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14 Cards in this Set
- Front
- Back
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Stages of Adolescent
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– Early: ages 11-14
– Middle: ages 14-17 – Late: ages 17-20 |
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Puberty is?
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time of physical changes and secretion of sex hormones
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What is the cognitive and personality development stage?
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– Identity phase (achieving and sense of self)
– extreme creativity (writing, art, and interests in the world of ideas) |
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3 levels of MORALITY OF KOHLBERG
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1. Pre- convential morality- punishment and obedience to the parent are the determining factors
2. Conventional role-conformity: children try to conform to gain approval and to maintain good relationships with others (PEER ACCEPTANCE) 3. Self-accepted moral principles: children voluntarily comply with rules on the basis of a concept of ethical principles and make exceptions to rules in certain circumstances (from kid knowing stealing is wrong to when it is not wrong) |
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Main difference in mood disorders in adolescents
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Irritability- greater in adolescents
• Feelings of restlessness • Grouchiness/aggression/sulkiness • Reluctance to cooperate in family ventures • Withdrawal from social activities • Desire to leave home |
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MDD in adolescents signs?
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• School difficulties- grades recently gone down
• Poor hygiene- only showering once a week • Psychomotor retardation- no energy • Anhedonia- no pleasure from things • Delusions • Hopelessness |
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Suicidal ideation...
a. < 12 y/o b. Boys vs. Girls c. What is key three questions to ask? |
a. completed is rare in children under 12
b. 5x more in boys completed, girls 3x more likely to try c. Have thoughts that you wish you were dead.... Thought about killing yourself.... Intent or plan....? |
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MC method of suicide in adolescents...
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1. firearms!
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clinical features of suicide...
2. Necessary if suspected S/I 3. triad of highest rx for suicide? |
2. Direct questioning necessary
3. Mood d/o in combination with substance abuse, and aggressive behavior are at highest risk |
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If you have anyone that you are worried about safety... what rights do you have to put in hospital?
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If risk supsected to life... they need to be hospitalized
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Substance use in adolescents...
Abuse vs. dependence |
Abuse- maladaptive pattern of substance use leasing to significant impairment or distress
Dependence= main difference from abuse is tolerance, withdrawal, and compulsive drug-taking behavior |
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Substance abuse/dependence risk factors?
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– Family conflict
– Academic difficulties – Comorbid psychiatric disorders – Parental and peer substance use – Impulsivity – Early age of onset of cigarette smoking |
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Substance abused in adolescents
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• Alcohol
• Marijuana • Prescription pills (stimulants/opioids) • Cocaine and other stimulants • LSD (other psychosis inducing drugs, i.e. Ecstasy, Mushrooms) • Inhalants • Polysubstance Abuse/Dependence |
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Pharm therapy for substance abuse?
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- treat of comorbid disorders
- suboxone for opioid dependence |
