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Most popular medical Questions
If a parent has an affective disorder, what is the likelihood that an offspring will have similar problems?Approximately 20-25% of these children will develop a major affective disorder, and as many as 40-45% will have a psychiatric problem.
How does mania differ in children and adolescents?
Mania occurs in approximately 0.5-1% of adolescents and occurs less frequently in prepubertal children. Younger children may present with extreme irritability, emotional lability, and aggression. Dysphoria, hypomania, and agitation may be intermixed. Hyperactivity, distractibility, and pressured speech often occur in all age groups. Symptoms in adolescents more closely resemble those seen in adults. They include elated mood, flight of ideas, sleeplessness, bizarre behavior, delusions of grandeur, paranoia, and euphoria.
What ritualistic behaviors are common in children with obsessive-compulsive disorder?
The most common rituals involve excessive cleaning, repeating gross motor rituals (e.g., going up and down stairs), and repetitive checking behaviors (e.g., checking that doors are locked or that homework is correct). Obsessions most commonly deal with fear of contamination. Symptoms tend to wax and wane in severity, and the specific obsessions or compulsions change over time. Most children attempt to disguise their rituals. Anxiety and distress that interfere with school or family life can occur when children fail in their efforts to resist the thoughts or activities. Counseling and serotonin-reuptake-inhibiting medications (e.g., clomipramine, fluoxetine, sertraline, paroxetine, fluvoxamine, citalopram) can be beneficial.
What distinguishes a conduct disorder from an oppositional defiant disorder?
Both are disruptive behavior disorders of childhood and early adolescence. Conduct disorder is the more serious disorder in that it is diagnosed when the child's behaviors violate the rights of others (e.g., assault) or are in conflict with major societal norms (e.g., stealing, truancy, setting fires). Children with conduct disorder are at risk for developing the antisocial personality disorder seen in adults. Oppositional defiant disorder is characterized by recurrent negative and defiant behaviors toward authority figures.
How is depression in children diagnosed?
The DSM-IV-TR criteria require the presence of five or more symptoms from the categories of sleep, interest, guilt, concentration, appetite, psychomotor, and suicide during the same 2-week period. A variety of ratings scales (e.g., the Hamilton Depression Rating Scale, the Childhood Depression Inventory, the Child Behavioral Checklist) are available to assist with evaluation.
What are types of anxiety disorders in children?
Separation anxiety disorder: Developmentally inappropriate, unrealistic, persistent fears of separation from caregivers that interfere with daily activities
Panic disorder: Recurrent, discrete periods of intense fear or discomfort; rare in prepubertal children; may occur with or without agoraphobia (fear/distress in or about places that may limit egress, such as a restaurant)
Social anxiety disorder: Extreme anxiety about social interactions with peers and adults; may manifest as generalized or specific (e.g., public speaking)
How likely is it that children in the United States will experience the separation or divorce of their parents?
More than 50% of first marriages end in divorce. In the United States, about 1.5 million children experience parental divorce each year. It is estimated that nearly 75% of black children and 40% of white children born to married parents will experience their parents' divorce before they are 18 years old. An addition to this stressor is that 50% of individuals who divorce will remarry within 5 years, thus creating another major family transition for a child.
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