Children Psych Flashcards
What is the definition of of intellectual disability?
IQ < 70, onset before age of 18, deficits in adaptive skills
What are the characteristics of Prader willi?
mental retardation, obesity, hypogonadism, almond shaped eyes
What are the DSM criteria for Oppositional defiant disorder?
6 months of hostile, defiant behavior with frequent loss of temper, easily annoyed
What are the DSM criteria for conduct disorder?
patterns of behavior that violate basic rights of others including aggresion towards people, destruction of property, deceitfulness of theft, serious violation of rules
What are the DSM criteria for ADHD?
6 symptoms of inattentiveness, hyperactivity, impulsivity, persistent for 6 months, onset prior to age 7
What disorders are comorbid with ADHD?
ODD, anxiety disorders, personality disorders
What is the treatment for ADHD?
CNS stimulants, amphetamine salts (adderall) , family and group psychotherapy
What are the DSM criteria for autistic disorder?
problems with social interaction, problems in communication, problems with repetitive stereotyped behavior
What are the DSM criteria for asperger’s?
same as autisim without the limitation in communication
What are the characteristics of Rett disorder?
onset at age 5-48 months, stereotyped hand movements, decreased head growth rate, loss of purposeful hand skills
What are the features of childhood disintegrative disorder?
normal development in first 2 years of life and loss of integrative skills before age 10 in language, bowel/bladder control, motor skills, communication
-> associated with medical conditions
What are the DSM criteria for tourette’s disorder?
tic = stereotyped involuntary movements or vocalization
DSM: multiple motor and one or more vocal tics occuring many times a day every day for over a year
What is the epidemiology of tourettes? (who does it affect, how often does it go away, comorbidities)
more boys than girls, high comorbidity with OCD, ADHD
goes away about 1/2 to 2/3 of the time
What is the etiology of tourette’s?
genetic perinatal factors neurochemical factors - impaired regulation of dopamine in caudate nucleus post infectious autoimmune factors psychological factors
What is the treatment for tourette’s?
atypical neuroleptics (risperidone), alpha-2 agonists (clonidine)
What is the definition of enuresis?
involuntary voiding of urine after age 5 at least 2 times a week for 3 months
What is the definition of encopresis?
involuntary passage of feces by age 4 at least 1x month for 3 months
What is the best tx option for elimination disorders?
high rate of remission, behavior modification
What is selective mutism?
refusal to speak in certain conditions for at least 1 month, usually occurs between 2-5 years of age
What is separation anxeity disorder?
ecessive fear for more than 4 weeks of leaving parents - treat with family therapy
What treatment should be prescribed in the treatment of severe tourette’s?
antipsychotics (Clonidine)
How is depression in children different from depression in adults?
More irritable, more hypersomnia, more psychomotor agitation
What is the most common method for children to kill themselves?
Overdose
What are some of the major risk factors for conduct disorder?
no biological father, mother with somatization/alcohol abuse, large family, aggressive unsupportive parents
