Compilation Of Psychiatric Disorders In Pediatric Patients

COMPILATION OF PSYCHIATRIC DISORDERS IN PEDIATRIC PATIENTS


COMPILATION OF PSYCHIATRIC DISORDERS IN PEDIATRIC PATIENTS

  • Important psychiatric disorders in pediatric patients include,
    • Conduct disorder.
    • Oppositional defiant disorder.
    • Specific disorders of scholastic skills – Learning disorders.

Conduct disorder:

  • Associated with unsatisfactory family relationships & failure at school.
  • Later stages lead to antisocial personality disorder (dissocial personality disorder).

Features:

Characterized by –

  • Repetitive & persistent pattern of disregard for rights of others.
  • Aggressiveness & dissocial behavior (excessive fighting or bullying).
  • Cruelty to animals/people.
  • Severe destruction of property (fire setting).
  • Stealing.
  • Truancy from school.
  • Repeated lying.
  • Frequent running from school & home.
  • Defiance of authority figures.
  • Disobedience pattern.

Oppositional defiant disorder:

  • Less severe than conduct disorder.

Features: 

  • Characterized by persistently negativistic & defiant behavior (frequent arguing with adults, refusal to comply with adults).
  • Frequent loss of temper (deliberately annoying adults).
  • Note: No serious violations (theft, fire setting, destruction, etc.) – Unlike conduct disorder.

Management:

  • Conduct & oppositional defiant disorder –
    • Family intervention & behavioral therapy.
    • Low dose antipsychotics effective in some.

Learning disorders:

  • Also referred as Specific developmental disorders of cholastic skills”.

Features: 

  • Characterized by significant impairment in one or more of scholastic skills which are out of proportion to intellectual functioning of child.
  • Eg: Significant difficulty in reading while having normal writing & arithmetic skills with normal IQ.

Subtypes: 

  • Specific reading disorder (Dyslexia).
  • Disorder of written expression (specific spelling disorder).
  • Specific disorder of arithmetic skills.
  • Mixed disorders of scholastic skills (reading, writing & arithmetics).

Other features:

  • Inattention.
  • Hyperactivity.
  • Emotional disturbances.

Exam Important

  • Repetitive & persistent pattern of disregard for rights of others is seen in conduct disorder.
  • Aggressiveness & dissocial behavior (excessive fighting or bullying) and repeated lying is feature of conduct disorder.
  • Dyslexia is specific reading disorder.
  • Learning disorders are developmental disorders are characterized by significant impairment in one or more of the scholastic skills which are out of proportion to intellectual functioning of child.
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