symptoms: Odd preoccupation with repetitive activities, bizarre manner-isms, and rigid adherence to purposeless ritual
4. Intellectual disability seen in few

Question 2

Aspergers syndrome

Answer 2

Milder form of ASD
1. Communication - unusual
2. Social and behaviour same as ASD
3. HIGHLY INTELLECTUAL

Question 3

ADHD

Answer 3

<12yrs
For at least 6 months
*TWO SITTINGS - home and school IMP FOR DIAGNOSIS
can be only hyperactive or only small attention span

Mx: PHARMACOLOGY > CBT
1. Methylphenidate
2. Dextroamphetamine
3. Atomoxetine

Question 4

Conduct d/o

Answer 4

Aggression, property destruction, deceitfulness or theft, and rules.
Usually a/w ADHD
<18yrs - conduct d/o
>18yrs - Antisocial PD

Mx: Healthy group identity and role models

Question 5

Oppositional defiant d/o

Answer 5

At least 6 months
negativistic, hostile, and defiant behaviors ONLY TOWARDS ADULTS
Mx: advise parent to spend more time with child, CBT

Question 6

Childhood enuresis

Answer 6

normal - bed wetting - <6yrs
>6yrs age - enuresis

Mx:
R/o urinary infections
Alarm therapy for 3 months
If still prevalent
Give desmopressin > imipramine

Question 7

Tourette d/o

Answer 7

motor(7yrs) AND vocal (11yrs) ticks at least 6 months
a/w ADHD/OCD

Mx: Antipsychotics