Mental Health across the Lifespan

Question 1

what is the average onset of BPAD I

Answer 1

25

Question 2

what is new onset of BPAD I in old age associated with

Answer 2

negative outcomes, cognitive deficits, increased suicide risk and overall mortality

Question 3

what is the peak age of personality disorders

Answer 3

14

technically diagnosis after 18

Question 4

give examples of disruptive/ behavioural disorders

Answer 4

oppositional defiant disorder (under 12s)
conduct disorder (over 12s)

Question 5

what are early conduct disorder behaviours predictors of

Answer 5

in later life: serious antisocial behaviour, criminality and substance misuse 
early intervenition (parenting/ social) key

Question 6

is ASD more common in boys or girls

Answer 6

boys

Question 7

how common is ADHD

Answer 7

4-5%

Question 8

when is separation anxiety normal

Answer 8

7 months to prescholl

Question 9

how is separation anxiety distinguished from normal anxiety

Answer 9

age inappropriate

excessive and disabling anxiety

Question 10

what are the most common presentations of trauma and attachment disorders

Answer 10

PTSD type symptoms (anger, avoidance)
General irritability, anxiety
Oppositional behaviours
Quasi psychotic symptoms

Question 11

what are trauma and attachment disorders linked to

Answer 11

maltreatment and abuse during early childhood

Question 12

what presentations can be normal in under 18s

Answer 12

primary age 
Developmental appropriate anxiety (stranger, separation, specific phobias)
Hyperactivity and short attention span
Grandiose ideas and overtalkativeness
Imaginary friends
Intense interests 
Onset of non impairing tics

secondary age
Mood swings
Sullenness, withdrawal, irritability
Sleep changes
Peer pressure influencing thougths and behaviorus (i.e. superficial self-harming behaviours, voicing suicidal thoughts without features of mental illness)
Rituals and OCD type behaviours
Intrussive thoughts and pseudohallucinations

Question 13

what is puerperal psychosis

Answer 13

acute sudden onset of psychotic symptoms, manic symptoms/disinhibition, confusion 2-4 weeks after childbirth
It is a psychiatric emergency

Question 14

what is the onset for postnatal depression

Answer 14

1-4 weeks postpartum

Question 15

how common is postnatal depression

Answer 15

1 in 10

Question 16

what are the features of psuedodementia

Answer 16

older people with cognitive symptoms brought on by loss of spouse/ big changes (abnormal grief reaction):
Fluctuating loss of memory, and vagueness (“I don’t know” answers)
Good insight into loss of memory
Prominent slowing of movement and reduced or slowed speech
Consistently depressed mood
Frequent “I don’t know” answers
Not progressive
Responds to medication and/or ECT
The term “pseudo” refers to the actual lack of the neurodegenerative dementia

Question 17

what is late onset depression

Answer 17

depression occurring for first time in later life