tailieunhanh - Case files psychiatry - part 9

Điều trị can thiệp hành vi liên tục để trở. Gia đình trị liệu có thể được cần thiết để xác định và địa chỉ gây nên sự lo lắng và trong Giúp đỡ trẻ em Phát triển kỹ năng để làm giảm bớt các triệu chứng lo lắng, ví dụ, các kỹ thuật thư giãn. Trường có thể được tham vấn hữu ích để hỗ trợ tái áp nhanh chóng quyết đoán, | 368 CASE FILES PSYCHIATRY of treatment continues to be behavioral interventions. Family therapy can be necessary to identify and address anxiety triggers and in helping the child develop skills to lessen anxiety symptoms for example relaxation techniques. School consultations can be helpful to aid in rapid assertive reintroduction of the child into the school setting. A successful transition to separations should result in generous praise for the child. Comprehension Questions A Syp SSRI used in the treatment of sepiuation an i ty disorder includes which of the following A. Methylphenidate B. Bupropion C. Fluoxetine D. Valproic acid E. Imipramine Children oo ado1crccntr wiiti set ataliio anxisty diso e sae aa highem risk for which other psychiatric disorder A. Malingering B. Somatization disorder C. Bipolar disorder D. Learning disability E. Major depression SWim slm-ùng sn SSRI such aa llO ctiilc. in sn sc c lc c c rn with separation anxiety disorder the Food and Drug Administration FDA recommends the clinician monitor closely for which of the following A. Hypovolemia B. Hypertension C. Anorexia D. Suicidal thoughts E. Delusions Answers c. Thíi 11 10110011 ss once of sevcral agems in st claas Sl llc t lisv ty called SSRIs. The other medications are not in this class and are not used to treat separation anxiety disorder. E. Chíidrcn snd ado1crccntr wiih separalion an il ty shsoi t i oftm present with or later develop symptoms of major depression. In children. this can include a depressed sad or irritable mood over an extended period of time. CLINICAL CASES 369 D. The FDA recently placed a black box warning for the use of antidepressants in children rnd rdflcsccnls. This warning reminds clinicians fO some evidence indicating a possible increased incidence fO suicidal thoughts among adflescents using antidepressants particularly SSRIs. CLINICAL PEARLS Separatifn an iety disfrder is fOten assfciated with a severe illness fO the caretaker