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Child Psychopathology

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What is the most appropriate diagnosis and why? What treatments goals would you suggest? ... What are the side effects? Sedation; Tic; Parkinsonian; tantrums ... – PowerPoint PPT presentation

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Title: Child Psychopathology


1
Child Psychopathology
  • PDD Case
  • Childhood Schizophrenia
  • Chapter 10

2
Case of Joey
  • What is the most appropriate diagnosis and why?
  • What treatments goals would you suggest?
  • What priorities would you set and why?

3
Case Summary Joey
  • Appropriate Diagnosis
  • Autism Not Retts or Aspergers Query MR
  • Treatment Options
  • SIB Communication Positive reading
    Special(?) School Parent support/ coping
  • Priorities
  • 1. SIB 2. Parent-child relationship 3.
    Support

4
Childhood-Onset Schizophrenia
  • Compared to autism
  • onset is later, intelligence is less impaired,
    social deficits are less severe, language
    deficits less severe
  • hallucinations and delusions are present, there
    are periods of remission and relapse
  • Compared to adult schizophrenia
  • onset more insidious, child not distressed by
    symptoms, outcome poorer
  • Diagnosis
  • hallucinations, esp. auditory hallucinations
  • delusions, disorganized speech, disorganized or
    catatonic behavior
  • Comorbid with depression and conduct/oppositional
    disorder

5
Associated characteristics
  • Extremely rare in children under age 12, some
    prevalence in adolescence
  • BoyGirl ration 21, eearlier onset in boys
  • Causes
  • Diathesis-Stress model
  • Genetic vulnerability and stressful environment
  • Low expressed emotion in families, trauma
  • Treatment is pharmacological, e.g., neuroleptics
    such as chloropromazine


6
Cloropromazine
  • Read and review handout in groups
  • http//www.update-software.com/ccweb/cochrane/reva
    bstr/ab000284.html
  • What are the side effects?
  • Sedation Tic Parkinsonian tantrums
  • What is the spontaneous recovery rate?
  • 40 over 6 months to 2 years (vs. x on drug)
  • If you were a family physician, under what
    conditions would you prescribe?
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