Peds Psych

Question 1

what are the goals and interventions used for pediatric psychology

Answer 1

Goals:

• safety and optimal level of functioning
• trusting relationship

Interventions:

• simple communication with reduced stimuli
• brief social interactions with supervision
• family centered with community support / resources

Question 2

What are the meds used to treat ADHD and how do they work

Answer 2

• help focus distraction, effective in 80% of population
• Amphetamine, Adderall, Focalin, vyvanse, and methylphenidates (Concerta, Ritalin, Daytrana, metadate Methylin, Quillivant)
• Side effects: insomnia and weight loss -> noncompliance; also increase BP and HR with tremors and arrhythmias
• HIGH ABUSE POTENTIAL

Question 3

What are the non-stimulant drugs for ADHD and how do they work

Answer 3

• takes longer to see results than stimulants because they don’t increase dopamine levels
• Atomoxetine (Strattera) = block reuptake of norepi; BBW: SUICIDAL THOUGHTS for first few weeks; dry mouth and nausea
• Clonidine (ER) = also for HTN so dizziness, lightheadedness and hypotension
• Guanfacine (ER) = also antihypertensive so similar effects; time release is only for children

Question 4

What would you teach a parent about ADHD

Answer 4

• at greater risk for substance abuse as adolescent and adult
• most common in boys, median age 7, characterized by inattention, ADD, impulsiveness/hyperactivity or combined impulsiveness, hyperactivity, and inattention

Question 5

What is the difference between Oppositional defiant disorder and conduct disorder

Answer 5

ODD:

• more common in males; no violence toward others
• Sx: argumentative, negative, hostile, spiteful to parents/authority figures

Conduct:

• more severe
• directing violence against others to include physical violence, theft, property damage, setting fires
• > in males
• once 18 = antisocial personality disorder
• comorbid with anxiety, depression and substance abuse