Lange Child Psych Flashcards
What is the most common method children use to attempt suicide
Substance ingestion
Psychomotor agitation in depression seen more commonly in which peds sub population
Children vs. adolescents
what are common side effects of synthetic ADH
headahces and nausea
What % comobrbidity between MDD and childhood anxiety disorders
50%
Major fluoxetine side effects
GI disturbances and nausea
Rett disorder is only seen in?
Only in girls. Concordance rate for monozygotic twins is 100%
Risk factors for conduct disorder
Biological father absent, mom with somatization disorder/alcohol abuse, large family, conflict/aggressive parents
Treatment for tourettes?
Clonidine (alpha adrenergic receptor agonist). Clonidine also helps control sx of comorid ADHD. antipyschotics (FDA approved - pimozide and haldol) but more atypicals used now for better metabolic side effects.
Stimulants are first line for ADHD but are also a/w with increased risk of developing?
Tics. If child has history of tics, then try to avoid stimulants to treat ADHD (although another answer says that it can still be used with tcs)
Learning disorder dx
Reading achievement needs to be significantly lower than age appropriate IQ
What % of children with learning disorder have comorbid psych disorder?
50%. Usually ADHD, anxiety, depression.
What gender kids usually has enuresis. % of comorbid psych disorder in that gender?
Usually boys. Comorbidity usually 20%. Comorbidity is higher in girls
Clonidine adv effect upon initiation?
Sedation. Usually subsides with continued tx. Hypotension can also occur but usually not significant.
Use stimulants for ADHD even with tics?
Yes according to this answer.
Identification
Processing of adopting other people’s characteristics. Important for kids personality development
