Summary: Child Psychiatry

Read the summary and the most important questions on Child Psychiatry

• 1 Selective Mutism

  This is a preview. There are 2 more flashcards available for chapter 1
  Show more cards here

• Describe the technique of stimulus fading.

  • In this technique the patient is brought into a controlled environment with someone with whom they are at ease and can communicate.
  • Gradually another person is introduced into the situation involving a number of small steps.

• Describe shaping technique for Selective Mutism

  ncouraged to interact nonverbally before being slowly coaxed into trying sounds – clicks and hums, then whispering and gradually trying a word or two.

• How does desensitisation work?

  • This works by encouraging the child to communicate via indirect means – such as email, instant messaging (either text, audio, and/or video), online chat or voice or video recordings.
  • The child can continue to build up relationships this way until they feel ready to try more direct communication.

• Pharmacological approach for Selective Mutism

  antidepressants most commonly used:
  SSRI ▪ fluoxetine, fluvoxamine

• Non Pharmacological treatment for Selective Mutism

  Please Behave, Speak Decent Speech 
  

  •  Play therapy 
  • Behavioral therapy
  • Stimulus fading  
  • Desensitization 
  • Shaping.

• 5 Aetiology of Conduct Disorder

  This is a preview. There are 2 more flashcards available for chapter 5
  Show more cards here

• What are the Criteria of Conduct Disorder based on DSM-5

  More than 3 out of 15 in past 12 month
  at least one criterion present in past 6 months:
  Aggression to people and animals
  Destruction of properties
  Theft/ Deceiful
  Serious violation of rules

• What are the risk of conduct disorder in family

  ● Genetic liability Adoption studies shows interaction between antisocial behavior in biological parents with adverse condition in adaptive home
  
  ● Severe poverty mediate family dynamic (marital discord, parenting deficits, harsh discipline, low supervision, weak attachment) lead to early childhood conduct problems
  
  ● insecure attachment
  
  ● Inconsistent Parenting -Discipline
  
  ● Exposure to adult marital conflict and domestic violence
  
  ● Maltreatment Children with conduct disorder frequently resort to physical punishment out of desperation which link to conduct disorder

• Factors for poor prognosis in Conduct Disorder

  ● Early onset <8yo
  ● Severe, frequent, varied conduct problems
  ● Hyperactivity with attention problems
  ● Low IQ
  ● H/o criminality and alcoholism
  ● Parenting with harsh, inconsisten with high EE, reduce warmth, reduce involvement, reduce supervision
  ● Low income family, poor neighbourhood and ineffective school

• 7 assessment of eating disorder in adolescent

  This is a preview. There are 4 more flashcards available for chapter 7
  Show more cards here

• What are the reflag features in Adolescent suggesting Eating Disorder?

  1. Weight and Eating changes: Rapid weight loss, extremes of BMI for age
  2. Behavioral Shift : Eating habit changes, social withdrawal and excessive exercise
  3. Stutter growth and Delayed Puberty 
  4. Physical symptoms: fainting, unexplained GI and dental issue (atypical enamel erosion)

• Physical Health assessment for eating disorder

  1. Malnutrition and Compensatory Behaviors: Starvation, self-induce vomiting, use of diet pills and misuse of laxatives
  2. Medical monitoring : Electrolyte imbalances (esp in purging cases) 
  3. Cardiac function : ECG for bradycardia 
  4. Bone health : Bone Mineral Density Scan to assess risk of fractures and osteoporosis (underweight for one year)