Child Psych Cheat Sheet

by Drkgrissett via cheatography.com/121767/cs/22406/

Milestones Person​ality Tests Cognitive Tests (cont)

3 Social smile Objective Tests Boston verbal confro​ntation &

mo MMPI 10 scales/ Naming naming
6 Sit up, babble & coo can detect Alzheimer's vs depression

mo maling​ering
Genetic
9 Stranger anxiety, pull-up & cruise, Millon Clinical Multiaxial "most helpful
mo pincer grasp to confirm Fragile X FMR1 X-link​ed...3-
person​lality 5% of ASD pts
12 Walk, First Words
mo do" Angelman 15q11-q13 "​coc​ktail
Sctruc​tured Assess​ments MATERNAL person​ali​ty",
18 15+ words
happy,
mo Beck Depression brief
excitable, hand
2 Parallel play/ 2 word phrases/ climb screening in
flapping,
yrs stairs (1 foot at a time) office
ataxia,
3 3 word phrases, rides tricycle, draws Hamilton Rating scale for depression
seizures
yrs triangle and  Yale-Brown for OCD Y-BOCs
Prader​- 15q11-q13 OCD, hypoth​‐
4 Draws  and  Projective Tests Willi PATERNAL alamic insuff,
yrs Rorschach ink blot overeating
5 Knows name & address/ hops & Thematic Apperception Test shown pic & Veloca​‐ 22q11.2 genetic risk for
yrs jumps/ counts to 10+ asked to rdo​facial SCZ
describe Rett MECP girls,
Neuropsych testing scene syndrome regression of
IQ tests Verbal IQ = learned Word- Associ​ation Jung, free intellect &
facts associ​ation motor
Perfor​mance
Draw a Person repres​ent​‐ Huntington Autosomal CAG repeats
IQ =visuo​/motor skills
ation of self/ Dz Dominant
WAIS-III IQ test for adults kids FKBP5 trauma glucoc​ort​icoid
WISC-V IQ for age 5-15 signaling
Cognitive Tests
WPPSI-R IQ for pre-sc​hoolers SERT/ Alzheimer, serotonin
Achiev​ement for school age Executive Fxning SLC6A4 MDD, PTSD transport
tests Wisconsin abstract reasoning & flexib​‐ ApoE2 Alzheimer
Woodcock - reading, math, writing Card ility
AKT1 MJ psychosis
Johnson IDs learning disability Sorting cards sorted thru trial & error
Psychoed Battery Trail Making concen​tration & executive Risk/Devpt of Substance Use
Wide Range screens for deficits in fxning*
Imbalance in devpt...
Achiev​ement academic skills conect letters & #s in
sub-co​rtical= reactive to stimuli/
WRAT-3 sequence
bottoms up curvil​inear devpt
Vineland evals commun​ica​tion, Visuomotor
pre-fr​ontal= top linear pattern of devpt
Adaptive living skills, social, & Bender Copy designs w/ & w/o
down
Behavioral motor Gestalt visual​izing design
Thus, kid brains vulnerable to reward
Scales Receptive & Expressive Lang
props of subs
Token Test compre​hension of instru​‐
ctions, grammar & attention

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 Child Psych Cheat Sheet
by Drkgrissett via cheatography.com/121767/cs/22406/

Develo​pmental Theories Attachment Theorists (cont) Anxiety

to child/mom then observing Separation, Generalized, 1) Psychotx x

Selective Mutism 12 wks
John Bowlby 2) then
FLUOXETINE
Exposu​re-​Based CBT OCD in
kids/adol

Mary Ainsworth- attachment styles PCIT=Paren​t-Child -empirical

Intera​ctive Tx support for kids
Secure Child distressed  composes
w/ anxiety &
self
disruptive bx
Anxious- Distressed  unable to -parent wears
Attachment ambivalent compose earpiece while
Anxious- Avoids parent  no distress tx observ​es/​‐
avoidant when they leave directs intera​‐
Disorg​‐ Lack of attachment behavior ctions w/ the
anized child
SCARED Screening tool
Reactive Attachment Disorder for Child &

-1st presents under 5 yr Anxiety Related

-child doesn't seek/r​espond to comfort DO

-unexp​lained irrita​bil​ity​/sa​dne​ss/fear Tx'ing anxious parents= kids less anxious

-limited positive affect
CAUSES Sleep EEG
-Social neglec​t/d​epr​ivation
-Freq changes in caregivers (e.g. foster
care)
Attachment Theorists -Care doesn't allow for primary attachment
Harry Harlow (e.g. instit​utions w/ low caregi​ver​:child ratio

1950s Contact comfort research

Anxiety
infant monkeys preferred
cuddly surrogate to
wire w/ food
John Bowlby
1960s Attachment=connection betwn 2 EEG
indiv overtime
Spike & slow wave Epilep​togenic
secure base-c​are​giver is "home
High-a​mpl​itude slowing Normal in kids
base" to explore enviro​nment
Global suppre​ssion Enceph​alo​pathy
Mary Ainsworth
1970s "​strange situat​ion​"
involves introd​ucing stranger

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 Child Psych Cheat Sheet
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Neuro Autism Spectrum Disorder (cont) MDD in kids

Upper motor BABINSKI ,HYPERtonia, Social-Pragmatic = social & comm deficits Same criteria as May see more irrita​‐
lesion spastic Communication w/o restricted interest adults bility, anger & somatic
Lower motor Fascic​ula​tio​n/f​ibr​ill​ation, Disorder sx
lesions HYPOtonia, Rating Scales: PHQ-9, CES-DC, CDI
Bipolar DO in kids
TADS (Tx of Adol CBT+SS​RI>​CBT​‐
ADHD Same criteria 1-2% prevalence Depression >SSRI
Highly genetic 71-90% in mono/d​i-z​‐ as adults Study)
ygotic twin sudies ADHD 50% co-mor​bidity SSRI Black box warning= re
Maternal smokin​g=risk factor ASD 20% co-mor​bidity increased risk of SI

Response temper​o-p​arietal & inf Twin Studies 60-90% variance TORDIA (Tx of failed 1st SSRI
inhibition frontal Res Dep in Adol) switched to 2nd SSRI
Mania in high- 2-7%
vs Venlaf​axine (VFL)
Pre-school behav tx= 1st line risk off-spring
vs CBT+SSRI
School-age FDA tx for BPAD
vs CBT+VFL
Stimul​ant=1st consider EKG if family hx Olanzapine 13+
TORDIA outcome CBT+med= Best
line of cardiac Lithium 12+ outcome
Hypera​cti​ve/​‐ Alpha Agonist Risper​idone 10+ 2nd SSRI=VFL
imp​ulsive VFL= increased SE
Aripip​razole 10+
Inatte​ntion Atomox​etine CBT+Inter​per​‐ Best evidence from
Quetiapine 10+
Depression Buproprion sonal TX (IPT) RCTs in adol
TEAM (Tx of Early Age Mania Study)
FDA black box increased risk of SI in
Atypical AP 68.5%
Autism Spectrum Disorder SSRI/SNRIs adol & young adults
Divalproex 40%...but not FDA
Def in Social & Comm + Restri​cted,
approved for mania in
repetitive interests
kids
-hearing test
Li response 35.6%
-screen for
Fragile-X
Disruptive Mood Dysreg​ulation Disorder-
Tools to dx & screen: DMDD
Autism Diagnostic ADOS-2= gold Criteria: severe temper outbursts
Observ​ation Scale standard for dx
3x/ wk .... 2/3 settings
CHAT- Checklist for peds use for
irrita​ble​/angry mood in between
Autism in Toddler screeening
onset before 10 yo
Tx= ABA Applied
Can't co-exist w/ ODD, Int Explosive or
Behavioral
Bipolar
Analysis
Tx targets symptoms of aggres​sio​n/i​rri​tab​‐
considered gold
ility
standard

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