Children’s Mental Health Flashcards
What % of children with mental health disorder who need treatment actually receive it?
1 - 1%
2 - 2.5%
3 - 25%
4 - 50%
3 - 25%
Is maternal depression associated with an increased risk of mental disorders in children?
- yes
- x5 more likely
What % of children who are looked after have some form of emotional or mental health illness?
1 - 1%
2 - 6%
3 - 26%
4 - 60%
4 - 60%
What % of children who are looked after have some form of emotional or mental health illness?
1 - 1%
2 - 6%
3 - 26%
4 - 60%
4 - 60%
Are children aged 5-15 y/o, are mental health disorders more common in boys or girls?
- boys
- have increased in both boys and girls in recent times
Developmental Disorders generally have the earliest onset. Which of the following is NOT classed as a development disorder?
1 - Autistic Disorders
2 - Personality disorder
3 - Hyperactivity Disorders
4 - Learning Disability
5 - Specific Developmental Disorders
2 - Personality disorder
In addition to development disorders, attachment disorders also have an early onset. Which of the following is NOT classed as an attachment disorder?
1 - Selective Mutism
2 - Oppositional- Defiant
3 - Disorder
4 - Depression
5 - Separation Anxiety
6 - Specific Phobias
7 - Enuresis (bed wetting)
4 - Depression
Do the disorders listed here, have a teenage or adult onset?
- Depression
- Mania
- Psychosis
- Suicide and Deliberate Self- Harm
- Anorexia and Bulimia Nervosa
- Panic Attacks and Agoraphobia
- Substance Misuse
- Juvenile Delinquency
- teenage onset
The following is a list of all the developmental stages of a child:
- Prenatal/Birth
- Infancy (Birth –18 months) Trust - form attachment/bond
- Toddler (1.5 - 3 years) Autonomy - walk/talk/tolerate separation
- Early childhood (3-5 years) Initiative - build vocabulary, build superego
- Middle childhood (6-12 years) Industry - build peer-relations and competencies
- Adolescence (12-adult) Identity
When gaining information on a patient, what does collateral mean?
1 - direct questioning of the patient
2 - questioning the patients GP
3 - questioning family, friends, carers of the patient
3 - questioning family, friends, carers of the patient
If we see a child in a clinical setting who is acting out with symptoms that resemble ADHD, is this enough to give a diagnosis?
- no
- we need to investigate further and assess if this is constant in all aspects of his life
- school, sports, friends
When we are assessing a patient for mental health disorders we need to look at risk and protective factors. This can help identify what the problem is. These can fall into 4 major categories, which of the following is NOT one of these?
1 - child
2 - family
3 - school
4 - birth
5 - community
4 - birth
- the overall aim is to improve and strengthen protective factors, while reducing risk factors
Which of the following are examples of individual therapy in children with suspected mental health disorders?
1 - play
2 - behavioural
3 - group therapy
4 - cognitive
5 - supportive
6 - dynamic
3 - group therapy
- cognitive therapy is generally for older children
Family therapy and parent training and group therapy are both effective treatments for children with suspected mental health disorders. Another alternative is Pharmacotherapy, although this is NOT the first line of medication. Which 2 of the following would be recommended for major depressive disorders and anxiety?
1 - Fluoxetine
2 - Diazepam
3 - Clozapine
4 - Sertraline
1 - Fluoxetine
4 - Sertraline
- both are selective serotonin inhibitors
Family therapy and parent training and group therapy are both effective treatments for children with suspected mental health disorders. Another alternative is Pharmacotherapy, although this is NOT the first line of medication. Which 2 of the following would be recommended for bipolar disorders?
1 - Fluoxetine
2 - Diazepam
3 - Valproate
4 - Lithium
3 - Valproate
- Anti-epelepsy
- increases GABA neurotransmission
4 - Lithium
- mood stabiliser
- maintains glutamate (excitatory neurotransmitter) at a healthy level