Mental Health

Question 1

What is the DSM-V criteria for diagnosing ADHD?

Answer 1

-Symptoms must have been present prior to age of 12

-Must be present in 2 or more settings

-Symptoms must affect social, academic or occupational functioning

• Make sure it isn’t caused by some other form of illness

-6 or more of inattention/hyperactivity symptoms that have been present for at least 6 months. If over 17 y.o. then only 5 symptoms must be present.

Question 2

ADHD

Answer 2

Disruption in the way that brain regulates thought processes. Inattentive, hyperactive, or mixed.

Thought to be do to dopamine and norepinephrine issues

Question 3

Behavior management for ADHD

Answer 3

Should be used if the child is younger than 6. If symptoms are mild or if the DSM5 criteria are not met.

Most children benefit from a 504 plan with accommodations or an IEP.

Question 4

Pharmacologic management for ADHD- categories

Answer 4

Stimulants
Alpha antagonist
Norepinephrine reuptake inhibitor

Question 5

Stimulants for ADHD

Answer 5

First line medications for uncomplicated ADHD treatment.

-Methylphenidate
-Amphetamines

Work by increasing the availability of the neurotransmitters at the synapses by blocking the transporters that remove the dopamine and norepinephrine in key parts of the brain.

Question 6

Only approved stimulant for children as young as 3 y.o.

Answer 6

Adderall

Question 7

Common Adverse Effects of stimulants

Answer 7

Insomnia, decreased appetite, headache.

Do not give to anyone with psychosis. Do not give to anyone with serious heart problems or those with increase blood pressure/ heart rate

Question 8

Atomoxetine

Answer 8

norepinephrine reuptake inhibitor. non stimulant

6 y.o.

Takes up to 6 weeks to notice benefit.

Monitor liver function symptoms, blood pressure, heart rate

Question 9

Guanfacine and Clonidine

Answer 9

alpha agonists approved for ADHD in children 6 yo.

Takes 1-2 weeks to appreciate the effect.

Can be used in adjunct with stimulants.

Side effects: Bradycardia, sedation

Question 11

What is the DSM-V criteria for diagnosing Autism Spectrum Disorder?

Question 12

What is the difference between Separation anxiety disorder and generalized anxiety disorder
based on DSM-V criteria?

Answer 12

Separation anxiety is a normal developmental phenomenon from about 7 months old to preschool.

The fear of not being with something or someone is what causes the anxiety.

Question 13

General Anxiety Disorder

Answer 13

cognitive and obsessive in nature and causes excessive worry and apprehension to a number of events or activities.

Often diagnosed around 9-18 years old.

Question 14

Management of GAD in preschool/toddlers

Answer 14

behavioral therapy and family interventions

Question 15

Obsessive Compulsive Disorder

Answer 15

Obsessions: recurrent thoughts, images or impulses that are disturbing to the child.
Compulsions: repetitive behaviors or mental acts that the child feels driven to perform

Marked distress, time consuming and interferes with the child’s life.