RPNCE PART 5 (ADOLESCENT PSYCHIATRY,
SUBSTANCE USE)
What is the most common disorder in children - Answers- ADHD
Mental disorders developed during childhood - Answers- Mental retardation,
developmental disorder, elimination disorder, disruptive behaviour disorders, anxiety
disorders
Conduct disorder diagnostic criteria - Answers- A. *Aggression to people and animals*:
1) often *bullies*, threatens or intimidates others
2) often initiates *physical fights*
3) has used a weapon that can cause serious physical harm to others
4) has been *physically cruel* to people
5) has been physically cruel to animals
6) has stolen while confronting a victim
7) has forced someone into sexual activity
B. *Destruction of property*:
8) has deliberately engaged in fire *setting with the intention of causing serious
damage*
9) has deliberately destroyed others' property (other than by fire setting)
C. *Deceitfulness or theft*
10) has broken into someone else's house building or car
11) often lies to obtain goods or favors or to avoid obligations (i.e. *"cons" others)*
12) has stolen items of nontrivial value without confronting a victim (e.g. *shoplifting,
forgery*)
D. *Serious violation of rules*:
13) often stays out at night despite parental prohibitions, *beginning before age 13
years*
14) has run away from home overnight at least twice while living in parental or parental
surrogate home (or once without returning for a lengthy period)
15) is often truant from school, beginning before age 13 years
E. *The disturbance in behavior causes clinically significant impairment in social,
academic, or occupational functioning*.
F. *If the individual is 18 years old or older, criteria are not met for antisocial personality
disorder*
Conduct disorder symptoms - Answers- Child younger than 18 yrs old (usually younger
than 13):
-Bullying, threatening, or intimidating others
,-Fighting
-Cruel to people or animals
-Stealing
-Destruction of property
-Deceitful and lying to get personal gains
-Truancy
-Running away from home
Aggression to people and animals
Destruction of property
Deceitfulness or theft
Serious violations of rules
What is included in asd - Answers- group of childhood disorders characterized by
delays in socialization and communication skills; autism and Asperger syndrome are
examples
Oppositional Defiant Disorder (ODD) - Answers- A pattern of negativistic, hostile, and
defiant behavior, during which a child often loses her or his temper, often argues with
adults, and often actively defies or refuses to comply with adults' requests or rules.
Characterized by a recurrent pattern of negativistic, defiant, disobedient and hostile
behaviour towards authority figures that persists for at least 6 months
Diagnosis is made if behaviours occur more frequently than typical for child of same age
Oppositional Defiant Disorder (ODD) symptoms - Answers- Loss of temper
Arguing with adults
Actively defying or refusing to comply with rules of adults
Deliberately annoying others
Blaming others for their own mistakes
Being annoyed by others easily
Being angry and resentful
ODD diagnostic criteria - Answers- Diagnostic Criteria
A. Pattern of angry/irritable mood, argumentative/deviant behaviour, or vindictiveness
lasting at least 6 months as evidenced by at least 4 symptoms from any of the following
categories, and exhibited during interaction with at least one individual who is not a
sibling.
1. Angry/Irritable Mood
Often loses temper
Is often touchy or easily annoyed
Is often angry and resentful
2. Argumentative/Defiant Behaviour
Often argues with authority figures of, for children and adolescents, with adults
, Depression in a child vs adult - Answers- child will act out as a symptom, and child will
lose weight but adult will gain weight
Assessment: assess pt behaviour from the last 2 weeks to note a change in behaviour
Adolescents signs of SI - Answers- Giving away prized posessions, withdrawing
suddenly from family and friends, verbal hints/threats of suicide
Conduct disorder - Answers- patterns of behavior in which the rights of others or basic
social rules are violated
A persistent pattern of deviant behavior involving aggression to people or animals,
destruction of property, deceitfulness or theft, or serious rule violations
Often actively defied or refuses to comply with request form authority figures or with
rules
Often deliberately annoys others
Often blames others for his or her mistakes or misbehavior
3. Vindictiveness
Has been spiteful or vindictive at least twice within the past 6 months
B. The disturbance in behaviour is associated with distress in the individual or others in
his or her immediate social context (ie. Family, friends) or it impacts negatively on
social, educational, occupational or other important areas of functioning
C. The behaviours do not occur exclusively during the course of a psychotic, substance
use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood
dysregulation disorder.
Specify if:
Mild: symptoms confined to one setting
Moderate: some symptoms present in at least 2 settings
Severe: some symptoms present in 3+ settings
Autism Spectrum Disorder (ASD) - Answers- a disorder that appears in childhood and
is marked by significant deficiencies in communication and social interaction, and by
rigidly fixated interests and repetitive behaviors
Characterized by markedly abnormal development in social interaction and
communication as well as markedly restricted involvement in activities and interest
Autism symptoms - Answers- - social deficits
- impaired communication ability
- restricted interests
- altered perception of "self"
- disruption between self & others (social)
SUBSTANCE USE)
What is the most common disorder in children - Answers- ADHD
Mental disorders developed during childhood - Answers- Mental retardation,
developmental disorder, elimination disorder, disruptive behaviour disorders, anxiety
disorders
Conduct disorder diagnostic criteria - Answers- A. *Aggression to people and animals*:
1) often *bullies*, threatens or intimidates others
2) often initiates *physical fights*
3) has used a weapon that can cause serious physical harm to others
4) has been *physically cruel* to people
5) has been physically cruel to animals
6) has stolen while confronting a victim
7) has forced someone into sexual activity
B. *Destruction of property*:
8) has deliberately engaged in fire *setting with the intention of causing serious
damage*
9) has deliberately destroyed others' property (other than by fire setting)
C. *Deceitfulness or theft*
10) has broken into someone else's house building or car
11) often lies to obtain goods or favors or to avoid obligations (i.e. *"cons" others)*
12) has stolen items of nontrivial value without confronting a victim (e.g. *shoplifting,
forgery*)
D. *Serious violation of rules*:
13) often stays out at night despite parental prohibitions, *beginning before age 13
years*
14) has run away from home overnight at least twice while living in parental or parental
surrogate home (or once without returning for a lengthy period)
15) is often truant from school, beginning before age 13 years
E. *The disturbance in behavior causes clinically significant impairment in social,
academic, or occupational functioning*.
F. *If the individual is 18 years old or older, criteria are not met for antisocial personality
disorder*
Conduct disorder symptoms - Answers- Child younger than 18 yrs old (usually younger
than 13):
-Bullying, threatening, or intimidating others
,-Fighting
-Cruel to people or animals
-Stealing
-Destruction of property
-Deceitful and lying to get personal gains
-Truancy
-Running away from home
Aggression to people and animals
Destruction of property
Deceitfulness or theft
Serious violations of rules
What is included in asd - Answers- group of childhood disorders characterized by
delays in socialization and communication skills; autism and Asperger syndrome are
examples
Oppositional Defiant Disorder (ODD) - Answers- A pattern of negativistic, hostile, and
defiant behavior, during which a child often loses her or his temper, often argues with
adults, and often actively defies or refuses to comply with adults' requests or rules.
Characterized by a recurrent pattern of negativistic, defiant, disobedient and hostile
behaviour towards authority figures that persists for at least 6 months
Diagnosis is made if behaviours occur more frequently than typical for child of same age
Oppositional Defiant Disorder (ODD) symptoms - Answers- Loss of temper
Arguing with adults
Actively defying or refusing to comply with rules of adults
Deliberately annoying others
Blaming others for their own mistakes
Being annoyed by others easily
Being angry and resentful
ODD diagnostic criteria - Answers- Diagnostic Criteria
A. Pattern of angry/irritable mood, argumentative/deviant behaviour, or vindictiveness
lasting at least 6 months as evidenced by at least 4 symptoms from any of the following
categories, and exhibited during interaction with at least one individual who is not a
sibling.
1. Angry/Irritable Mood
Often loses temper
Is often touchy or easily annoyed
Is often angry and resentful
2. Argumentative/Defiant Behaviour
Often argues with authority figures of, for children and adolescents, with adults
, Depression in a child vs adult - Answers- child will act out as a symptom, and child will
lose weight but adult will gain weight
Assessment: assess pt behaviour from the last 2 weeks to note a change in behaviour
Adolescents signs of SI - Answers- Giving away prized posessions, withdrawing
suddenly from family and friends, verbal hints/threats of suicide
Conduct disorder - Answers- patterns of behavior in which the rights of others or basic
social rules are violated
A persistent pattern of deviant behavior involving aggression to people or animals,
destruction of property, deceitfulness or theft, or serious rule violations
Often actively defied or refuses to comply with request form authority figures or with
rules
Often deliberately annoys others
Often blames others for his or her mistakes or misbehavior
3. Vindictiveness
Has been spiteful or vindictive at least twice within the past 6 months
B. The disturbance in behaviour is associated with distress in the individual or others in
his or her immediate social context (ie. Family, friends) or it impacts negatively on
social, educational, occupational or other important areas of functioning
C. The behaviours do not occur exclusively during the course of a psychotic, substance
use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood
dysregulation disorder.
Specify if:
Mild: symptoms confined to one setting
Moderate: some symptoms present in at least 2 settings
Severe: some symptoms present in 3+ settings
Autism Spectrum Disorder (ASD) - Answers- a disorder that appears in childhood and
is marked by significant deficiencies in communication and social interaction, and by
rigidly fixated interests and repetitive behaviors
Characterized by markedly abnormal development in social interaction and
communication as well as markedly restricted involvement in activities and interest
Autism symptoms - Answers- - social deficits
- impaired communication ability
- restricted interests
- altered perception of "self"
- disruption between self & others (social)
