Care of Children and Adolescents
With Psychiatric Disorders
Chapter 26
Epidemiology
5%-9% of children between ages of 9-17
have serious emotional disturbance with
severed functional impairments
4%-6% -- seriously emotionally disturbed with
some functional impairment
Other Disruptive Behavior Disorders
Oppositional Defiant Disorder

Disobedience, argumentative

Trouble making friends
Conduct Disorder

Serious violations of social norms
Separation Anxiety Disorder
School phobia
4% of school age children
Runs in family
May emerge after a change
May need medication -- antidepressants
Treatment

psychotherapy

behavior therapy

flooding vs desensitization
Obsessive Compulsive Disorder
May have onset in childhood
Treatment similar to adults
Depression
1%-5% of school age children
(adolescents higher)
Similar to adult treatment
Associated with suicide
Childhood Schizophrenia
Rare -- 2 per 100,000
Poorer pre-morbid functioning than adult
onset
Nursing care follow PDD
Elimination Disorders
Enuresis





involuntary excretion of urination after an age of
attainment of bladder control
most common in boys
etiology unknown
limit fluid intake in evening
behavioral treatment -- pad, buzzer
Encopresis




soiling clothing with feces or depositing feces in
inappropriate places
more common in boys
usually not a result of physical problems
education and behavioral interventions
National Institute of Mental Health
http://intramural.nimh.nih.gov/chp/adhd/