Paeds psych

Question 1

Parent risk factors for disordered attachment

Answer 1

Mental health
Learning disability
Drugs including alcohol

Question 2

Child risk factors for disordered attachment

Answer 2

Significant sensory impairment -eg vision
Illness
Sig developmental delay

Question 3

Cause of anxiety in young infants

Answer 3

sudden loud noise

strangers

Question 4

Cause of anxiety in 9-18 mo

Answer 4

separation anxiety

Question 5

Cause of anxiety in > 6yr

Answer 5

loss/separation from parents

specific fears eg animals/dark

Question 6

Cause of anxiety in 10-13

Answer 6

fear personal injury
death
danger/natural disaster

Question 7

Cause of anxiety in adolescence

Answer 7

social comparison
anxiety re failure/criticism
worries re personal appearance

Question 8

Fear vs anxiety

Answer 8

Fear - in response to present stimulus

Anxiety - in response to a potential future threat

Question 9

Physiological mx of anxiety

Answer 9

Keep the child anxious instead of avoiding/moving away/distracting
After 10-20 mins physiological stimulation of SNS diminishes and they feel beter

Question 10

Treatment options for anxiety

Answer 10

Behavioural therapy (BT)
CBT
Family therapy
Eye movement desensitization and reprocessing (EMDR) for PTSD
Exposure and Response Prevention therapy (ERP) for OCD
Meds (mainly SSRIs, fluoxetine and sertaline)

Question 11

Methylphenidate

Answer 11

Ritalin

Question 12

Ritalin use

Answer 12

ADHD