Childhood Psych Disorders Flashcards
in which type of disorders do you usually need to max out the serotonergic drug that you are treating with?
anxiety disorders like OCD
a mother presents with her child who is frustrated because it has been taking an hour each day to convince her child to get on the school bus. the child says she is afraid that her mother will die while she is at school and she will never see her again. DX?
separation anxiety disorder
what are 3 risk factors for developing separation anxiety disorder?
1) close-knit family
2) mom shows anxiety about leaving kid also (kid copies)
3) exposure to traumatic separation
dad presents with his kid because his teacher says he never raises his hand and doesn’t communicate with his classmates during free time. he’s confused cause his kid is a chatterbox at home. DX?
selective mutism
when do animal phobias typically originate?
childhood
when do blood-injection-injury type phobias typically originate?
adolescence
what is the technique where feared stimuli is paired with relaxation training to get over a phobia?
systematic desensitization
what is the technique characterized by massive exposure to a feared stimulus until anxiety subsides?
flooding
mom brings her daughter in because she has noticed that her child refuses to speak or eat in public, urinate in public, or attend any social events. DX?
social anxiety disorder
how do we treat social anxiety disorder?
paroxetine and ASSERTIVENESS TRAINING
how do we treat social anxiety with predominant public speaking SX?
propranalol
what criteria must be met for diagnosis of panic disorder?
4 of the 13 symptoms listed in the DSM which i do not have but along the lines of…
sweating, SOB, palpitations, chest pain, nausea
patient must exhibit persistent concern or worry of the recurrence of these attacks and make significant maladaptive changes in behavior to avoid them
when do the feelings of intense fear, impending doom, and discomfort that accompany panic attacks usually peak?
1 minute
treatment for panic disorder?
benzos as needed
SSRI or SNRI for maintenance
CBT!!
what is the criteria for diagnosing generalized anxiety disorder?
excessive poorly controlled anxiety about most routine things for more than 6 months
3+ of the following restlessness easily fatigued poor concentrated irritability muscle tension sleep disturbance
