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12 Cards in this Set
- Front
- Back
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Anxiety & Depression are ALWAYS internalised.
T/F |
F, they can both cause externalised behaviours throughout the course of both these largely internalising disorders.
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Psychosomatic symptoms are externalising.
T/F |
F, they are diagnostically internalising.
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Anxiety disorders have a very significant genetic component.
T/F |
T
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The early relationship b/w parent and child is most important in which internalising disorder?
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Anxiety
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Corroborative information from school reports need not be sought if the treating team have spoken to the school counsellor.
T/F |
F
The more information from the more people the better. |
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Which of the following is NOT an important factor in the Rx of anxiety disorders.
Engagement of both parents & the child Addressing comorbidities eg. depression Addressing perpetuating, precipitating AND prognostic factors. Ensuring that everyone in the interview room is naked. |
Ensuring that everyone in the interview room is naked.
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Which works better for the Rx of Anxiety in Child/Adol? Give an advantage and disadvantage for each.
SSRI's CBT |
They are equally efficacious
SSRI's- Significantly effects symptomatology most quickly ~4-12wks BUT ADE's (insomnia initially, loss of libido..) CBT- Long-term effect BUT Time consuming for pt. and therapist and therefore expensive (even if online because still need follow up with therapist to ensure effectiveness (however this is a very helpful development). |
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Which of the following is NOT involved in CBT?
Increase association b/w situation & automatice thts. Rapport building Cognitive restructuring Graded exposure Social skills Info on nature of anxiety |
Increased association b/w situation and automatic thts.
This is exactly what u want to restructure so that the event triggers "more helpful thts" that you are meant to come up with, with the help of socratic questioning (refuting with "but why?"s) and a therapist |
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Name 5 signs & symptoms of
Depressive Disorders in child/adol. (10) |
Irritable/Sad mood
Anhedonia Social withdrawal Hyper/Insomnia Anorexia/Wt loss Hyperorexia/Wt gain "atypical depression" Somatic symptoms (headache, tummy upset{v. important in kids}) Lethargy Decreased concentraion Worsened academic performance Hopelessness |
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Antidepressants are USUALLY not recommended in mild depression in child/adol.
T/F |
T
Rx w/ psychoeducation watchful waiting CBT (older children/adolescents with the intellectual capacity) Interpersonal psychotherapy (adol., deals with role transition/relationships) Family therapy Self-help books |
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Which pharmacological Rx is recommended in moderate or severe depression in child/adol.?
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Fluoxetine* (Prozac (R) Lovan (R)) - 5mg MANE (up to 20mg MANE), stick with it for >6 wks for true effect, then reassess (NB really have to wait 12 wks in OCD)
*Most studies have used this SSRI but its likely that others would work too |
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Which pharmacological Rx is recommended in moderate or severe depression in child/adol.?
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Fluoxetine* (Prozac (R) Lovan (R)) - 5mg MANE (up to 20mg MANE), stick with it for >6 wks for true effect, then reassess (NB really have to wait 12 wks in OCD)
*Most studies have used this SSRI but its likely that others would work too |
