Psychiatry / CAMHS Flashcards
4 types of attachment
Secure, insecure avoidant, insecure ambivalent, disorganised
When will autism likely present
From 3 years onwards
How many key parts to autism spectrum disorder
3
Social interaction
Communication
Rigidity of thinking
Is autism more common in boys or girls
Boys 8:1
What is important when taking an autism history
Must have symptoms in a variety of environments
2 medical condition associated with autism
Fragile X and PKU
?tuberous sclerosis and neurofibromatosis
3 components of ADHD
Hyperactivity
Impulsivity
Attention deficit
Treatment for ADHD (Pharma)
Methylphenidate (sleep issues and red growth) - 1st
Atomoxatine (takes 4/52 to work monitor LFTs)
What type of conditioning are star charts
Positive reinforcement
Anhedonia meaning
Loss of pleasure
3 core symptoms of depression
Lack of energy
Not enjoying things that previously did
Low mood
What age is Autism normally diagnosed by
3
3 key symptoms of depression
Low mood
Low energy
Anhedonia
First line anti depressant in children
Fluoxetine
How long should SSRIs be continued in children once remission is achieved
6 months
How to access anxiety and depression in children
GAD-7
MFQ (mood and feelings)
Pharmacological management in OCD in children
SSRI
After CBT, referral, family education
Key age that the features of autism become observable before
3 years
3 key parts of ASD
Social - lack of interaction, unable to read non-verbal queues
Communication - repetitive use of words
Behaviour - greater interest in objects, repetitive movements, anxiety outside of normal routine
Key question to ask in ADHD hx
Do symptoms present in different environments
Class and name of 1st line medication in ADHD
Methylphenidate
CNS stimulant
What is lanugo hair
Fine and soft hair across the whole body
What is Russells sign
Calluses on knuckles where they have scraped across the teeth in bulimia
Signs on examination of bulimia
Erosion of teeth Swollen salivary glands Mouth ulcers GORD Russells sign (calluses on knuckles)
