Psychiatry Infant Child Adolescent

Front 1

A pattern of behavior that involves violation of the basic rights of others or of
social norms and rules, w/ 3 of following categories during the past year:
1. Aggression toward people and animals
2. Destruction of property
3. Deceitfulness
4. Serious violations of rules

Back 1

Conduct Disorder

Hint 1

stucture child’s environment w/ firm rules that are consistently enforced
individual psychotherapy focuses on behavior modification & problem-solving skills
adjuct pharm: antypsychotics / lithium for aggression
SSRI for impulsivity,irritability, mood lability

Front 2

6 months of negativistic, hostile, and defiant behavior w/ 4 of following:
1. Frequent loss of temper
2. Arguments with adults
3. Defying adults’ rules
4. Deliberately annoying people
5. Easily annoyed
6. Anger and resentment
7. Spiteful
8. Blaming others for mistakes or misbehaviors

Back 2

Oppositional Defiant Disorder (ODD)

Hint 2

individual psychotherapy focuses on behavior modification & problem-solving skills
parenting skills training

Front 3

6 symptoms involving inattentiveness, hyperactivity, or both persisted for 6 months:
 Inattention—problems listening, concentrating, paying attention to
details, or organizing tasks; easily distracted, often forgetful
 Hyperactivity–impulsivity—blurting out, interrupting, fidgeting,
leaving seat, talking excessively, and so on
2. Onset before age 7
3. Behavior inconsistent with age and development

Back 3

Attention Deficit Hyperactivity Disorder (ADHD)

Hint 3

CNS stimulants—methylphenidate (Ritalin) -> dextroamphetamine (Dexedrine), pemoline (Cylert)
SSRI/TCAs (bupropion,venlaflaxine) as adjunctive therapy
Individual psychotherapy focusing on behavior modification techniques
Parental Counseling
Group therapy improving patient social skills, self-esteem

Front 4

6 from following must present:
1. Problems with social interaction (>2):
 Impairment in nonverbal behaviors (facial expression, gestures, etc.)
 Failure to develop peer relationships
 Failure to seek sharing of interests or enjoyment with others
 Lack of social/emotional reciprocity
2. Impairments in communication (at least one)
 Lack of or delayed speech
 Repetitive use of language
 Lack of varied, spontaneous play, and so on
3. Repetitive and stereotyped patterns of behavior and activities (at
least one)
 Inflexible rituals
 Preoccupation with parts of objects, and so on

Back 4

Autistic Disorder

Hint 4

 Remedial education
 Behavioral therapy
 Neuroletpics (to help control aggression, hyperactivity, and mood lability)
 SSRIs (adjunctive therapy to help control stereotyped and repetitive behaviors)
 Stimulants benefit some.

Front 5

1. Impaired social interaction (at least 2):
 Failure to develop peer relationships
 Impaired use of nonverbal behaviors (facial expression, gestures,
etc.)
 Lack of seeking to share enjoyment or interests with others
 Lack of social/emotional reciprocity
2. Restricted or stereotyped behaviors, interests, or activities (inflexible
routines, repetitive movements, preoccupations, etc.)

Back 5

Asperger’s Disorder

Hint 5

 Remedial education
 Behavioral therapy
 Neuroleptics (to help control aggression, hyperactivity, and mood lability)
 SSRIs (adjunctive therapy to help control stereotyped and repetitive behaviors)
 Stimulants benefit some.

Front 6

1. Normal prenatal and perinatal development
2. Normal psychomotor development during the first 5 months after birth
3. Normal head circumference at birth, but decreasing rate of head
growth between the ages of 5 and 48 months
4. Loss of previously learned purposeful hand skills between ages 5 and 30
months, followed by development of stereotyped hand movements
(such as hand wringing, hand washing, etc.)
5. Early loss of social interaction, usually followed by subsequent improvement
6. Problems with gait or trunk movements
7. Severely impaired language and psychomotor development
8. Seizures
9. Cyanotic spells

Back 6

Rett’s Disorder
MECP2 gene mutation on X chromosome.

Hint 6

Supportive

Front 7

1. Normal development in the first 2 years of life
2. Loss of previously acquired skills in at least two of the following areas:
 Language
 Social skills
 Bowel or bladder control
 Play
 Motor skills
3. At least two of the following:
 Impaired social interaction
 Impaired use of language
 Restricted, repetitive, and stereotyped behaviors and interests

Back 7

Childhood Disintegrative Disorder

Hint 7

 Remedial education
 Behavioral therapy
 Neuroleptics (to help control aggression, hyperactivity, and mood lability)
 SSRIs (adjunctive therapy to help control stereotyped and repetitive behaviors)
 Stimulants benefit some.

Front 8

 Multiple motor and vocal tics (both must be present)
 Tics occur many times a day, almost every day for > 1 year (no tic-free
period > 3 months)
 Onset prior to age 18
 Distress or impairment in social/occupational functioning

Back 8

Tourette’s disorder

Hint 8

haloperidol or pimozide

Front 9

 Involuntary voiding after age 5
 2/week for 3 month or with marked impairment

Back 9

Enuresis

Hint 9

Behavior modification
Antidiuretics (DDAVP) or TCAs

Front 10

 Involuntary or intentional passage of feces in inappropriate places
 4 years of age
 once a month for 3 months

Back 10

Encopresis

Hint 10

 Psychotherapy, family therapy, and behavioral therapy
 Stool softeners (if etiology is constipation)

Front 11

not speaking in certain situations

Back 11

Selective Mutism

Hint 11

supportive psychotherapy, behavioral therapy, family therapy

Front 12

excessive fear of leaving one’s parents or other major attachment figures

Back 12

Separation Anxiety Disorder

Hint 12

supportive psychotherapy, family therapy
low-dose antidepressants