Day 5 Synchronous Flashcards
General Interventions for Children and Adolescents
- Family therapy
- Group therapy
- Behavioural therapy – breathing techniques – box breathing
- Cognitive behavioural therapy
- Disruptive behaviour management
- Time out
- Quiet room – sensory room
Play therapy
Bibliotherapy
Therapeutic drawing
Music therapy
Psychopharmacology
Teamwork and safety
Gordon Neufeld
There is a shift in our culture of who is
predominantly teaching a child principles of:
* Societal norms
* Self-control
* Stress regulation
* Emotional regulation
* Family cohesions
* Differences between right and wrong
Most Common Mental Health Disorders in Childhood
- Anxiety
- ADHD
- Depression
- Disruptive, Impulse-Control and Conduct Disorders
- Pervasive Developmental Disorders
Communication Disorders
Speech disorders
= Deficits with expression and receptive ability – can’t make sounds or issues with fluency
Language disorders
= Little or no vocabulary growth
Learning Disorders
- Dyslexia (reading)
- Dyscalculia (math)
- Dysgraphia (written expression)
Mood Disorders
- Stereotypic movement disorder
- repetitive
- body rocking, head nodding, handshaking, waving
- self-injury behaviours: head banging, self-biting - Tourette’s disorder
- presents before 18 y.o
- Tic disorders 4-6 y.o
- Motor or vocal
Intellectual Development Disorder
DEFICITS in
- intellectual functioning
- social functioning
- managing age-appropriate activities of daily living, functioning at school or work, and performing self-care
Autism Spectrum Disorder
Neurobiological disability
Developmental disability
Appears during first 3 years of life
Autism Spectrum Disorder: Nursing Process
- Assessment: developmental milestones, relationships, MSE
- Diagnosis: impaired social interactions and communication skills
- Outcomes Identification: based on age-appropriate developmental milestones (physical, cognitive, psychosocial)
- Implementation: psychosocial interventions and psychobiological interventions (risperdal and anafril)
- Evaluation
Attention Deficit Hyperactivity Disorder
- Inappropriate degree of inattention, impulsiveness, hyperactivity
- Interfering with ability to function or develop
Attention Deficit Hyperactivity Disorder Nursing Process
- Assessment: Level of physical activity, attention span, talkativeness, social skills, comorbidity.
- Diagnosis
- Outcomes Identification: Increased attention and task-directed behaviour, reducing impulsivity, restlessness and distractibility
- Implementation: Psychosocial (CBT, recreational or art therapy) ; Psychobiological/Psychopharmacology (Psychostimulant: ritalin, sleep-aid, non stimulant SNRI, Strattera
- Evaluation
Anxiety
- Most Common
- Involves experiencing persistent fears and worries lasting at least one to six months and engaging in behaviours aimed at avoiding a feared situation
- Symptoms: Somatic concerns, catastrophe thinking, “fight” in response to avoid anxiety-provoking situation
Treatment: CBT
Use of medications should be used sparingly and cautiously
Depression
- Third Common
- Girls more affected
Risk Factors: genetic susceptibility, serious physical illness, significant loss
Treatment: CBT and Fluoxetine (SSRI) - First-line treatments
Oppositional Defiant Disorder
- Angry and Irritable mood
- Defiant and vindictive behaviour
(social difficulties, conflicts with authority figures, academic problems)
Intermittent Explosive Disorder
- Inability to control aggressive impulses
- 18 yrs or older
- Leads to problems with interpersonal relationships, occupational difficulties, criminal difficulties
