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Child psychiatry

Child psychiatry. School refusal. Presentation : Peak 5 years Refusal Physical symptoms Anxiety symptoms. School refusal. Causes Separation anxiety, Neurotic , family School phobia. School refusal. Similar condition Truancy Management Early return School family counseling.

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Child psychiatry

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Presentation Transcript

  1. Child psychiatry

  2. School refusal Presentation: • Peak 5 years • Refusal • Physical symptoms • Anxiety symptoms

  3. School refusal Causes • Separation anxiety, • Neurotic, family • School phobia

  4. School refusal Similar condition • Truancy Management • Early return • School family counseling

  5. Conduct disorder Presentation • Aggression, lying, stealing, arson, truancy • Emotional symptoms • Hyperactivity

  6. Conduct disorder Prevalence • Most common, more males Causes • Genetic factors • Social factors • Reading difficulty

  7. Conduct disorder Prognosis • Poor, antisocial personality • Delinquency, criminality Management • Emotional aspect • Behavioral measures

  8. Functional enuresis Functional enuresis • Involuntary voiding of urine day or night twice per month at 5-6 years old Prevalence • 10 % 5 years • 5% 10 years • 2% 15 years

  9. Functional enuresis Types • Day night • Primary secondary Causes • Developmental, familial • Emotional, social

  10. Functional enuresis Management • Reassurance, training • Behavioral, star charts pads and bell • Drugs, imipramine, amitryptylline, • Desmopressine

  11. Hyperkinetic disorder ADHD Presentation • Pervasive poorly organized extreme overactivity with poor attention span • Impulsivity School difficulties • Comorbid conduct problems

  12. Hyperkinetic disorder ADHD Etiology • neurodevelopmental • Social and emotional factors Management • Counseling • Remedial teaching • Behavioral • Stimulants

  13. Autism • Communication difficulty Verbal and nonverbal • Social difficulty Since infancy • Stereotyped behavior, rigidity resistance to change

  14. Autism also • Impaired capacity for empathy • Excellent visiospacial skills, mathematical ability • And mechanics • Behavioral problems

  15. Autism Etiology • Neurodevelopmental Management • Team

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