Flashcards in Pediatric Therapies Deck (71)
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1
What is DMDD?
Disruptive mood dysregulation disorder
2
What, generally, is DMDD?
-Chronic, severe, persistent irritability
3
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
4
What is the prognosis for conduct disorder?
Early = leads to sociopathy
Later = better prognosis
5
What is the boy:girl ratio of ADHD? Prevalence?
-4:1 to 9:1
-5%
6
What are the three domains of ADHD?
Inattention
Hyperactivity
Impulsivity
7
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
8
There is a high comorbidity of ADHD with what other disorders?
-ODD
-CD
-learning disorder
9
What is the key difference between learning disability vs ADHD?
ADHD is a global problem vs disability is usually in one specific subject area
10
True or false: ADHD is overdiagnosed
Debateable
11
True or false: most kids will outgrow ADHD
True--frontal lobe grows, and learning strategies improve
12
True or false: TV causes ADHD
Possibly?-- may be related to stimulus
13
True or false: ADHD is associated with eating preservatives and additives
Maybe?
14
True or false: ADHD is a clinical diagnosis
True
15
What must be true of ADHD symptoms in regards to setting?
must be preset at both home and school
16
What are the common side effects of ADHD stimulants?
-GI symptoms
-Decreased appetite
-Blunted affect
17
What is the thinking behind the stimulant prescription for ADHD?
Stimulate the frontal lobe
18
True or false: stimulants have a high efficacy for ADHD
True
19
What can happen to affect with stimulant use that should be monitored for? (3)
Blunts, with flat affect
BP and pulse
20
What may happen with stimulant use in a kid with an underlying psychiatric disorder? Why?
Hallucinations and other psychiatric symptoms--increases dopamine release
21
What are the first line drugs for ADHD?
Methylphenidate--Ritalin
22
Why should amphetamine products be avoided as a first line therapy for ADHD?
Much greater side effect profile
23
How fast do amphetamines work with ADHD?
Hours to days
24
What are the familial disorders of untreated ADHD?
Increased parental divorce and sibling fights
25
What are the societal consequences of untreated ADHD?
Increased Substance abuse
26
What can be done with rebounding off of ADHD meds? (2)
Short acting stimulants or alpha-2 agonists (apraclonidine)
27
What is the only nonstimulant used for ADHD? MOA? Benefit? Downside?
-Atomoxetine
-NE reuptake inhibitor
-No rebounding, but less efficacious
28
What are the major side effects of Atomoxetine?
Hepatotoxic
29
What is the MOA of clonidine? Why use in ADHD?
-Alpha-2 agonists
-treats impulsivity
30
