Psychiatry- Normal adolescence and psychiatric disorders- Dr. Henson

Question 1

what is characterized by profound biological, psychological, and social development?

Answer 1

adolescent development

Question 2

what are the stages and associated ages of adolescent devo?

Answer 2

early: 11-14 y/o
middle: 14-17
late: 17-20

Question 3

what is the identity phase?

Answer 3

achieving and sense of self.

huge huge phase/part of adolescent development. can bring about many problems.

Question 4

what is negativism?

Answer 4

establishing independence through ideas and physical characteristics

Question 5

what kind of behaviors are seen a lot more during adolescent devo?

Answer 5

risk-taking behaviors

Question 6

what are Kohlberg’s 3 levels of morality?

Answer 6

1) pre-conventional morality
2) conventional role-conformity
3) self-accepted moral principles

Question 7

what is pre-conventional morality as per Kohlberg’s levels?

Answer 7

punishment and obedience to the parent are the determining factors

Question 8

what is conventional role-conformity?

Answer 8

children try to conform to gain approval and to maintain good relationships with others

Question 9

what is self-accepted moral principles?

Answer 9

children voluntarily comply with rules on the basis of a concept of ethical principles and make exceptions to rules in certain circumstances

Question 10

what are some of the symptoms/ manifestations you will see in an adolescent with Major Depressive Disorder?

Answer 10

feelings of restlessness 
grouchiness/aggression/ sulkiness- gets easily annoyed by good friends 
withdrawl from social activities 
desire to leave home 
School difficulties**
Anhedonia***

Question 11

what disorder did she describe by giving an example of someone who has episodes of having fantasies of being raped and then has episodes of depression with impulsive agressive behavior?

Answer 11

Bipolar I disorder

Question 12

what are the two biggest groups that complete suicide?

Answer 12

Adolescents and elderly

Question 13

completed suicide occurs 5x more in boys or girls?

Answer 13

boys more than in girls

Question 14

which gender attempts suicide 3x more?

Answer 14

more in girls than in boys

Question 15

what is the most common method of completed suicide?

Answer 15

firearms

Question 16

what is necessary when dealing with a patient that may have suicidal thoughts and threats?

Answer 16

direct questioning. Must directly ask patient if they have thoughts of killing themselves. don’t over look it. or ask them “do you wish it would just end?”

Question 17

what is the definition of substance abuse?

Answer 17

maladaptive pattern of substance use leading to significant impairment or distress

Question 18

definition of substance dependence?

Answer 18

main difference from abuse is tolerance, withdrawal, and compulsive drug-taking behavior

Question 19

what are risk factors for substance abuse/dependence in adolescents?

Answer 19

family conflict**
academic difficulties 
comorbid psychiatric disorders 
parental and peer substance use 
early age of onset of cigarette smoking

Question 20

what are some of the substances abused?

Answer 20

alcohol 
marijuana 
inhalants 
prescription pills 
cocaine and other stimulants

Question 21

what substance abuse/dependence treatment did she stress?

Answer 21

Family counseling

& substance abuse education