LEC-14 Childhood Anxiety and Depressive Disorders

Question 1

___________________ is developmentally inappropriate and excessive anxiety that concerns separation from home or from those whom the individual is attached.

Answer 1

Separation Anxiety disorder

Question 2

If a child presents to your clinic with demands of parental attention, clinginess, behavioral difficulties when separated from parent, somatic complaints, and academic and peer difficulties (such as going to school), you would assume the child has ___________________.

Answer 2

Separation Anxiety disorder

Question 3

Separation anxiety disorder typically onsets during (early/late) childhood.

Answer 3

Early

Question 4

A(n) ______________ is the marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation.

Answer 4

Phobia

Question 5

If a child presents to your clinic with clinginess, behavioral problems when forced to confront a certain object or situation, hypervigilance, apprehensiveness, and catastrophizing “what if” predictions, you would assume the child suffers from _______________.

Answer 5

A phobia

Question 6

Phobias are more common in (males/females/neither).

Answer 6

Females

Question 7

Separation anxiety disorder is more common in (males/females/neither).

Answer 7

Neither

Question 8

Children who have a specific phobia are in (greater/less) danger of developing another phobia later in life.

Answer 8

Greater danger

Question 9

______________ is the marked and persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others.

Answer 9

Social anxiety disorder

Question 10

If a child presents to your clinic with somatic complaints, clinginess, peer and social difficulties, feelings of inadequacy, is very critical of self, and displays a depressed mood, you would assume the child has __________________.

Answer 10

Social anxiety disorder

Question 11

Social anxiety disorder is more common in (males/females/neither).

Answer 11

Females

Question 12

Patients with social anxiety disorder have a(n) (increased/decreased) risk of substance abuse and depression in adulthood.

Answer 12

Increased

Question 13

_______________ is the excessive anxiety and worry (apprehensive expectation), which occurs more days than not for at least 6 days, about a variety of events or activities.

Answer 13

Generalized anxiety disorder

Question 14

If a child presents to your clinic with intense worry over issues they may or may not be able to control, feelings of perfectionism, catastrophizing predictions, and somatic complaints, you would assume the child has ________________.

Answer 14

Generalized anxiety disorder

Question 15

Generalized anxiety disorder is more common in (males/females/neither).

Answer 15

Females

Question 16

Symptoms of generalized anxiety disorder typically appear in (early/late) childhood.

Answer 16

Early

Question 17

______________ is the recurrent and unexpected panic attacks, described as discrete periods of intense fear or discomfort with corresponding physiological symptoms.

Answer 17

Panic disorder

Question 18

Panic disorder is more common in (males/females/neither).

Answer 18

Females

Question 19

Onset of panic disorder is typically in (early/late) childhood.

Answer 19

Late

Most often occurs after the age of 14

Question 20

_____________ is the anxiety about being in places or situations where escape may be difficult or embarrassing, or in which help may not be available when having a panic attack.

Answer 20

Agoraphobia

Question 21

Agoraphobia is more common in (males/females/neither).

Answer 21

Females

Question 22

Agoraphobia typically onsets during (early/late) adolescence.

Answer 22

Late

Question 23

____________ is the consistent failure to speak in a social situation (in which there is an expectation of speaking) despite being able to speak in other situations.

Answer 23

Selective mutism

Question 24

If a child presents to your clinic with shyness, withdrawal, negative and isolated attitude, social and peer difficulties, and the refusal to speak, you would assume the child has _____________.

Answer 24

Selective mutism

Question 25

Selective mutism is more common in (males/females/neither).

Answer 25

Females

Question 26

If a child suffers from an anxiety disorder, they are more likely to have a(n) (emotional/behavioral) comorbidity.

Answer 26

Emotional comorbidity (MDD, Persistent Depressive disorder)

Question 27

(Cognitive-Behavioral Therapy/Pharmacotherapy/Psychodynamic therapy) has received the most support for treatment of childhood anxiety disorders.

Answer 27

Cognitive-Behavioral therapy

Question 28

___________ therapy works on the premise of exposure, systematic desensitization, relaxation exercises, contingency management strategies, and modeling.

Answer 28

Behavioral therapy

Question 29

_____________ requires 5 or more depression symptoms (SIG E CAPS) within a 2 week period to be classified as such.

Answer 29

Major Depressive disorder

Question 30

____________ is the presence of a depressed mood for most of the day, for more days than not, for at least 1 year. It requires the presence of two depression symptoms (SIG E CAPS).

Answer 30

Persistent Depressive disorder

Question 31

Depressive disorders occurring in prepuberty are more common in (males/females/neither).

Answer 31

Males

Question 32

Depressive disorders occurring in late adolescence are more common in (males/females/neither).

Answer 32

Females

Question 33

The most common drug given to children with depression disorders is ____________.

Answer 33

Fluoxetine

Question 34

The combination of CBT with fluoxetine works (better/less) than all other treatments for children with depression.

Answer 34

Better