Y4 - Introduction to CAMHS Flashcards

Includes new information not already included in Y3 lecture only

1
Q

What are the neurodevelopmental disorders most commonly seen in CAMHS?

A

ADHD

ASD

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2
Q

What anxiety disorders are commonly seen in CAMHS?

A

Separation anxiety
Social anxiety
These can lead to school refusal

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3
Q

What is the difference between a learning difficulty and a learning disability?

A

Learning difficulties are specific to a single skill, e.g. reading, writing

Learning disability is a global disorder

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4
Q

Give examples of learning difficulties

A

Dyslexia
Dyspraxia
Dyscalculia
Dysgraphia

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5
Q

What is the difference between ODD and CD?

A

ODD tends to be younger children and involves refusing to do as they’re told, provoking, intentional misbehaviour

CD more severe, usually in older children, involves stealing, fighting, running away, vandalism, fire setting

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6
Q

What are the criteria for diagnosis of ADHD?

A
2 of:
Hyperactivity
Impulsivity
Inattention/poor concentrate 
Appearing before age 7 
Present for more than 6 months
Inconsistent with developmental level & clearly interferes with functioning in at least 2 settings
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7
Q

What is the criteria for the diagnosis of conduct disorder?

A
3 of:
- Aggression towards people/animals
- Destruction of property
- Theft/deceitfulness
- Serious violation of rules 
Exhibited in last 12 months with at least one criterion present in last 6 months
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8
Q

What is ODD a subsection of under ICD-10?

A

CD

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9
Q

What is oppositional defiant disorder?

A

Persistently hostile or defiant behaviour without aggressive or antisocial behaviour

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10
Q

What are the key symptoms for diagnosing GAD?

A

Persistent nervousness, trembling, muscular tensions, sweating, light-headedness, palpitations, dizziness, epigastric discomfort

Present most days for at least 6 months

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11
Q

What are the manic symptoms?

A
  • Elated mood
  • Pressured speech
  • Full of energy
  • Decreased need for sleep
  • Flight of ideas, racing of thoughts
  • Inflated self-esteem, grandiosity
  • Psychomotor agitation
  • Being delusional, having hallucinations and disturbed or illogical thinking
  • Extravagant spending
  • Risky behaviour
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12
Q

What are the first rank symptoms of schizophrenia?

A
  • Auditory hallucinations (hearing thoughts spoken aloud, hearing voices referring to himself, made in third person, or running commentary)
  • Thought withdrawal, insertion, broadcasting
  • ‘Made’ phenomenon - feelings, impulse, volition
  • Delusions
  • Somatic passivity (feelings/actions experienced as made or influenced by external agents)
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13
Q

What are the negative symptoms of schizophrenia?

A
Blunting of affect
Poverty of speech and thought 
Apathy 
Anhedonia
Reduced social drive
Loss of motivation
Lack of social interest
Inattention to social or cognitive input
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14
Q

What are the key aspects of ASD?

A

Problems with language and communication, e.g. lack of empathy
Poor imagination and repetitive behaviours
Rigid thinking
Unusual behaviours, e.g. sensitivity to noise/light

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15
Q

What is Asperger’s?

A

A form of high functioning autism, where affected individuals have an average or above average IQ

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16
Q

What is the difference between bipolar 1 and 2?

A

Bipolar 1 = depression + mania

Bipolar 2 = depression + hypomania

17
Q

What do we call an affective disorder with schizophrenia?

A

Schizoaffective disorder

18
Q

What are attachment disorders?

A

Disorders of mood/behaviour/social relationships that arise from a failure to form normal attachments to the primary care giver during childhood

19
Q

What are the types of attachment?

A

Secure: positive relationship between child and mother, mother is secure base, child distressed when mother leaves strange situation and comforted by her return

Insecure attachments:
Ambivalent attachment: distressed when mother leaves but angry upon her return (indicates lack of trust for parent, perhaps they have been inconsistent in the past)
Disorganised attachment: odd, contradictory behaviour during strange situation, fear of caregiver
Avoidant attachment: does not show distress when mother leaves, ignores her when she returns