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402 Boo > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

gender identity is congruent with gender assigned at birth

A

cisgender

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2
Q

gender identity/expression differs from gender assigned at birth

A

transgender

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3
Q

gender expression is different from conventional expectations

A

gender non-conforming

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4
Q

what are the three stages of gender constancy

A

gender labeling
gender stability
gender consistency

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5
Q

mature solid understanding of gender identity

A

gender constancy

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6
Q

Name that stage of gender constancy:
2-3 yrs
identify as male or female
gender segregated play emerges

A

gender labeling

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7
Q 
Name that stage of gender constancy:
3-4 yrs
gender is stable 
overemphasis on wear/ self expression 
rigid gender roles
A

gender stability

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8
Q

Name that stage of gender constancy:
4-7 yrs
more flexible in gender roles
recognize maleness/femaleness is biological and won’t change based on preference

A

gender consistency

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9
Q

what are the 2 criteria for a Gender Dysphoria diagnosis in children and adolescents and how long?
How many symptoms does a child have to have?
adolescent?

A 
marked incongruences bt one's expressed gender and assigned gender
clinically significantly distress
6 months 
1. 6
2. 2
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10
Q

what are the two medical interventions available for gender dysphoria

A

puberty blockers

cross-sex hormones

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11
Q

medications that delay the onset of puberty with no permanent effects

A

puberty blockers

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12
Q

hormones that initiate puberty and the onset of secondary-sex characteristics that are permanent and affect fertility

A

cross-sex hormones

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13
Q

how many symptoms must a child display to diagnosed with major depressive disorder
for how long?

A

5 or more

2 wks and nearly everyday

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14
Q

what does clinician specify during a diagnosis for MDD (major depressive disorder)

A

MDD single episode
MDD recurrent
predicted prognosis

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15
Q

which form of major depressive disorder is more severe and less responsive to medicine

A

MDD recurrent

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16
Q

based on the number of symptoms, intensity, distress, and degree of impairment
categorized as mild, moderate, or severe

A

MDD severity

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17
Q

according to the American Academy of Pediatrics, does asking questions increase ideations about suicide?

A

nope

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18
Q

Identify the age of these depressive presentations:

  1. irritable, argumentative, disruptive, never happy
  2. tearful, withdrawn, joyless, physical complaints, irritable
  3. self-blame, sleep issues, isolation, loss of interests
A
  1. elementary
  2. preschool
  3. adolescents
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19
Q

what are the 3 most important risk factors of suicide

A

express desire to die
have a suicide plan
plan is feasible

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20
Q

serotonin and norepinephrine are dysregulated in depression

A

monoamine hypothesis

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21
Q

what evidence supports the monoamine hypothesis

A
  • antidepressants that help regulate serotonin and norepinephrine reduce symptoms
  • change in serotonin leads to change in symptoms
  • genes responsible serotonin function implicated in girls
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22
Q

results in elevated levels of cortisol because it isn’t properly shut off

A

HPA dysregulation

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23
Q

what are factors that lead to HPA dysregulation

A

trauma
neglect
maternal stress/illness

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24
Q

children of depressed mothers are 6x more likely to develop depression

A

truth!

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25
what are the 3 reasons children of depressive mothers will also exhibit depression
- genetic predisposition - HPA axis development - intergenerational interpersonal stress model
26
what is the intergenerational interpersonal stress model
child experiences stressors and was not taught effective coping skills due to a depressed parent model
27
what are the three stages of Beck's cognitive theory of depression
cognitive biases cognitive distortion negative automatic thoughts
28
which of the three stages of Beck's cognitive theory of depression is this: -show a negative bias
cognitive biases
29
which of the three stages of Beck's cognitive theory of depression is this: -adjusting perceptions of the world in a way that is not consistent with reality
cognitive distortion
30
which of the three stages of Beck's cognitive theory of depression is this: -images or self-statements occurring after a stressor
negative automatic thoughts
31
what kind of medication is prescribed for depression
selective serotonin reuptake inhibitors
32
what are the four skills in Stark's cognitive-behavioral therapy for children
1. recognizing and understanding emotions 2. solving social problems 3. coping with negative feelings 4. cognitive restructuring
33
what are the 2 phases of coping with depression for adolescents
1. increasing energy levels and positive emotions | 2. targeting negative moods
34
what were bipolar and related disorders classified under the DSM4
mood disorders
35
why was disruptive mood dysregulation disorder added to the DSM5
because too many kids were being diagnosed with bipolar disorder
36
what makes ADHD and DMDD similar..... diff?
same- impulsivity | diff- DMDD kids have recurrent angry outbursts and are consistently angry and irritable
37
what are the 3 differences bt ODD and DMDD
- kids w/ ODD are more defiant - kids w/ ODD direct anger at other and DMDD kids direct anger to people and places - angry outbursts in DMDD last longer and are more unpredictable
38
children with DMDD are more likely to struggle with anxiety and depression compared to kids with Bipolar disorder
true
39
characterized by a manic episode and major depressive episode interferes with function
bipolar 1
40
less intense and shorter changes in mood and function are not visible to others not severe enough to cause impairment characterized by hypomanic episode and major depressive episode
bipolar 2
41
what is the average age of onset for the first manic episode
15-19
42
what is the most commonly diagnosed disorder
anxiety
43
how many symptoms does one have to show to be diagnosed with separation anxiety how long do symptoms has to last for a child? adult?
3 4 wks 6 mnths
44
persistent fear of social or performance requirements that expose children to possible scrutiny or embarrassment
social anxiety disorder
45
what are the most feared situations in kids with social anxiety disorder
formal presentations and unstructured social interactions
46
children will talk in certain situations and not in others age of onset is abt 3-4 yrs rare
selective mutism
47
what are 3 reasons selective mutism may occur
trauma aversion to own voice social anxiety disorder
48
consistent free floating worry focus on what ifs sweat small stuff comorbid with other anxiety disorders
generalized anxiety disorder
49
to be diagnosed with generalized anxiety disorder, how many symptoms are required and for how long
3 | 6 months nearly daily
50
what is implicated in the etiology of anxiety disorders
cognitive distortions
51
Identify that cognitive distortion: | expecting terrible outcomes
catastrophizing
52
Identify that cognitive distortion: | small failures indicate global failure
overgeneralizing
53
Identify that cognitive distortion: | self-blame
personalizing
54
OCD is an anxiety disorder
FALSE
55
- recurrent and persistent thoughts, impulses, or images that are experienced as intrusive causing anxiety - attempts to ignore or suppress thoughts
obsessions
56
- repetitive behaviors or mental acts performed in response to obsession or rigid rules - behaviors or mental acts designed to reduce distress but are not connected to stressor
compulsion
57
what are the OCD specifiers according to the DSM5
- with good or fair insight - with poor insight - with absent/delusional beliefs
58
Name that OCD specifier: | thinks beliefs are not true
with good or fair insight
59
Name that OCD specifier: | thinks beliefs are probably true
with poor insight
60
Name that OCD specifier: | completely convinced beliefs are true
with absent/delusional beliefs
61
OCD has high comorbidity with tic disorder
sure does
62
what are differences in OCD when comparing kids and adults
in Kids: obsessions can change obsessions are more vague and magical difficulty or fear of verbalizing obsessions
63
why is the cortical striatal thalamic circuit implicated in OCD
the caudate does not inhibit unnecessary info sending well
64
detects abnormalities and irregularities in the environment
orbital frontal cortex
65
sends info to the thalamus and inhibits unnecessary info
caudate
66
activates other brain regions for behavioral response
thalamus
67
what are 2 cognitive processes that are implicated in OCD
inflated responsibility | thought-action fusion
68
development of rapid onset OCD | autoimmune response that produces WBCs that interfere with the caudate
PANDAS
69
how anxiety disorder treated
CBT | FEAR program
70
what is the FEAR program stand for
feeling frightened expecting bad things to happen attitudes and actions that will help results and rewards
71
what are the 3 steps of CBT treatment for OCD
1. info gathering 2. exposure and response prevention 3. generalization
72
what are the effects of physical abuse and neglect (3)
behavior problems mood and anxiety problems disorganized pattern of attachment
73
consistent pattern of inhibited emotionally withdrawn behavior toward care givers
reactive attachment disorder
74
what age can a child be considered for a reactive attachment disorder diagnosis or disinhibited social engagement disorder
9 months
75
pattern of behavior in which child forms superficial relationships an interacts with unfamiliar adults
disinhibited social engagement disorder
76
what are the effects of sexual abuse (3)
sexualized behaviors precocious sexual knowledge traumatic sexualization
77
what are the four methods of treatment for children who experienced physical abuse or neglect
supportive therapy parent training parent-child interaction therapy trauma narrative and safety plan
78
a drawing or narrative to help a child express their feelings about an experienced trauma must be able to revisited over time
trauma narrative
79
therapy in which the child establishes a trusting relationship with a therapist
supportive therapy
80
what type of treatment is available for child victims of sexual abuse
trauma focused CBT | trauma narrative and safety plan
81
how many phases are there in trauma-focused CBT
3
82
what is the purpose of phase one in trauma-focused CBT
teaching the parent about the abuse and helping the child be more comfortable
83
what is the purpose of phase two in trauma-focused CBT
apply the things learned in phase one to help the child cope, process, and deal this experienced trauma
84
what is the purpose of phase three in trauma-focused CBT
have the child share how the trauma affected them and develop a safety plan together

402 Boo (3 decks)

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