The 4 P's + Biopsychsocial
A child becomes more anxious over time because parents consistently answer reassurance questions and allow avoidance
What is a perpetuating factor?
This diagnoses requires symptoms occur in at least two settings and be present before age 12
What is ADHD?
A child worries about grades, making friends, health, and family safety across multiple settings.
What is NOT social anxiety disorder? What is generalized anxiety disorder?
This is the most appropriate first-line treatment for pediatric OCD.
What is Exposure and Response Prevention (ERP)
A child repeatedly washes their hands due to fear of germs and illness even when there is no real contamination.
What is contamination OCD?
After starting middle school, a child begins experiencing panic attacks.
What is a precipitating factor?
A child has severe temper outbursts and persistent irritability most days for over a year across settings
What is DMDD?
A child refuses to speak at school but also avoids eating in front of peers and fears embarrassment.
What is selective mutism and/or social anxiety disorder?
A parent-focused intervention that uses reinforcement, planned ignoring, and consistent consequences
What is Parent Management Training (PMT)?
A child checks doors and locks multiple times to prevent harm, despite knowing they already checked.
What is checking OCD?
A child was born prematurely and has a history of early developmental delays
What is a biological predisposing factor?
A child shows defiance, arguing, and refusal to comply but does not exhibit severe outbursts or pervasive irritability
What is ODD
A child avoids touching certain textures because they feel uncomfortable, not because of fear of germs or illness.
What is NOT OCD? What is a sensory sensitivity?
This treatment involves coaching parents live to improve child behavior and parent-child interactions.
What is PCIT?
A child feels intense distress about throwing away objects and keeps items of little value "just in case"
What is hoarding-related OCD?
A family is highly consistent with behavioral strategies and child responds well to reinforcement systems.
What is a protective factor?
A child refuses to speak in class but participates socially in the form of gestures, eye contact and play.
What is selective mutism?
A child develops anxiety after a move, but symptoms persist for over a year with no improvement.
What is NOT Adjustment Disorder? What is consider another anxiety disorder?
A child with autism and anxiety requires modifications to standard CBT
What are adaptations such as visual supports, concrete language, and parent involvement?
A child has intrusive thoughts about doing something morally wrong and engages in excessive praying or confessing
What is scrupulosity OCD?
A child has a genetic syndrome associated with developmental delays but receives early intensive intervention services.
What are both predisposing and protective factors?
A child develops sadness, irritability and school refusal within 2 months of parental divorce. Symptoms do not meet full criteria for Major Depressive Disorder and resolve within several months.
What is Adjustment Disorder with depressed mood?
A child restricts food intake due to low appetite and weight loss during a depressive episode.
What is NOT ARFID? What is a Major Depressive Disorder related appetite disturbance?
What is DBT?
A child has intrusive thoughts about harming a sibling and avoids being alone with them, despite no desire to act on the thoughts.
What is harm OCD?