Pediatric psych Ott Flashcards
T or F: kids have lower significant adverse effects from drugs than adults
false, moree
Tourettes onset
before 18
how long do tics have to be present to be considered tourettes
1 year
what is provisional tic disorder
same sxs as persistant motor or vocal tic disorder but present <1 year
what percentage of people with tic disorders have adhd or ocd
75% adhd, 50% ocd
what is the rule of thirds for tic disorders?
1/3 resolve, 1/3 improve, 1/3 stay the same
first line for tx of tics
alpha 2 antagonists
clonidine, guanfacine, er guanfacine
second line for tics
atypicals
aripiprazole, risperidone
third line for tics
typicals
haloperidol, pimozide
what age range is aripiprazole fda approved for in kids
6-17
what kind of stimulants do you avoid in kids with tourettes
amphetamine based, they exacerbate sxs, use atomoxetine or a TCA instead
what other disorder is common in ODD & CD (the behavior disorders)
ADHD
first line drugs for ODD & CD
stimulants and clonidine/guanfacine
what drugs may be used to treat severe persistent aggression and serious oppositional behaviors in ODD & CD?
Atypicals
first line tx for mild separation anxiety
psychotherapy with combo therapy for moderate to severe
first line drug for separation anxiety
ssri
T or F: atypical antipsychotics have shown efficacy in treating the core ASD sxs
false, no meds have
ASD is associated with 2 other medical problems, what are they
seizure disorders and GI disorders
first line tx for disruptive behaviors in ASD
applied behavioral analysis
what 2 drugs are fda approved for the management of irritability/aggression and are considered first line agents for disruptive behaviors in asd
aripiprazole and risperidone
T or F: lamotrigine and levetiracetam have no significant effect on irritability in ASD
true
FDA approved 6-17
A. Aripiprazole
B. Risperidone
A
FDA approved 5-16
A. Aripiprazole
B. Risperidone
B
Tx for repetitive behaviors in asd
antipsychotics -> haloperidol, risperidone, aripiprazole
Tx for adhd in asd
stimulants -> methylphenidate preferred
clon/guan -> modest effect on irritability and explosive behavior
tx for sleep in asd
melatonin -> reduced sleep latency and increased time asleep 1-6 mg nightly
Disruptive Mood Dysregulation Disorder (DMDD) has to be present in 2/3 settings between which settings?
home, school, with peers
T or F: Diagnosis of DMDD should not be made before 6 or after 18
true
T or F: DMDD is more similar to bipolar than depression/ADHD/anxiety
False, other way around
for DMDD tx, you need to differentiate from what other disorder when considering tx
bipolar
first line tx for DMDD
SSRI
What chapter of the DSM is DMDD in?
depression, weird
physical complaints, irritability, conduct problems, can have suicidal ideation
A. Children
B. Adolescents
A
express feelings of depression and suicidal behaviors more than the other option
A. Children
B. Adolescents
B
T or F: Pediatric depression is More chronic than episodic, instability in mood common; may be marker for bipolar disorder
true.
first line depression tx
CBT (70% remission rates)
First line drug tx of pediatric depression
ssri
What ssri is the only fda approved one for children down to 8 years old
fluoxetine
what is the age range for use of escitalopram in pediatric depression>
12-17
what was the 1st ssri for kids that is now avoided due to suicidal thinking
paroxetine
pediatric bipolar disorder wonder drug
lithium
when do you use carbamazepine/olanzapine in pediatric pts with bipolar?
in adjunct if they have psychosis
first line tx for pediatric PTSD
ssri
onset of sxs in pediatric schizo is before what age
13
T or F: Visual hallucinations are more common in children than adults with schizo
true, adults have auditory more
review that chart on slide 26
thanks cole, ill make sure to look at least once!
