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31 Cards in this Set
- Front
- Back
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4 core skills of the child psychiatrist
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listen (play)
what questions to ask when to ask how to ask |
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sub-average intellectual AND adaptive functioning of onset before age 18
comprises 2-3% of school age population |
mental retardation
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degrees of mental retardation and their respective IQ ranges (100 being normal)
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Mild: 50-70 (educatable mentally handicap-EMH) =6th grade
Moderate: 35-50 (Trainable mentally Handicap-TMH)=2nd grade Severe: 20-35 (constant supervision) Profound: below 20 |
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important biological causes of moderate to profound mental retardation (25% of cases)
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Down's syndrome (#1)
Fragile X syndrome (#2) |
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% of children w/ feeding disorders
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35%
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feeding disorder in which the child repeatedly chews, swallows, and regurgitates food
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rumination disorder
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feeding disorder characterized by the eating of non-edible items
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Pica
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repeated voiding of urine in bed or clothes after the age of 5
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enuresis
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pharmacological treatment of enuresis
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desmopressin (DDAVP) or imipramine
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repeated passage of feces in inappropriate places after the age of 4
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encopresis
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treatment for encopresis
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laxatives/enemas and behavioral modification
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specialist to see for language learning disorder
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speech pathologist
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specialist to see for motor learning disorder
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occupational therapist
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specialist to see for cognitive learning disorder
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psychologist
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pattern of negativistic, hostile and defiant behavior
child is angry, resentful, argues and refuses to comply, and blames others comprises 5-15% of school aged children |
oppositional defiant disorder
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treatment for oppositional defiant disorder
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parent training programs and psychotherapy
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sudden, rapid, recurrent, nonrhythmic, involuntary movements
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tics
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characteristics of tic disorders
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one year duration
chronic motor or vocal tics (Tourette's disorder includes both motor and vocal) |
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3 theories on the etiology of childhood depression
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psychoanalytic: anger turned inward
behavioral specialists: lack of positive reinforcements cognitive: negative outlook on self w/ learned helplessness |
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when one is not able to enjoy things or find pleasure in life
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anhedonia
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criteria for major depressive disorder
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depressed mood or anhedonia
5 other symptoms (energy, sleep, appetitie, motivation, concentration, outlook, psychomotor activity) |
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gender involvement in major depressive disorder
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male and female equal until puberty, when it shifts to the female side
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number one cause of morbidity in children w/ depression
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suicide (attempted)
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criteria for diagnosis of bipolar disorder
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episode of mania/hypomania
moodiness and rages rapid cycling(like a switch) |
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treatment of bipolar disorder
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mood stabilizing agent (NOT antidepressant)
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Etiology and level of severity of the majority of the mentally handicapped
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Mild range w/ and unknown etiology
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Emotional and behavioral problems: Repetitive, consistent breaking of rules (destruction of property, deceitful, serious violation of rules)
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Conduct disorder
10-15% of referrals to psychiatrists |
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Tx of conduct disorder
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workup and psychotherapy
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2nd grader is tells teacher she is wrong, says he hates school and uses profanity and has severe anger disorders-teacher cannot leave the room because of fear of safety of the other children...he is instantly out of control and then like a switch is instantly calm, Dx and Tx
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Bipolar disorder
mood stabilizer |
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Asthma, cystic fibrosis, DM and seizure disorder are chronic disorders that have what in common?
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predispose the child to having a psychiatric disorder
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Psychoactive medication in pediatrics
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caution as first line Tx
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