Overview
These are d/o that affect
personal and social functioning
What are some psychosocial d/o typically manifested in childhood?
Mood d/o
Anxiety d/o
ADHD
Eating d/o
Anorexia manifestations? ***
1- Refusal to maintain body wght that exceeds minimum wght for height
2- Misperception of internal and external stimuli (such as food-related cues like hunger)
3- Distorted body image
4- Amenorrhea, lanugo, dry or flaky skin, dull brittle hair, muscle wasting (cardiac included) ***
What are some risk factors for suicide?
Psychosocial hospitalization
Suicide of friend or family member
Death of a parent prior to 13 years of age
Preoccupation with death
Self-abusing behaviors
Social isolation
Manifestations of substance abuse d/o ***** (SATA question)
Irregular school attendance
Low grades or poor school performance
Aggressive/ rebellious behavior
Excessive dependence on peer influence
Deterioration of relationships w/ family
Rapid or extreme changes in behavior or mood
Loss of interest in favorite activities or sports
Changes in eating or sleeping patterns
These d/o also cause
acute distress
Anxiety d/o examples?
Social anxiety d/o
Separation anxiety d/o
PTSD
Phobias
OCD
Think about how anorexia can be really bad and what nurses need to think of **
No children bc it affects reproductive system
Not getting the nutrients they need --> Hr eventually goes down bc muscle waste and BP goes down
Electrolytes are affected --> can lead to seizures
What is the best way to interview adolescents, especially when talking about suicide of self-harm? ****
Interview them without parents in the room. Build trust and have a basic conversation with them first. Don't drill them questions bc they're more likely to not be honest if you do this
Phases of substance abuse
Phase 1- Experimentation
Phase 2- Early drug use
Phase 3- True drug addiction
Phase 4- Severe drug addiction
These d/o must be of sufficient severity to disrupt or impair
the developmental tasks of life
Mood d/o examples?
Depression
Dysthymia (persistent depressive d/o)
Adjustment d/o
Bipolar d/o
Bulimia nervosa contains
recurrent episodes of rapid, convulsive binge eating and purging
Examples of behavioral d/o
ADHD and Hyperactivity d/o
Mental health and and mental illness are not
mutually exclusive
What are some things you may see with a child/ teen who has a substance abuse d/o
Low school performance, loss of interest in previous favorite activities and sports, rebellious behavior, rapid changes in mood or behavior, excessive dependence of peer influence, breaking familial relationships, changes in eating or sleeping patterns, irregular school attendance
Children w/ BM have
a sense of lack of control over eating behavior
ADHD has 3 main components, what are they?
Developmentally inappropriate degrees of inattention
Overactivity
Impulsivity
Etiology and physiology of these d/o
Biologic factors (affect brain structure and function)
Genetic determinants
Family history
History of abuse
Traumatic brain injury
Social media
Children may also use other strategies to prevent weight gain like
self-induced vomiting and laxatives
What is the goal of therapy ? *****
To reduce the frequency and severity of behaviors **
Pharmacotherapy in conjunction w/ family therapy will help also