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Care of Children and Adolescents With Psychiatric Disorders

Care of Children and Adolescents With Psychiatric Disorders. Chapter 26. Epidemiology. 5%-9% of children between ages of 9-17 have serious emotional disturbance with severed functional impairments 4%-6% -- seriously emotionally disturbed with some functional impairment.

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Care of Children and Adolescents With Psychiatric Disorders

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  1. Care of Children and Adolescents With Psychiatric Disorders Chapter 26

  2. Epidemiology • 5%-9% of children between ages of 9-17 have serious emotional disturbance with severed functional impairments • 4%-6% -- seriously emotionally disturbed with some functional impairment

  3. Other Disruptive Behavior Disorders • Oppositional Defiant Disorder • Disobedience, argumentative • Trouble making friends • Conduct Disorder • Serious violations of social norms

  4. Separation Anxiety Disorder • School phobia • 4% of school age children • Runs in family • May emerge after a change • May need medication -- antidepressants • Treatment • psychotherapy • behavior therapy • flooding vs desensitization

  5. Obsessive Compulsive Disorder • May have onset in childhood • Treatment similar to adults

  6. Depression • 1%-5% of school age children (adolescents higher) • Similar to adult treatment • Associated with suicide

  7. Childhood Schizophrenia • Rare -- 2 per 100,000 • Poorer pre-morbid functioning than adult onset • Nursing care follow PDD

  8. Elimination Disorders • Enuresis • involuntary excretion of urination after an age of attainment of bladder control • most common in boys • etiology unknown • limit fluid intake in evening • behavioral treatment -- pad, buzzer • Encopresis • soiling clothing with feces or depositing feces in inappropriate places • more common in boys • usually not a result of physical problems • education and behavioral interventions

  9. National Institute of Mental Health http://intramural.nimh.nih.gov/chp/adhd/

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