Psych

Question 1

ADHD - CF, I

Answer 1

CF - fidgety, overactive, restless, talkative, easily distracted, impulsive

I - symptoms MUST occur in more than one domain (school and home)

Question 2

Conduct disorder - ? / CF / RF / T

Answer 2

? - group of behaviours/problems were child is aggressive, anti-social and defiant much more than normal
CF - fighting/physical cruelty, destructiveness, lying, stealing, violation of rules
RF - Genetic/Family Hx, physical (learning diff), depression
T - CBT + family therapy

Question 3

Reactive Attachment disorder - CF / T

Answer 3

CF - hypersensitive to changes in environment, emerges

Question 4

Anxiety Disorders - GAD/ Seperation/ Panic

Answer 4

GAD
CF - recurring fears, worries (unable to control these), sleeping diff
T - CBT + group

Seperation Anx
CF - child displays intense anxiety when taken away leads to decreased social function (school refusal common/ angry outbursts when forced to seperate)
T - CBT, fam therapy

Panic Dis
CF - sudden surge of acute anxiety which appears suddenly and peaks within minutes
((panic attack symp - HR/RR,SOB) child then fears next attack which causes further anxiety
T - CBT

Question 5

OCD - CF/T

Answer 5

can be as young as 5/6
CF - performs rituals to eliminate compulsive thoughts, significant interference of childs life due to time consumed doing rituals
T - parent education, child education and specialised exposure (CBT)

Question 6

Childhood depression - PSYCH and BIO symp + characteristic behaviours

Answer 6

PSYCH:
appears unhappy most of time
shouting/crying outbursts for no reason
poor self-esteem
less pleasure taken in normal activities
suicidal thoughts

BIO:
more time in bed but little sleep so still tired = early morning wakening
weight change, headaches, stomachaches, decrease appetite

behaviours - sudden drop in school perf/agression/ anti-soc behaviour/ quiet and introverted

Question 7

Treating dperession in kids

Answer 7

CBT + fam therapy, psychotherapy - MEDS only in SEVERE cases

Question 8

Autism Spectrum - CF involved (psych/cognitive/ medical)

Answer 8

PSYCH:
depression, anxiety, adhd

COG:
learning diff

MED:
epilepsy, IBS, tourettes

Question 9

Autism spectrum triad of CF

Answer 9

social language skill / social interaction skills / stereotypical behaviours of ASD

Question 10

difference between autism and aspergers?

Answer 10

Aspergers - high IQ and normal language development

Question 11

Treatment of ASD

Answer 11

behavioural interventions / SALT / approp level of education for child and parents!