Self harm

Question 1

Define a mature minor?

Answer 1

Gillocks competence

Understand, retain, weight it up amongst all factors

Question 2

For a 15 year old patient with depression, in what circumstances would you maintain confidentiality?

Answer 2

Confidentiality is maintained unless risk for patient or 3rd party.

Question 3

Would you label a diagnosis in a patient with a mental health concern?

Answer 3

Be careful, be involved with the care and ascertain the precipitating factors, protective factors, pre existing factors, perpetuating factors.

Don’t be early to label the patient with a diagnosis, as the diagnosis may stick with them.

Question 4

In an adolescent person with mental health disorders, what health service could you involve?

Answer 4

Child and adolescent mental health services

Question 5

When would consider medications in an adolescent with mental health issues?

Answer 5

ALways address the underlying issues, social causes, parental problems.
As medications may drive agitation.
Use low low dosage. ie even 1/8 of tablet.

Question 6

In a patient who presents with distress, how would you approach it if they were not suicidal?

Answer 6

Normalise the distress

Life is full of ups and downs

Question 7

How does anxiety and depression present in adolescent?

Answer 7

Anxiety tends to be episodic and fluctuates from positive to negative feelings.
A mood disorder tends to have a persistently low flat mood, low function, fatigue, loss of interest.