Life Span Flashcards
what mental illnesses have the worst effect on life expectancy? how many years do they reduce LE by?
BPAD
substance abuse
9-25 years
what drug can increase risk of schizophrenia and psychoses?
high THC cannabis
why is BPAD not diagnosed often in CAMHS?
mood changes are mostly put down to adolescence (don’t want to medicalise it)
personality disorders tend to be diagnosed over age __
18
commonest mental disorder diagnosis in childhood
disruptive/behavioural disorders
what disruptive behavioural disorder presents children under 12?
oppositional defiant disorder
what disruptive behavioural disorder presents in children over 12s?
conduct disorder
Tx of ASD?
education and social intervention
only give medication if they have comorbidities
when would you give medical treatment for ADHD?
if it’s a moderate or severe case
at what ages is separation anxiety normal?
7 months to preschool
a child with separation anxiety is at higher risk of developing what condition in adolescence?
social anxiety (perfectionism is seen)
trauma and attachment disorders are mainly caused by what?
maltreatment and abuse
presentation of trauma and attachment disorders?
PTSD type symptoms eg anger/avoidance
irritability
anxiety
co-morbidities eg depression
imaginary friends are pathological T or F
F
grandiose ideas are normal in primary school age children T or F
T
OCD type behaviours are normal in adolescence T or F
T
why is medication prescribed less commonly in children?
bad compliance
medications are usually only licensed for >16s
more side effects
how should treatment be carried out and what teams should be involved?
mental health team
family - family therapy, parenting courses
school - team, school liaison
social - child protection
define puerperium
the period of about 6 weeks after childbirth during which the mother’s reproductive organs return to their original condition.
presentation of puerperal psychosis?
acute sudden onset of psychotic, manic/disinhibited and confused symptoms after birth
when does puerperal psychosis present?
2-4 weeks postpartum
risk factors for puerperal psychosis?
previous thyroid disorder previous episode FH unmarried first pregnancy C section perinatal death
postnatal depression onset?
1-4 weeks postpartum
risk factors for postnatal depression?
FH or PMH of depression/anxiety complicated pregnancy traumatic birth relationship difficulties history of abuse/trauma lack of support (personal and financial)
