Psych

Question 1

Percent of inheritance for ADHD?

Answer 1

74%
Male:female (2 times as often)
More likely in premature birth, mothers who smoked or had HTN during pregnancy.

Question 2

Some potential problems with not treating ADHD

Answer 2

Children with ADHD are at risk of long-term morbidities, including poor academic performance, low self-esteem, difficult relationships, substance use, injury, and other maladaptive behaviors.

Question 3

How likely is it that kids with ADHD have another psych disorder?

Answer 3

Approximately 60% of children with ADHD meet criteria for at least one other mood, behavior, or neurodevelopmental disorder. The initial evaluation should screen for alternative diagnoses (e.g., anxiety, oppositional defiant disorder) that might otherwise explain the presentation.

Question 4

Starting dose of straterra?

Answer 4

<154 lbs start 0.5 mg/kg up to 1.4 mg/kg

>154 lbs is 40 mg, max is 100 mg daily

Question 5

What is abulia?

Answer 5

Lack of initiative or ability to be decisive a disorder of diminished motivation

This definition of apathy is essentially synonymous with that of abulia, which has been defined as a loss of the impulse, will, or motivation to think, speak, and act. Diminished motivation is the key concept in both apathy and abulia.

Question 6

Which medication can be helpful in PTSD

Answer 6

Question 7

Underlying thread in Mental illness

Answer 7

Sensation of pain or situation, leads to uncomfortable, leads to avoidant behavior

brain is a prediction machine, predicts outcomes based on how we feel, past memories, allows us to make a decision about future. That leads to specific behaviors

self medication, self destructive avoidant behaviors then create a deep memory bank of what has worked for them in the past.

Exercise helps people deal with pain, uncomfortable feelings etc.

Question 8

Unified protocol for counselling? 5 steps

Answer 8

1- awareness of feeling or emotion, Identify the situation
2- reevaluate the emotion, Avoid over estimating, and don’t catastrophizing things
3- modify behaviors that may be helpful short term but not long term
4- build tolerance to uncomfortable feelings or situation
5- engage in emotion exposure situations (develop a better plan) develop a better tx according to your values not the destructive one.