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Presentation appears like acute onset of OCD including food restriction and two or more of
the following:
anxiety
emotional
lability
depression
irritability
opposition
ADHD
symptoms
Academic
decline
regressive bx
MSE may reveal SIB, regressive language such as "baby talk" incongruent laughter
Treat the source of the infection, immunotherapies and anti-inflammitory
treatments. Also recommend benzo or antipsychotic agent
Symptoms may reoccur
PANS
Pediatric Acute Onset Neuropsychiatric Symptoms
,Associated with bacterial or viral infections such as influenza or M. Pneumonia
or lyme Symptoms are often severe and episodic
, often accompanied by Severe separation anxiety
MSE may reveal SIB, regressive language such as "baby talk" incongruent laughter
Treat the source of the infection, immunotherapies and anti-inflammitory
treatments. Also recommend benzo or antipsychotic agent
Symptoms may reoccur
ACES
Adverse Childhood Experiences
There are 10 types of childhood trauma
5 person-physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect
5 family related-family substance use, domestic violence, family member in jail, family with
mental illness, and divorce of parents
Each type of trauma counts as a 1 which totals the
ACE score Questions are asked in relation to prior to
18th birthday
The ACE study was large and well known and linked childhood trauma to chronic disease
states and emotional/social problems i.e as the ACE score increases so does the risk of
disease states
primary prevention
Efforts to prevent an injury or illness from ever occurring.