Flashcards in Pediatric Therapies Deck (71)
What is DMDD?
Disruptive mood dysregulation disorder
What, generally, is DMDD?
-Chronic, severe, persistent irritability
What is conduct disorder?
a psychological disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated
What is the prognosis for conduct disorder?
Early = leads to sociopathy
Later = better prognosis
What is the boy:girl ratio of ADHD? Prevalence?
-4:1 to 9:1
What are the three domains of ADHD?
ADHD has an onset before what age? What is the duration that is needed to meet criteria? How many setting must this be seen in?
-before age 12
-Duration over 6 months
-At least 2 settings
There is a high comorbidity of ADHD with what other disorders?
What is the key difference between learning disability vs ADHD?
ADHD is a global problem vs disability is usually in one specific subject area
True or false: ADHD is overdiagnosed
True or false: most kids will outgrow ADHD
True--frontal lobe grows, and learning strategies improve
True or false: TV causes ADHD
Possibly?-- may be related to stimulus
True or false: ADHD is associated with eating preservatives and additives
True or false: ADHD is a clinical diagnosis
What must be true of ADHD symptoms in regards to setting?
must be preset at both home and school
What are the common side effects of ADHD stimulants?
What is the thinking behind the stimulant prescription for ADHD?
Stimulate the frontal lobe
True or false: stimulants have a high efficacy for ADHD
What can happen to affect with stimulant use that should be monitored for? (3)
Blunts, with flat affect
BP and pulse
What may happen with stimulant use in a kid with an underlying psychiatric disorder? Why?
Hallucinations and other psychiatric symptoms--increases dopamine release
What are the first line drugs for ADHD?
Why should amphetamine products be avoided as a first line therapy for ADHD?
Much greater side effect profile
How fast do amphetamines work with ADHD?
Hours to days
What are the familial disorders of untreated ADHD?
Increased parental divorce and sibling fights
What are the societal consequences of untreated ADHD?
Increased Substance abuse
What can be done with rebounding off of ADHD meds? (2)
Short acting stimulants or alpha-2 agonists (apraclonidine)
What is the only nonstimulant used for ADHD? MOA? Benefit? Downside?
-NE reuptake inhibitor
-No rebounding, but less efficacious
What are the major side effects of Atomoxetine?
What is the MOA of clonidine? Why use in ADHD?