Intro adol. psych Flashcards
1
Q
what is epi of dep in adols
A
- 6-8%
- 2:1 females
- high risk for recurrence
2
Q
what is diagnosis issue for dep in adols
A
- only 50% diagnosed before adults
- only 50% receive treatment
3
Q
reasons diagnosis is missed
A
- lack of confidence
- fluctuating course
- social stressors of time
4
Q
diffs. in adol vs. adult
A
- more irritbality
- mood reactivity
- low self esteem
5
Q
general features of treatment
A
- engage and educate
- assess for hopelessness
- suicide risk
6
Q
4 types of antideps.
A
SSRIs
SNRIs
TCAs
antypicals
7
Q
how to start meds
A
start slow, but if not working in 2-4 weeks move up
8
Q
best evidence for treatament
A
SSRI - fluoxetine
- NOT TCAs
9
Q
what is effect on suicide
A
doesn’t seem to increase
10
Q
what is use for CBT
A
not that great
- can be good for suicide in combo with drugs
11
Q
2 types of bipolar
A
- at least one manic episode
2. recurrent MDD with at least one hypomanic episode
12
Q
bipolar epi
A
1%
M=F
high risk for suicide
13
Q
def. of manic episode
A
period of abnormally or persistently elevated, expansive, or irritable mood
3 or more assoc. Sx
14
Q
assoc. sx
A
thoughts - grandiosity - pressured speech - flight of ideas behav. - decreased need for sleep - increased goal directed act. - activities lacking judgment
15
Q
what is associtaed with greater risk of BP
A
- recurrent ADHD, CD, dep/anx
- fam hx
- NOT severe mood dysregulation
