Week 8 Psychiatric disorders in children/adolescents Flashcards
Components of assessment of children and their families.
- assess development level
- assess family relationships
- social and environmental factors
- family resources and support
Describe autism spectrum disorder.
Intellectual and language impairment
a. impaired social interactions
- unaware of nonverbal communication
- lack of relationships with peers, lack of reciprocity, confusion about others feelings and behaviors
b. impaired communication
- language delay, impaired conversation, abnormal prosody
c. stereotypic behaviors, interests, activities
Describe attention deficit/hyperactivity disorder.
a. symptoms of inattention: careless, forgetful, disorganized, distracted, fails to finish tasks
b. hyperactivity
c. impulsivity
d. onset before age 7 and persist at least 6 monte
- girls tend to be inattentive and boys tend to by hyperactive
Describe specific learning disorder
impairment in reading, written expression, or math
Describe oppositional defiant disorder
a. angry/irritable mood
- loses temper, easily annoyed, resentful
b. argumentative/defiant behavior. argues with authority, activity defies rules, deliberatively annoys others, blames others
c. vindictiveness, spiteful
d. severity level described
Describe intermittent explosive disorder
a. recurrent behavior outbursts: verbal, assaultive, destructive
b. UNPROVOKED, excessive
c. mood not persistently irritable/angry
- feel guilty/remorseful after outburst
d. chronologic age >6 years old
Describe disruptive mood dysregulation disorder
a. severe recurrent tempor outbursts
b. manifested verbally and behaviorally (tantrums)
c. mood persistently disrupted between outbursts
d. diagnosed after chronological age 10
Describe conduct disorder.
precursor to antisocial disorder
a. agression to people and animals. bullies, threatens, intimidates, fights others. uses weapons, steals. physically cruel, forced sex.
b. destruction of property, including fire setting
c. deceitfulness or theft
d. serious violations of rules
e. no remorse/empathy. shallow or deficient affect
f. childhood or adolescent onset
g. severity varies
Describe separation anxiety disorder.
a. excessive distress away from home or family
b. excessive worry of loss of loved one
c. reluctance or refusal to attend school
d. reluctance or refusal to sleep alone
e. physical complaints when separated or separation threatened. Feel sick.
f. onset before age 6 years
g. precursor to generalized anxiety disorder
List the categories and disorders in those categories for psychiatric disorders of childhood.
- Neurodevelopmental disorders
- intellectual disability disorder
- communication disorders
- autism spectrum disorders
- ADHD
- specific learning disorder
- tic disorders - Disruptive, impulse control, and conduct disorders
- oppositional defiant disorder
- intermittent explosive disorder
- disruptive mood dysregulation disorder
- conduct disorder - Anxiety disorders
- separation anxiety disorder - Mood disorders
- major depressive disorder
- mania - childhood schizophrenia
Describe major depressive disorder in children.
a. depressed mood manifests as irritability
b. MDD with psychotic features in adolescents will likely become bipolar disorder
c. MDD with psychotic features in children may respond to psychotherapy alone
d. poor appetite, may lead to failure to grow
e. instability of vegetative signs (eating/sleeping)
Describe mania in children.
a. unusual in children
b. may resemble antisocial behavior in adolescents
c. distinct from ADHD
Describe childhood schizophrenia
a. very rare before adolescence
b. typically prodrome with premorbid relational, academic, social problems
c. pseudo backwardness of though disorders
d. abnormal thinking and language
e. earlier the onset the worse the diagnosis
