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Exam #4 - Children/Adolescent Psychiatric

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Term
Definition
What is nature?   Genetic and biologic factors  
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What is nurture?   Experiences  
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When is behavior a problem?   What it interferes with home, school, or interactions with peers  
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What is the primary sign of depression in children?   Irritability  
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What two classes of medications are used to treat depression in children?   SSRIs and TCAs  
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Children usually vocalize what types of complaints when they're depressed?   Somatic or physical complaints  
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Why aren't benzodiazepines used to treat anxiety in children?   Side effects interfere with memory and learning  
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What three classes of medications are used to treat anxiety in children?   SSRIs, TCAs and BuSpar  
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When adolescents cannot develop relationships with peers, what can develop?   Depression  
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What treatments of depression are used with adolescents?   SSRIs and CBT  
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When an adolescent isn't interested in being with their friends, what is this a sign of?   Depression  
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What is the most commonly abused substance by adolescents?   Alcohol  
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Why are benzodiazepines not used for treating psychiatric disorders in adolescents?   Addiction issues  
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What can pharmacotherapy in adolescence involve?   SSRIs, lithium, and atypical antipsychotics  
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In order to be diagnosed with ADHD, what criteria must be met?   Either inattention or hyperactivity/impulsivity or both for 6 months; presnts before age 12; impairment in two or more settings  
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What non-stimulant medication is used to treat ADHD?   Atomexetine (Strattera)  
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Atomoxetine (Strattera) takes 1-3 weeks for full effect; this is similar to what class of medications?   Antidepressants  
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What is the mode of action of Atomoxetine (Strattera)?   Blocks reuptake of norepinephrine  
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What facet of a person's life is most affected by autism spectrum disorder?   Socialization  
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What specific impairment is always present in autism spectrum disorder?   Language impairment  
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What is involved in the treatment of autism spectrum disorder?   CBT, family support, psychoeducation and atypical antipsychotics  
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What activities could be used by a child during expressive therapy?   Dance, movement, writing, art, painting, singing  
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What does bibliotherapy involve?   Using stories for children to learn  
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What is the mechanism of action for stimulant medications used to treat ADHD?   Increase release and block reuptake of dopamine, norepinephrine and serotonin (amphetamines)  
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Before what time of the day should stimulant medications be given?   4:00 PM  
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What are five side effects of stimulant medications used to treat ADHD?   Insomnia, appetite suppression, abdominal pain, cardiovascular effects, and potential for abuse  
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What drug schedule do stimulant medications belong?   Schedule II - Can only get a month's supply at a time and you need ID to pick-up  
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Name five examples of stimulant medications used to treat ADHD   Methylphenidate (Ritalin), Dexmethylphenidate (Focalin), Amphetamine (Adderall), Dextroamphetamine (Dexedrine), Lisdexamfetamine (Vyvanse)  
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