PMHS (PEDIATRIC PRIMARY CARE MENTAL
HEALTH SPECIALIST) EXAM 2026
contraindications to methylphenidate
marked anxiety
glaucoma
use of MAO within 2 weeks
caution with tic or tourette
Methylphenidate
dose range 0.3-1.0 mg/kg/dose
using amphetamines
start with Adderall 5mg transition to Adderall xr 10mg. Max dose 1.5 mg/kg/day
or 30 mg/day
alpha-2 agonist mechanism of action
increase basal activity of the locus coeruleus noradrenergic cell bodies in patients
with adhd may decrease the response of the PFC
,intuniv (extended release guanfacine)
binds to receptors in prefrontal cortex
improves executive function
takes one to two weeks to see effects
off label use
not as helpful for inattention
treatment for mild depression
support and monitoring for initial 6-8 weeks
baumrinds parenting styes
authoritarian
authoritative
permissive
rejecting/neglecting
authoritarian parenting
Demanding and directive, but not responsive
status oriented
They want obedient children that follow orders
parents provide orderly environment
May cause children to internalize probs, low self-esteem. Kids can be withdrawn
and distrustful.
,authoritative parenting
both demanding and responsive
Directs child with rationale
children are competent, well- adjusted self-reliant
permissive parenting
style of parenting in which parent makes few, if any demands on a child's behavior
children of permissive parents are least self-reliant
rejecting-neglecting parenting
a disengaged parenting style that is low in both responsiveness and
demandingness. Rejecting-neglecting parents do not set limits for or monitor their
children's behavior, are not supportive of them, and sometimes are rejecting or
neglectful. They tend to be focused on their own needs rather than their children's
needs.
rejecting-neglecting parenting may cause low self-esteem
SBIRT
Screening, Brief Intervention, and Referral to Treatment
Thomas and Stella Chess
, temperament
three most widely used screening tools in pediatric primary care
Ages and Stages Questionnaire (ASQ)
Parents' Evaluation of Developmental Status (PEDS)
M-CHAT
ASQ
More accurate than PEDS in children over 30 mos.
ASQ-3
2-60 mos
ASQ-3
communication
gross motor
fine motor
problem solving
personal social
HEALTH SPECIALIST) EXAM 2026
contraindications to methylphenidate
marked anxiety
glaucoma
use of MAO within 2 weeks
caution with tic or tourette
Methylphenidate
dose range 0.3-1.0 mg/kg/dose
using amphetamines
start with Adderall 5mg transition to Adderall xr 10mg. Max dose 1.5 mg/kg/day
or 30 mg/day
alpha-2 agonist mechanism of action
increase basal activity of the locus coeruleus noradrenergic cell bodies in patients
with adhd may decrease the response of the PFC
,intuniv (extended release guanfacine)
binds to receptors in prefrontal cortex
improves executive function
takes one to two weeks to see effects
off label use
not as helpful for inattention
treatment for mild depression
support and monitoring for initial 6-8 weeks
baumrinds parenting styes
authoritarian
authoritative
permissive
rejecting/neglecting
authoritarian parenting
Demanding and directive, but not responsive
status oriented
They want obedient children that follow orders
parents provide orderly environment
May cause children to internalize probs, low self-esteem. Kids can be withdrawn
and distrustful.
,authoritative parenting
both demanding and responsive
Directs child with rationale
children are competent, well- adjusted self-reliant
permissive parenting
style of parenting in which parent makes few, if any demands on a child's behavior
children of permissive parents are least self-reliant
rejecting-neglecting parenting
a disengaged parenting style that is low in both responsiveness and
demandingness. Rejecting-neglecting parents do not set limits for or monitor their
children's behavior, are not supportive of them, and sometimes are rejecting or
neglectful. They tend to be focused on their own needs rather than their children's
needs.
rejecting-neglecting parenting may cause low self-esteem
SBIRT
Screening, Brief Intervention, and Referral to Treatment
Thomas and Stella Chess
, temperament
three most widely used screening tools in pediatric primary care
Ages and Stages Questionnaire (ASQ)
Parents' Evaluation of Developmental Status (PEDS)
M-CHAT
ASQ
More accurate than PEDS in children over 30 mos.
ASQ-3
2-60 mos
ASQ-3
communication
gross motor
fine motor
problem solving
personal social
