Podcast
Questions and Answers
Which of the following is the MOST important early step in managing a child presenting with potential early-onset schizophrenia (EOS)?
Which of the following is the MOST important early step in managing a child presenting with potential early-onset schizophrenia (EOS)?
- Ordering a comprehensive set of laboratory tests to rule out medical causes.
- Recommending immediate hospitalization for intensive psychiatric observation.
- Initiating antipsychotic medication to immediately address psychotic symptoms.
- Conducting a thorough assessment of neurodevelopmental history and current symptoms. (correct)
A 14-year-old is diagnosed with Bipolar I Disorder. What is the PRIMARY concern when prescribing an SSRI for comorbid depressive symptoms?
A 14-year-old is diagnosed with Bipolar I Disorder. What is the PRIMARY concern when prescribing an SSRI for comorbid depressive symptoms?
- The interaction with mood stabilizers.
- The risk of liver toxicity.
- The potential for inducing a manic episode. (correct)
- The increased risk of suicidal ideation, particularly at the start of treatment.
A child who is selectively mute speaks comfortably at home with family, but refuses to speak at school or in public settings. What intervention should be prioritized?
A child who is selectively mute speaks comfortably at home with family, but refuses to speak at school or in public settings. What intervention should be prioritized?
- Prescribing an SSRI to reduce anxiety.
- Implementing a strict behavioral modification program at home.
- Recommending a change in school environment.
- Referring the child for cognitive behavioral therapy (CBT) focused on social anxiety. (correct)
A 9-year-old is newly diagnosed with OCD. Which is the FIRST-LINE pharmacological treatment generally recommended, according to FDA guidelines?
A 9-year-old is newly diagnosed with OCD. Which is the FIRST-LINE pharmacological treatment generally recommended, according to FDA guidelines?
Which neurotransmitter system is PRIMARILY targeted by stimulant medications used in the treatment of ADHD?
Which neurotransmitter system is PRIMARILY targeted by stimulant medications used in the treatment of ADHD?
What is a PRIMARY therapeutic goal in trauma-focused cognitive behavioral therapy (TF-CBT) for children with PTSD?
What is a PRIMARY therapeutic goal in trauma-focused cognitive behavioral therapy (TF-CBT) for children with PTSD?
A young child exhibits indiscriminate sociability and a willingness to attach to unfamiliar adults. Which attachment disorder is MOST suggested by this behavior?
A young child exhibits indiscriminate sociability and a willingness to attach to unfamiliar adults. Which attachment disorder is MOST suggested by this behavior?
In managing a child with gender dysphoria, what is the MOST important initial step a provider should take?
In managing a child with gender dysphoria, what is the MOST important initial step a provider should take?
What is a KEY diagnostic feature of Autism Spectrum Disorder (ASD)?
What is a KEY diagnostic feature of Autism Spectrum Disorder (ASD)?
A child is repeatedly defiant, argumentative, and vindictive, but does not engage in serious rule violations such as theft or physical aggression. Which condition is MOST likely?
A child is repeatedly defiant, argumentative, and vindictive, but does not engage in serious rule violations such as theft or physical aggression. Which condition is MOST likely?
Why is it ESSENTIAL to monitor lithium levels in children and adolescents?
Why is it ESSENTIAL to monitor lithium levels in children and adolescents?
What is the PRIMARY reason for the FDA's issuance of a black box warning for antidepressant medications?
What is the PRIMARY reason for the FDA's issuance of a black box warning for antidepressant medications?
Which of the following describes "prodrome" in the context of Early-Onset Schizophrenia (EOS)?
Which of the following describes "prodrome" in the context of Early-Onset Schizophrenia (EOS)?
Which of the following is a PRIMARY concern regarding the use of SSRIs in adolescents with bipolar disorder?
Which of the following is a PRIMARY concern regarding the use of SSRIs in adolescents with bipolar disorder?
A previously social child suddenly refuses to attend school, complaining of stomach aches and feeling faint when the school bus arrives. What is the MOST appropriate FIRST step?
A previously social child suddenly refuses to attend school, complaining of stomach aches and feeling faint when the school bus arrives. What is the MOST appropriate FIRST step?
What is PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections)?
What is PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections)?
Besides stimulants, what is another class of medication that is used to treat ADHD?
Besides stimulants, what is another class of medication that is used to treat ADHD?
Which of the following is a TYPICAL symptom observed in a child experiencing emotional withdrawal following trauma?
Which of the following is a TYPICAL symptom observed in a child experiencing emotional withdrawal following trauma?
What medication is often used to manage aggression and irritability in children diagnosed with Autism Spectrum Disorder (ASD)?
What medication is often used to manage aggression and irritability in children diagnosed with Autism Spectrum Disorder (ASD)?
What is a PRIMARY consideration when prescribing mood stabilizers to children?
What is a PRIMARY consideration when prescribing mood stabilizers to children?
Flashcards
Early-Onset Schizophrenia (EOS)
Early-Onset Schizophrenia (EOS)
Schizophrenia that occurs before the age of 18, often with a more severe presentation compared to adult-onset.
DMDD vs. Bipolar
DMDD vs. Bipolar
In youth, DMDD presents with persistent irritability and frequent episodes of extreme behavioral dyscontrol.
SSRIs in Bipolar
SSRIs in Bipolar
Using SSRIs in bipolar disorder can risk precipitating mania or rapid cycling.
Generalized Anxiety Disorder (GAD)
Generalized Anxiety Disorder (GAD)
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Social Anxiety Disorder (SAD)
Social Anxiety Disorder (SAD)
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Selective Mutism
Selective Mutism
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Obsessive-Compulsive Disorder (OCD)
Obsessive-Compulsive Disorder (OCD)
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PANDAS
PANDAS
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Atomoxetine
Atomoxetine
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Oppositional Defiant Disorder (ODD)
Oppositional Defiant Disorder (ODD)
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Trauma-Focused CBT
Trauma-Focused CBT
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Emotional Withdrawal (PTSD)
Emotional Withdrawal (PTSD)
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Social Overfamiliarity
Social Overfamiliarity
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Gender Dysphoria
Gender Dysphoria
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Risperidone for ASD
Risperidone for ASD
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Stereotyped Behaviors
Stereotyped Behaviors
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Conduct Disorder
Conduct Disorder
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Mood Stabilizers
Mood Stabilizers
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Black Box Warnings
Black Box Warnings
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Contraindications
Contraindications
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Study Notes
- Study notes for Exam 3 Blueprint
Early-Onset Schizophrenia (EOS)
- Key areas of focus include onset, prognosis, and prodrome
- Neurodevelopment is an important element.
- Duration, presence of red flags, and instances of brief psychosis should be examined.
Mood Disorders
- Understanding Bipolar I disorder is critical
- Differentiating between DMDD (Disruptive Mood Dysregulation Disorder) and Bipolar disorder is necessary
- Consider the use of SSRIs (Selective Serotonin Reuptake Inhibitors) in bipolar disorder
- Fluoxetine use in youth and recognition of Suicidal ideation should be focused on
Anxiety Disorders
- Generalized Anxiety Disorder (GAD) and Social Anxiety Disorder (SAD) are important
- Selective Mutism and Social Anxiety considerations
- School refusal and somatic symptoms should be understood
Obsessive-Compulsive Disorder (OCD)
- Focus on how OCD manifests
- Pay attention to Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS)
- Recognize comorbidity factors
- Be familiar with FDA-approved medications for OCD
ADHD & Psychopharmacology
- Focus on Dopamine's role
- Stimulants and Atomoxetine use should be understood
- Grasp comorbid Oppositional Defiant Disorder (ODD) implications
- Know Pediatric pharmacokinetics (PK)
- Lithium monitoring is essential
Trauma & PTSD
- Pediatric PTSD therapy and trauma-focused Cognitive Behavioral Therapy (CBT) should be considered
Attachment Disorders (RAD, DSED)
- Focus on emotional withdrawal
- Note Social overfamiliarity
- Be aware of Risk factors
Gender Dysphoria
- Understand prevalence
- Grasp treatment approach
- Family acceptance and comorbidity with Autism Spectrum Disorder (ASD) are important
- Protective factors should be spotlighted
Autism Spectrum Disorder (ASD)
- Key aspect is Diagnosis
- Know Risperidone use
- Notice Stereotyped behaviors
- Note Comorbidity
Conduct & Oppositional Defiant Disorders
- Watch for Aggression
- Vindictiveness and rule-breaking vs defiance should be noted
Pharmacology (General)
- Know Black box warnings
- Contraindications should be focused on
- Note Mood stabilizers
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