first postpartum year:
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-postpartum depression (PPD)
-perinatal (or antenatal, prenatal, or postpartum) depression & anxiety
-perinatal mood disorders (PMDs) or perinatal mood & anxiety disorders
(PMADs)
-maternal mental health disorders
Steps for Obtaining Informed Consent
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, -Assess pt ability to understand medical info, tx options, to make a
voluntary decision.
-Present relevant info with accuracy and sensitivity:
• diagnosis
• nature & purpose of tx options
• benefits, risks, burdens of all tx options, including forgoing tx
-Document informed consent conversation in the medical record, including
all consent forms.
Early signs of ASD include:
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-avoiding eye contact
-showing little interest in peers or caretakers
-limited language abilities
-frustration with minor changes in routine
-repetitive behaviors
Which of the following screening tools is most appropriate to obtain more complete
information from Elaine?
Mood Disorder Questionnaire (MDQ)
Patient Health Questionnaire-9 (PHQ-9)
Young Mania Rating Scale (YMRS)
Brief Psychiatric Rating Scale (BPRS)
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Mood Disorder Questionnaire (MDQ)
Rationale: The MDQ is the most appropriate screening tool to screen for
bipolar disorder. The PHQ-9 is a tool used to screen for depression. The
YMRS is used to monitor symptoms of bipolar disorder after diagnosis,
, whereas the BPRS is used to assess clients who present with symptoms of
psychosis.
Antoine, an 11-year-old, was diagnosed with bipolar depression.
Match the scenario with the most appropriate initial medication:
divalproex
lithium
lurasidone
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lurasidone
Rationale: Lurasidone is an appropriate treatment for bipolar depression in
adults and children over 10 years of age.
develop schizophrenia
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-Many genes play a role
• as do epigenetic factors
• Heritability as high as 79%
-gene-environment interaction
-Environmental Triggers:
• Regular Cannabis Use
• Exposure to Early Life Trauma
➣Sexual Abuse
➣Emotional Abuse
➣Emotional Neglect
➣Bullying
, Underlying assumptions for child and adolescent psychotherapy: Developmental
considerations
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-developmental level will impact how they:
• reason
• approach relationships
• regulate emotion and behavior
• communicate
-Developmental considerations
• inform the diagnostic process
• guide tx planning
Medications for anxiety: GAD
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-SSRIs
-SNRIs
-buspirone
-Drug Therapy at least 12 months
Kassia, a 5-year-old, is prescribed a stimulant medication for ADHD (Attention Deficit
Hyperactivity Disorders) for the first time.
Consider Piaget's stages, match the developmentally-appropriate education
statements with the correct client:
"It's kind of like you've got a great bike. The brakes just need some fixing. The
medication is like fixing the brakes."