Like this study set? Create a free account to save it.

Sign up for an account

Already have a Quizlet account? .

Create an account

Name the 3 socially disruptive behavioral disorders in children

ADHD, oppositional defiant disorder, conduct disorder

Examples of behaviors seen in conduct disorder

• Aggression to people and/or animals
• Destruction of property
• Deceitfulness or theft
• Serious violations of rules

Examples of behaviors seen in oppositional defiant disorder

• often loses temper
• often argues with adults
• often actively defies or refuses to comply with adults' requests or rules
• often deliberately annoys people
• often blames others for his or her mistakes or misbehavior
• is often touchy or easily annoyed by others
• is often angry and resentful
• is often spiteful or vindictive

Name the 3 categories of ADHD behavior

impulsivity, inattention, hyperactivity

Why is it possible that a child may not exhibit sx of ADHD in your office?

Sx may be decreased in settings of:
o frequent reinforcement
o very strict control
o novel settings
o one-on-one interaction

Why treat ADHD?

It is associated with learning disabilities, academic underachievement, low self-esteem and temper outbursts
Stimulant treatment of ADHD found to reduce the risk of later substance abuse by as much as 75%

Name some comorbidities with ADHD

o One third with Oppositional Defiant Disorder
o One quarter with Conduct Disorder
o Less than 20% with Depression
o More than 25% with Anxiety
o One third with more than one comorbid condition

What is a normal attention span for a child?

o 3-5 minutes per year of age

What 2 adults must give you input before a diagnosis of ADHD can be made?

the caregiver and the child's teacher (usually) b/c some impairment must be present in at least 2 settings

mainstay of ADHD management

psychostimulant medications

MOA psychostimulant meds

Not well understood, but enhances activity of catecholamines.

Why do most kids with ADHD need 2 doses of methylphenidate per day (at least)?

b/c the T1/2 is only 1-2 hours with peak clinical effect w/in 4 hours

Common SE methylphenidate

• anorexia
• insomnia
• stomach ache
• headache
These are DOSE-DEPENDENT and tend to decrease with time.

Rare but serious SE methylphenidate

Tics, growth retardation (improves when med withheld)

Does every kid with ADHD need an EKG before starting a drug?

no, but they should get a targeted CV history & FH with PE to look for CV disease risk factors

Name some drugs that can be used to treat ADHD

-psychostimulants (methylphenidate, dextramphetamine, adderall)
-atomoxetine (NE reuptake inhibitor)
-TCA (3rd line)
-clonidine or guanfacine

At what point in tx do you typically switch to a long-acting formulation?

when the child doesn't want to take the med from the nurse anymore; older children can go to long acting or transdermal patch

Before jumping to an evaluation of ADHD, what should you evaluate in a child who is struggling in school?

vision & hearing

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions and try again


Reload the page to try again!


Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

Voice Recording