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Child and adolescent psy
- - Developmental disorders
- - Emotional disorders
- - Behavioural disorders
- - Miscellanous: Tics disorders
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Child and adolescent psy: Developmental
Autism
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Child and adolescent psy: Emotional disorders
- - Depression
- - Anxiety disorders
- - Enuresis
- - Encopresis
- - Elective mutism
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Child and adolescent psy: Behavioural disorders
- - ADHD (attention deficit - hyperactivity disorder)
- - Conduct disorder (CD)
- + Oppositional defiant disorder
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Autism clinical presentation
- - Reciprocal social interaction
- - Communication abnormalities
- - Restricted behaviours and routine
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DDx of autism
- - Deafness
- - Specific language disorder
- - Asperger's syndrome
- - Learning disability
- - Neglect
- - Rare e.g childhood schizophrenia, Rett's syndrome
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Personality disorders: Distinguish disorder from traits
- 3 Ps
- - Pervasive - occurs in all/most areas of life
- - Persistent - evident in adolescence and cont thru adulthood
- - Pathological - distress to self or others; impairs function
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Personality disorders - ICD 10
(REPORT)
- - Relationship affected
- - Enduring
- - Pervasive
- - Onset in childhood/adolescence
- - Result in distress
- - Trouble in occupational/social performance
This behaviour must not be attributable to brain damage or disease, or another psy disorder.
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Personality disorders - 3 clusters
- - A ('odd or eccentric'): paranoid, schizoid
- - B ('dramatic, erratic or emotional'): histrionic, emotionally unstable (Borderline type, Impulsive type), and dissocial
- - C ('anxious and fearful'): anakastic, anxious (avoidant), and dependent
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Clinical presentation of Personality disorders
As well as REPORT, at least 3 of features listed to diagnose
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Paranoid personality disorder - clinical presentation & DDx
SUSPECT
- - Sensitive
- - Unforgiving
- - Suspicious
- - Possessive and jealous of partners
- - Excessive self-importance
- - Conspiracy theories
- - Tenacious sense of rights
DDx: schizophrenia, persistent delusional disorder
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Schizoid personality disorder - clinical presentation & DDx
ALLALONE
- - Anhedonic
- - Limited emotion range
- - Little sexual interest
- - Apparent indifference to praise/criticism
- - Lacks close friendship
- - One-player activities
- - Normal social conventions ignored
- - Excessive fantasy world
DDx: Asperger's syndrome, agoraphobia, social phobia, psychosis, depression
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