PSYCH 477 Lecture Notes - Lecture 18: Cyclothymia, Prodrome, Pressure Of Speech
Document Summary
Inpatient: severe depression, suicidal behavior, might need urgent medical care, e. g. hospital stay. Drug treatment: most common is fluoxetine (prozac, youth need to be carefully monitored when taking anti depressants individual differences in response to medication. Cognitive behavioral therapy: self-monitor and challenge cognitive and behavioral symptoms, parent component: controlling for psychotxic parents improve social skills and social support. Until mid-90s, bipolar was not diagnosed in children. Over diagnosis of pediatric casesover 90% of youth diagnosed with bipolar are medicated. Under specification of clinical pictures in children. Disorder cannot coexist with odd, bp, intermittent explosive disorder (k) symptoms not attributable to effects of substance or medical illness. Currently listed in chapter on depressive disorders. Child must not show periods of elevated mood. Toddler and preschooler high levels of irritability unpredictability. Irritable infant: (cid:498)everyday frustrations(cid:499) lapse into extended screaming fits, lashing out aggressively at those who restrained him, showed dangerous behavior ie running into busy street.
