Common child psychaitric disorders

Question 1

Conduct disorder

Answer 1

Disorder of behaviour characterised by repetitive and persistent pattern of dissocial, aggressive or defiant conduct
More severe than ordinary childish mischief or adolescent rebelliousness
Behaviours present >6months

Question 2

Conduct disorder- under 5s symptoms

Answer 2

Physical/verbal aggression
Destructive
Poor attention
Frequent/severe tantrums

Question 3

Conduct disorder 5-12 symptoms

Answer 3

Lying
Stealing
Defiance
Cruelty to animals
Fire setting

Question 4

Conduct disorder- adolescence

Answer 4

Truancy
Delinquency
Violence
Sex offences
Drug/alcohol/substance misuse

Question 5

Conduct disorder RFs

Answer 5

Boys>girls
Inner cities>rural
Socio-economic disadvantage
Family conflict + poor communication in family

Question 6

Emotional Disorders

Answer 6

Disturbances of mood, persistent and not in response to a single identified stressor
Disabling
Anxiety + fearfulness
Depression

Question 7

Emotional disorders RFs

Answer 7

Boys=girls

Fam factors- overprotection, parental anxiety

Question 8

ADHD

Answer 8

Hyperactivity
Impulsivity
Inattention

Question 9

ADHD RFs

Answer 9

Boys>girls 4:1
Genetic
Neuro-developmental abnormalities
Maternal depression
Smoking during depression

Question 10

ADHD treatment

Answer 10

Methylphenidate (SA or LA)- first line pharmacological treatment for children aged 5 or over

Question 11

Failures of normal development- Pervasive

Answer 11

Autistic spectrum disorders
–> impaired quality of reciprocal social interaction, difficulties developing peer relationships, impaired communication, verbal and non verbal

Question 12

Eating Disorders physical impact

Answer 12

Changes in hair + skin
Tooth erosion + decay
Increase risk HF
Brittle bones
Constipation/diarrhoea, bloating
Irregular/absent periods --> infertility