Adolescent Psychiatry ASSIGNMENT

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Adolescent Psychiatry ASSIGNMENT

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Many children face special issues that impact everyday life, whether it is within themselves, their families, or their environment. The PMHNP must be sensitive to these many issues that children and adolescents are faced with during important developmental years.

In this Discussion, you select a special population and analyze the psychological issues that the population faces. You also address the assessment and treatment needs of the population.

Learning Objectives: Adolescent Psychiatry ASSIGNMENT

Students will:

  • Analyze psychological issues that may arise in children faced with special circumstances
  • Evaluate assessment measures used with children faced with special circumstances
  • Evaluate treatment options used with children faced with special circumstances
  • Analyze cultural influences on treatments (D)

To Prepare for the Discussion:

  • Review the Learning Resources.
  • Select one of the following topics for the Discussion:
    • Adoption
    • Foster care
    • Gender dysphoria
    • Forensic issues
    • Impact of terrorism on children

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post:

  • Write your selected disorder in the subject line of your Discussion post.
  • Explain the psychological issues that may result from your topic.
  • Describe the most effective assessment measure that could be used, and explain why you selected this.
  • Explain the treatment options available for children and adolescents involved with your selected disorder.

Adolescent Psychiatry ASSIGNMENT

Treating Disruptive Behavior Disorders in Children and Teens

Is This Information Right for Me?

This information is for you if:

  • A health care professional* said your child or teen has a disruptive behavior disorder, such as oppositional defiant disorder, conduct disorder, or intermittent explosive disorder.
  • Your child or teen is younger than age 18. The information in this summary is from research on children and teens under age 18.

* Your health care professional may include your child’s or teen’s primary care physician, pediatrician, psychologist, psychiatrist, licensed social worker-counselor, nurse practitioner, or physician assistant.

What will this summary tell me?

This summary will answer these questions:

  • What are disruptive behavior disorders (DBDs)?
  • How are DBDs treated?
    • Psychosocial treatment (treatment with a trained therapist)
    • Medicines
  • What have researchers found about treatments for DBDs?
  • What are possible side effects of medicines for DBDs?
  • What should I talk about with my child’s or teen’s health care professional?

Note: The information in this summary is for children or teens who have a DBD. A child or teen may also have attention deficit hyperactivity disorder (ADHD) with a DBD. This summary is not for children or teens who only have ADHD.

What is the source of this information?

This information comes from a research report that was funded by the Agency for Healthcare Research and Quality, a Federal Government agency.

Researchers looked at 84 studies published between 1994 and June 2014. Health care professionals, researchers, experts, and the public gave feedback on the before it was published.

Understanding Your Child’s or Teen’s Condition

What are disruptive behavior disorders (DBDs)?

DBDs are disorders in which children or teens have trouble controlling their emotions and behavior. Their behavior may be very defiant, and they may strongly conflict with authority figures. Their actions may be aggressive and destructive. All children have mild behavior problems now and then, but DBDs are more severe and continue over time.

DBDs can start when a child is young. Children or teens with a DBD who do not receive treatment often have serious behavior problems at home, at school, or both. They are also more likely to have problems with alcohol or drug use and violent or criminal behavior as they get older.

Examples of DBDs include oppositional defiant disorder, conduct disorder, and intermittent explosive disorder.

Oppositional Defiant Disorder

Children or teens with this disorder may have an angry or irritable mood much of the time. They may argue often and refuse to obey parents, caregivers, teachers, or others. They may also want to hurt someone they think has harmed them.

Conduct Disorder

Children or teens with this disorder may act aggressively toward people, animals, or both. They may bully or threaten someone, start physical fights, use weapons, hurt animals, or force sexual activity on others. They may also destroy property by fire or other means, lie often, or steal. They may stay out late at night, skip school, or run away from home. They may also lack compassion and not feel guilty about harming others.

Intermittent Explosive Disorder

Children or teens with this disorder may have outbursts of aggressive, violent behavior or shouting. They may have extreme temper tantrums and may start physical fights. They often overreact to situations in extreme ways and do not think about consequences. Outbursts happen with little or no warning. They usually last for 30 minutes or less. After the outburst, the child or teen may feel sorry or embarrassed.

How common are DBDs? What causes them?

DBDs are one of the most common types of behavioral disorders in children and teens.

  • Out of every 100 children in the United States, about 3 of them have a DBD.
  • More boys than girls have a DBD.
  • DBDs are more common among children aged 12 years and older.

The cause of DBDs is not known. Things that increase the risk for a DBD include:

  • Child abuse or neglect
  • A traumatic life experience, such as sexual abuse or violence
  • A family history of DBDs

Having a child or teen with a DBD can be very stressful for parents, caregivers, and the whole family. But, there are treatments that may help.

Understanding Your Options

How are DBDs treated?

To treat your child’s or teen’s DBD, your health care professional may recommend psychosocial treatment (treatment with a trained therapist). If needed, your child’s or teen’s health care professional may also suggest taking a medicine with the psychosocial treatment.

Each child or teen responds differently to different treatments. You may need to try several treatments before finding one that is right for your child or teen.

Psychosocial Treatment

Psychosocial treatment can help improve interactions between you and your child or teen. This is done through programs in which parents and their child or teen meet with a trained therapist. It is important for parents and caregivers to be involved in the treatment.

Some programs focus only on parent training. Other programs also work with the child or teen, the whole family together, or with the child’s or teen’s teachers.

Parent and child training programs are sometimes done in groups. Sessions usually last 1 to 2 hours and are held each week for 8 to 18 weeks. The programs usually charge a fee. Your insurance may cover some of the costs.

Parent Programs

These programs can help you:

  • Respond in a positive way when your child asks for help or wants attention
  • Choose realistic goals for your child
  • Better monitor your child’s behavior
  • Learn more effective parenting skills
  • Have more confidence in being able to handle situations
  • Reduce your stress

The programs help support you and can teach you specific ways to help change your child’s behavior without shouting, threatening, or using physical punishment. You can learn to:

  • Set clear rules
  • Stay calm when asking your child to do something
  • Make sure your instructions are clear and right for your child’s age
  • Explain the consequences of disruptive behavior to your child
  • Respond to disruptive behavior with things such as quiet time or a time-out

You can also learn ways to help support your child and:

  • Improve your child’s social skills
  • Help your child build friendships
  • Help your child learn how to control his or her emotions
  • Teach your child problem-solving skills
  • Help your child learn to be independent

Child Programs

These programs can help children:

  • Feel more positive about themselves and their family
  • Strengthen their social, communication, and problem-solving skills
  • Better communicate feelings and manage anger
  • Practice good behaviors

Teen Programs

For teens, a trained therapist may meet with parents and also with the whole family together. The therapist may look for patterns in the way family members interact that could cause tension and problems. The therapist can then help your family learn new ways to communicate to avoid conflict.

The therapist can help you learn how to:

  • Be more involved with your teen
  • Set clear rules and consequences for breaking the rules
  • Improve your leadership, communication, and problem- solving skills
  • Support your teen

Teacher Programs

These programs can help teachers learn how to:

  • Manage behavior in the classroom
  • Improve students’ social and emotional skills
  • Work with parents and keep them involved
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