Week 13 Terms: Child and Adolescent Mental Health, Mood Anxiety, Suicidality, Eating Disorders

Question 1

Dysthymia

Childhood/Adolescents

Answer 1

Daily depressed mood for at least a year
-Seen in about 13% of teens

Question 2

Suicidality

Adolescents

Answer 2

“the risk of suicide, indicated by suicidal ideation or intent, especially as evident in the presence of a well-elaborated suicidal plan”

Question 3

Symptoms of Suicidality

Adolescents

Answer 3

talking about suicide or self-harm
excessive sadness or moodiness
feelings of hopelessness
withdrawal
making preparations
poor concentration
absence from school
changes in appetite

Not always obvious

Question 4

True/False
LGBTQ+ youth are more than four times as likely to attempt suicide than their peers.

Answer 4

True

Question 5

Risk Factors of Suicidality

Answer 5

Access to methods for harming oneself
Mental illness/psychiatric diagnosis
Family history of suicide
Maladaptive coping skills
Lack of social support
Disruptions in family
Trauma
Abuse
Illness

Question 6

Name some options on what we can do if we suspect someone may commit suicide?

Answer 6

Express concern
Listen
Maintain connection
Be compassionate
Trust your judgement
Prioritize safety

CBT effective
Perhaps better combined with meds
caution due to lack of studies
Family & community support
Consistent medical & MH care
Problem solving & conflict resolution
Coping skills
Meaningful occupations

988 Suicide and Crisis Lifeline

Question 7

Anxiety disorders can be related to…

Answer 7

Temperament
Exaggerated worry

Question 8

Gender Dysphoria

Answer 8

Emotional distress due to differences between a person’s gender identity and physical appearance

Can occur at any point during life, from childhood to adulthood

Question 9

Potential comorbid conditions with gender dysphoria

Answer 9

Anxiety
Depression
Eating Disorders
Substance Use Disorder
PTSD

Question 10

Eating Disorders

Answer 10

Disturbances in eating habits or behaviors

Stems from intense fear of being fat & preoccupation with the perception of one’s own weight and shape.

Question 11

Anorexia Nervosa

Answer 11

Intense fear of being fat & distorted body image; significantly underweight

Restricting Type- Decrease food intake
Binge/Purge

Question 12

Associated Mental Conditions with Anorexia Nervosa

Answer 12

Depression
Anxiety
Obsessive-compulsive disorders
Personality disorders
Mood disorders

Question 13

Associated Physical Conditions of Anorexia Nervosa

Answer 13

Bradycardia
Amenorrhea
Muscle loss
Brittle nails/hair
Osteoporosis

Question 14

Bulimia Nervosa

Answer 14

Psychopathological fear of fatness with apparently normal weight

Binging/Purging

Recurrent bing eating and compensatory behaviors
Mild to extreme
Based on # of episodes per week (4-14+)

Question 15

Associated Mental Conditions with Bulimia Nervosa

Answer 15

Mood Disorders
Impulsive Actions
Self Harm

Question 16

Associated Physical Conditions with Bulimia Nervosa

Answer 16

Renal problems
Electrolyte imbalance
Headache
Dizziness/LOB
GI problems
Dental damage
Mouth/throat issues

Question 17

Binge Eating Disorder

Answer 17

Binge eating without purging component

Discrete, <2 hour period
Feeling of lack of control
Eating until uncomfortable
Guilt/disgust

Question 18

Associated Mental Conditions with Binge Eating

Answer 18

Mood and Anxiety Disorders

Question 19

Associated Physical Conditions

Answer 19

Higher health-care utilization
Risk of Obesity

Prevalence reported seems to be consistently higher for binge eating disorder at 4.5%

Question 20

Risk Factors for Eating Disorders

Answer 20

Predisposing:
Personality
Biology (Serotonin)
Family functioning
Social and cultural influences

Precipitating:
Body dissatisfaction
Losses
Increasing environmental demands
Failure
Abuse

Question 21

What are some perpetuating factors with eating disorders?

Answer 21

Early changes are reinforced
Secondary Gains
Routines