Behavioral Disorders in Psychiatry
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Questions and Answers

What is the primary concern when considering medications for children with behavioral disorders?

  • Medications are always the best solution
  • The child's behavior is a primary problem
  • The need for a therapist is not necessary
  • The environment is making the problem worse (correct)

    • According to the speaker, what is often the underlying issue in children with behavioral disorders?

  • The child's behavior
  • The child's home environment (correct)
  • The child's genetic makeup
  • The child's school environment

    • Why does the speaker hesitate to prescribe medications to children?

  • Because medications are ineffective
  • Unless it's clearly necessary, the speaker prefers to avoid long-term medication use (correct)
  • Because medications can have long-term side effects
  • Because medications are too expensive

    • What is the speaker's recommendation in addition to considering medication for children with behavioral disorders?

    <p>Connecting with a therapist</p> Signup and view all the answers

    What does the speaker believe is a common scenario in cases of children with behavioral disorders?

    <p>The environment is making the problem worse</p> Signup and view all the answers

    What is the speaker's attitude towards medicating children who are having behavioral episodes?

    <p>They believe it should be a last resort</p> Signup and view all the answers

    What does the speaker suggest may need to change in order to improve the child's behavior?

    <p>The child's environment</p> Signup and view all the answers

    What is the speaker's primary concern when evaluating children with behavioral disorders?

    <p>The environment's impact on the child's behavior</p> Signup and view all the answers

    What is the primary concern with lithium in the first trimester of pregnancy?

    <p>Congenital heart defects</p> Signup and view all the answers

    In which stages of pregnancy is lithium considered a safer mood stabilizer than Depakote?

    <p>Second and third trimesters</p> Signup and view all the answers

    Why is lithium not recommended during breastfeeding?

    <p>It easily crosses into breast milk</p> Signup and view all the answers

    What is the risk associated with lithium in the first trimester of pregnancy?

    <p>Congenital heart defects</p> Signup and view all the answers

    What can be inferred about the vascular supply of children?

    <p>It is more efficient than that of adults.</p> Signup and view all the answers

    According to the content, why might absorption rates vary in children?

    <p>Due to differences in pediatric physiology.</p> Signup and view all the answers

    What happens to the risk of lithium in pregnancy after the first trimester?

    <p>It decreases</p> Signup and view all the answers

    Why is it necessary to get a woman off lithium if she is planning pregnancy or just found out she's pregnant?

    <p>To prevent congenital anomalies</p> Signup and view all the answers

    What is the primary concern when prescribing psychotropics for young children?

    <p>Understanding the differences in pediatric physiology.</p> Signup and view all the answers

    What is recommended when researching a drug to prescribe for a young child?

    <p>Consulting a pediatric reference specifically.</p> Signup and view all the answers

    What is the primary concern with lithium use in pregnancy?

    <p>Risk of congenital anomalies</p> Signup and view all the answers

    Why do pediatric doses need to be calculated based on weight?

    <p>Because the dose range is not fixed for children.</p> Signup and view all the answers

    What happens to lithium when a woman takes it during pregnancy?

    <p>It crosses the placenta</p> Signup and view all the answers

    What can be expected when prescribing psychotropics for young children?

    <p>The child will respond differently due to pediatric physiology.</p> Signup and view all the answers

    What is the main difference between prescribing medications for children and adults?

    <p>The method of calculation is different.</p> Signup and view all the answers

    What is the primary goal when prescribing medications for young children?

    <p>To understand the differences in pediatric physiology.</p> Signup and view all the answers

    What is the main reason for discussing this topic, despite its limited relevance to daily practice?

    <p>To understand core principles of a specific branch of science</p> Signup and view all the answers

    What is the speaker's primary concern when prescribing medication to young children?

    <p>Recognizing the differences in medication effects between children and adults</p> Signup and view all the answers

    What is the ultimate goal of understanding the principles of psychotropics in children?

    <p>To be able to look up and apply the relevant information when needed</p> Signup and view all the answers

    What is the speaker's expectation of the audience's familiarity with psychotropics in children?

    <p>That they have a basic understanding of the principles, but may not be experts</p> Signup and view all the answers

    What is the speaker's attitude towards the topic of psychotropics in children?

    <p>The speaker is apologetic about the topic's limited relevance to daily practice</p> Signup and view all the answers

    What is the speaker's approach to presenting the topic of psychotropics in children?

    <p>Presenting the core principles in a concise and brief manner</p> Signup and view all the answers

    What is the speaker's main concern about the audience's current understanding of psychotropics in children?

    <p>That they may not recognize the differences between pediatric and adult populations</p> Signup and view all the answers

    What is the speaker's expectation of the audience's ability to apply the knowledge of psychotropics in children?

    <p>That they will be able to look up and apply the relevant information when needed</p> Signup and view all the answers

    What is the primary characteristic of DMDD and ADD that distinguishes them from other behavioral disorders?

    <p>They are biochemical disorders</p> Signup and view all the answers

    What is the typical age range for diagnosing Oppositional Defiant Disorder?

    <p>Between the ages of three and eight</p> Signup and view all the answers

    What is the key factor that contributes to the development of Oppositional Defiant Disorder in children?

    <p>Parental overreaction to displays of autonomy</p> Signup and view all the answers

    What is the primary goal of treating children with behavioral disorders?

    <p>To manage symptoms and improve behavior</p> Signup and view all the answers

    What is the key difference between DMDD and Oppositional Defiant Disorder?

    <p>DMDD is primarily a biochemical disorder, while Oppositional Defiant Disorder is not</p> Signup and view all the answers

    What is the Eriksonian conflict that is relevant to Oppositional Defiant Disorder?

    <p>Autonomy vs. Shame and Doubt</p> Signup and view all the answers

    What is the primary expectation of treating children with behavioral disorders with pharmacotherapeutics?

    <p>That symptoms will improve significantly</p> Signup and view all the answers

    What is the key difference between treating children with behavioral disorders and adults with behavioral disorders?

    <p>Children have different biochemical responses to medication than adults</p> Signup and view all the answers

    What is a major risk factor for antisocial personality in adulthood?

    <p>Conduct disorder in childhood</p> Signup and view all the answers

    What is essential for a child with conduct disorder to overcome their condition?

    <p>Multimodal therapy and structure</p> Signup and view all the answers

    What is the primary goal of therapy for a child with conduct disorder?

    <p>To teach acceptable behavior</p> Signup and view all the answers

    What is a key factor in determining the prognosis of a child with conduct disorder?

    <p>All of the above</p> Signup and view all the answers

    What is the most important step in helping a child with conduct disorder?

    <p>Removing the child from the home</p> Signup and view all the answers

    What is necessary for a child with conduct disorder to transition to a healthy life?

    <p>All of the above</p> Signup and view all the answers

    Why is it essential to involve Social Services in the case of a child with conduct disorder?

    <p>To facilitate removal of the child from the home</p> Signup and view all the answers

    What is the primary challenge in treating a child with conduct disorder?

    <p>Difficulty in treatment</p> Signup and view all the answers

    What is the primary approach recommended for treating oppositional defiant disorder?

    <p>Family therapy</p> Signup and view all the answers

    Which medication is recommended for treating symptoms of anger and irritability in oppositional defiant disorder?

    <p>Risperdal</p> Signup and view all the answers

    What is a common characteristic of children with conduct disorder?

    <p>More common in boys</p> Signup and view all the answers

    What is a potential factor contributing to the development of conduct disorder in children?

    <p>All of the above</p> Signup and view all the answers

    What is the speaker's primary concern when evaluating children with behavioral disorders?

    <p>Ruling out other potential disorders or conditions</p> Signup and view all the answers

    What is the recommended approach for treating children with oppositional defiant disorder who cannot participate in family therapy?

    <p>Medication with Risperdal</p> Signup and view all the answers

    What is a potential long-term consequence of conduct disorder in children?

    <p>Development of antisocial personality disorder</p> Signup and view all the answers

    What is a key factor in the development of conduct disorder in children?

    <p>Parent's personality disorder</p> Signup and view all the answers

    What is a risk factor for conduct disorder?

    <p>At least one parent has a history of antisocial personality disorder</p> Signup and view all the answers

    What is a characteristic of children with conduct disorder?

    <p>They have no respect for the basic rights of others</p> Signup and view all the answers

    Why is intramuscular administration of medication used in emergency scenarios involving children?

    <p>Because the child is unable to swallow a pill or receive an IV.</p> Signup and view all the answers

    What is a result of chronic exposure to violence in children?

    <p>Desensitization to violent behavior</p> Signup and view all the answers

    What is a common feature of the parenting style of children with conduct disorder?

    <p>Chaotic and inconsistent parenting</p> Signup and view all the answers

    What is a key consideration when administering medications via the intramuscular route in children?

    <p>The decreased muscle tissue in young children.</p> Signup and view all the answers

    What is the relationship between conduct disorder and antisocial personality disorder?

    <p>Conduct disorder is a precursor to antisocial personality disorder in adulthood</p> Signup and view all the answers

    Why is absorption from the muscle into the vasculature important in intramuscular administration?

    <p>Because it is the mechanism by which the medication reaches the bloodstream.</p> Signup and view all the answers

    In what situations is intramuscular administration of medication commonly used in children?

    <p>For emergency situations and when the child is unable to receive an IV or swallow a pill.</p> Signup and view all the answers

    What is a consequence of growing up in a chaotic and violent environment?

    <p>Desensitization to violent behavior and lack of empathy</p> Signup and view all the answers

    What is a characteristic of children with conduct disorder in terms of social involvement?

    <p>They have poor social involvement and lack of empathy</p> Signup and view all the answers

    What is a characteristic of intramuscular administration in children compared to adolescents and adults?

    <p>It is less efficient due to decreased muscle tissue.</p> Signup and view all the answers

    What is the primary concern with children who have conduct disorder?

    <p>They are at risk of developing antisocial personality disorder</p> Signup and view all the answers

    Why is it challenging to administer medications to children who are out of control?

    <p>Because they are unable to sit still for an IV or swallow a pill.</p> Signup and view all the answers

    What is the primary reason intramuscular administration is used in children?

    <p>Because it is necessary in emergency situations when the child is unable to receive an IV or swallow a pill.</p> Signup and view all the answers

    What is a difference between intramuscular administration in children and adults?

    <p>The muscle tissue is decreased in children, affecting absorption.</p> Signup and view all the answers

    Study Notes

    Behavioral Disorders in Children

    • Behavioral disorders are common presenting symptoms in psychiatry, especially in adolescents and school-age children.
    • Medications used to manage behavioral disorders in children are the same as those used for adults, but dosages and considerations differ.
    • Insurance companies may not approve medications for certain diagnoses or age ranges, requiring prescribers to work around these limitations.

    Pediatric Considerations

    • Pediatric physiology can impact drug absorption, with differences in vascular supply and gastric lining affecting absorption rates.
    • Doses for children are typically calculated based on weight in kilograms.
    • Pediatric reference materials should be consulted to understand how pediatric physiology affects medication use.

    Medication Use in Children

    • Prescribers should consider the environment and potential underlying causes of behavioral disorders before medicating children.
    • Medications are used as a last resort, especially in children, and should be combined with therapy recommendations.
    • Environmental factors, such as home life, can exacerbate behavioral disorders and should be considered in treatment plans.

    Lithium Use in Pregnancy and Breastfeeding

    • Lithium is contraindicated in the first trimester of pregnancy due to the risk of congenital heart defects.
    • After the first trimester, lithium is considered a safer mood stabilizer than Depakote for pregnant women.
    • Lithium crosses the placenta, but its impact on fetal development is less significant after the first trimester.
    • During breastfeeding, lithium is not recommended as it crosses into breast milk and can be difficult for the baby to metabolize and excrete.

    Behavioral Disorders in Children

    • DMDD (Disruptive Mood Dysregulation Disorder) and ADD (Attention Deficit Disorder) both present with behavioral symptoms, but they are different diagnoses.
    • DMDD and ADD are chemical disorders that can be effectively treated with pharmacotherapeutics.
    • Oppositional Defiant Disorder (ODD) is a condition diagnosed before the age of 8, and it is not clearly a biochemical disorder.
    • ODD is often linked to persistent controlling by parents and parental overreaction to displays of autonomy in children.
    • Family therapy is the best evidence-based approach for ODD, and medication (Risperdal or Abilify) may be used if necessary.

    Conduct Disorder (CD)

    • Conduct Disorder is a bad and dangerous disorder, often seen in children of parents with antisocial personality disorder.
    • CD is more common in boys and may have a genetic component.
    • Risk factors for CD include chaotic parenting, poorly developed sense of empathy, and exposure to violence.
    • CD is often a precursor to antisocial personality disorder in adulthood.
    • Children with CD are dangerous and have no respect for the basic rights of others.
    • They make major violations and are difficult to treat.
    • Prognostic indicators for CD include early symptoms, mild symptoms, and normal intelligence.
    • Removal from the home and multimodal therapy are necessary for treatment.

    Pediatric Considerations

    • Intramuscular (IM) administration of medication is used in emergency scenarios, especially for young children who are out of control.
    • IM administration is less efficient in children due to decreased muscle tissue.
    • In children, IM administration is often used for immunizations, but it can also be used for emergency situations where an IV is not possible or authorized.

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    Behavioral Disorders in Children PDF

    Description

    Explore the common presenting symptoms of behavioral disorders in psychiatry, with a focus on medication management, particularly in adolescents and school-age children.

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