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Somatic complaints are common w/ anxiety disorders and exacerbate physical illness._____ is not in the DSM-IV but is a syndrome of growing concern in pediatrics. Threeepisodes of abdominal pain occur over a period of at least 3 months. Episodes are severe enough to limit dailyactivities.
Recurrent Abdominal Pain (RAP)
In children, the challenge is to differentiate phobias from age-appropriate fears.  Common phobias inc: animals, costumed characters, storms & vomiting.  1st line Tx is behavioral intervention____ is the most well-known and studied intervention for children with phobias
Exposure and response prevention (E/RP)
Panic attacks often look different in children aas expressed by crying, temper tantrums, “freezing up,” or clinging behaviors. Children are more likely to present as ___ when faced with feared stimuli
Criteria for children w/ PTSD are currently the same as adults. Children’s response to trauma may be disorganized or agitated behavior, recurrent and intrusive recollections by  repetitive play in trauma themes, nonspecific distressing nightmares, may not “feel as if trauma is recurring” but involved in _______.
traumatic specific reenactments
The best behavioral intervention in children with PTSD is _____.
Trauma-Focused CBT
Some studies in children with PTSD found usefulness with SSRIs,propanolol and ____  (in acutely burned patients)
DSM-IV does not require children to have ___ into their obsessions & compulsions.  It is normal for toddlers and youngchildren to use magical thinking. Rituals are an expected part of the early latency years (5-8years)
____ is the most common evaluation tool in children with OCD. In mild OCD, first line treatment is CBT (with E/RP); in moderate-severe OCD, first line treatment is CBT with SSRI.
Children's Yale-Brown OC Scale (CYBOCS)
Criteria for MDD in children is same as in adults.  But for dysthymia, duration of illness is ___, instead of ___ years.
one, two
In children w/ MDD, predominant sx inc. anxiety, irritability, somatic complaints, temper tantrums,______, school refusal, and behavioral problems
auditory hallucinations
Adolescents w/ MDD will report symptoms of appetite and sleep changes, irritability, ____, suicidal ideationand attempts, and impairment of functioning
Prevalence of MDD is: Preschool age 0.3%, School-age 1–2%, Adolescents __%
Children w/ MDD may present with ____ instead of depressed or sad mood
Criteria for Bipolar d/o same in children. But,  predominant symptoms include irritable or explosive mood and poor psychosocial functioning.  Distinguishing from ADHD include grandiosity,_____, decreased need for sleep, flight of ideas and elated mood
____ is the only SSRI that is FDA approved for the treatment of depression in children and adolescents.
fluoxetine ?
Benzodiazepines in children and adolescents may result in paradoxical ______, so are often avoided
Children metabolize most medications ____ than adults and may require ___ weight-corrected doses
faster, higher
___ is used a s a first line agent in children/adolescents with Bipolar.  A commom side effect in teens is ____.
Lithium, acne
After a therapeutic level is achieved, lithium level, thyroid function tests and _____ should be monitoredevery three to six months
It is recommended that weight, BMI, fasting _____ and fasting lipids be drawn at baseline threemonths and six months after initiating treatment with antipsychotics.
blood glucose
Children may have higher ___ plasma concentrations and lower ___ plasma concentrations with medications.
peak, trough
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