Life Span

Question 1

what mental illnesses have the worst effect on life expectancy? how many years do they reduce LE by?

Answer 1

BPAD
substance abuse
9-25 years

Question 2

what drug can increase risk of schizophrenia and psychoses?

Answer 2

high THC cannabis

Question 3

why is BPAD not diagnosed often in CAMHS?

Answer 3

mood changes are mostly put down to adolescence (don’t want to medicalise it)

Question 4

personality disorders tend to be diagnosed over age __

Answer 4

18

Question 5

commonest mental disorder diagnosis in childhood

Answer 5

disruptive/behavioural disorders

Question 6

what disruptive behavioural disorder presents children under 12?

Answer 6

oppositional defiant disorder

Question 7

what disruptive behavioural disorder presents in children over 12s?

Answer 7

conduct disorder

Question 8

Tx of ASD?

Answer 8

education and social intervention

only give medication if they have comorbidities

Question 9

when would you give medical treatment for ADHD?

Answer 9

if it’s a moderate or severe case

Question 10

at what ages is separation anxiety normal?

Answer 10

7 months to preschool

Question 11

a child with separation anxiety is at higher risk of developing what condition in adolescence?

Answer 11

social anxiety (perfectionism is seen)

Question 12

trauma and attachment disorders are mainly caused by what?

Answer 12

maltreatment and abuse

Question 13

presentation of trauma and attachment disorders?

Answer 13

PTSD type symptoms eg anger/avoidance
irritability
anxiety
co-morbidities eg depression

Question 14

imaginary friends are pathological T or F

Answer 14

F

Question 15

grandiose ideas are normal in primary school age children T or F

Answer 15

T

Question 16

OCD type behaviours are normal in adolescence T or F

Answer 16

T

Question 17

why is medication prescribed less commonly in children?

Answer 17

bad compliance
medications are usually only licensed for >16s
more side effects

Question 18

how should treatment be carried out and what teams should be involved?

Answer 18

mental health team
family - family therapy, parenting courses
school - team, school liaison
social - child protection

Question 19

define puerperium

Answer 19

the period of about 6 weeks after childbirth during which the mother’s reproductive organs return to their original condition.

Question 20

presentation of puerperal psychosis?

Answer 20

acute sudden onset of psychotic, manic/disinhibited and confused symptoms after birth

Question 21

when does puerperal psychosis present?

Answer 21

2-4 weeks postpartum

Question 22

risk factors for puerperal psychosis?

Answer 22

previous thyroid disorder
previous episode
FH
unmarried
first pregnancy
C section
perinatal death

Question 23

postnatal depression onset?

Answer 23

1-4 weeks postpartum

Question 24

risk factors for postnatal depression?

Answer 24

FH or PMH of depression/anxiety
complicated pregnancy
traumatic birth
relationship difficulties
history of abuse/trauma
lack of support (personal and financial)