PEDS ex 2 Child maltreatment (chap 44)

How long of symp before dx depression

1 year

Is depression easy or hard to detect in kids

hard and often overlooked as kids have limitation in expressing their feelings

Who is more at risk for develop depression (2)

family hx
traumatic event

What are some expected finings to depression

sad facial expression
reamains alone
withdrawn from family
fatgye
Ill feeling
Weight loss or gain
alt sleep

Patient centered care for these type of pt

individualized care plan
assess for substnce use or risk to self harm
peer group discussion
interview and speak with child

Meds to give for depressed kids

SSRI

trazode
sertarline
paroxetine
bupropion
venlafaxine

What to monitor for SSRI (2)

adverse effects
suicidal ideation

How to edcuate pt on SSRI (3)

obserev for adverse effects
can take up to 2 weeks
do not dc med

PTSD inital response (1st response)
how long foes it last
what is activated

last few minites to 2 hrs
fight or flight activated

PTSD second phase
how long foes it last
what is activated

2 weeks
period of calm (numbness, denial)

PTSD Third phase (coping)
how long foes it last
what occurs

2-3 months
client get worse not better ex depression, phobias

Patient centered care for PTSD

psychotherapy services
monitor behavior chnages
help w/ coping strats
have pt express feelings

When is ADHD normally revealed

prior to 7 years old

How does one get dx with ADHD (4)

age 4-18
S&S present in more than one setting
social or academic impairment
six or more findings are present

Who is at risk for ADHD

family hx
exposure for toxins or meds
head trauma, meneigits, otits media