ABPN Child and Adolescent Psychiatry Flashcards

A 14-year-old boy has a persistent eye-blinking tic and throat-clearing for more than 1 year, with onset before age 18. What diagnosis does this MOST likely represent?

Answer: Persistent (chronic) motor or vocal tic disorder

Persistent tic disorder requires at least one motor OR vocal (not both) tic for more than 1 year; Tourette requires both motor and vocal tics.

Which psychotherapy is MOST effective for adolescent depression according to evidence-based guidelines?

Answer: Interpersonal therapy for adolescents (IPT-A) or CBT

Both IPT-A and CBT have strong evidence for adolescent depression and are recommended as first-line psychotherapies by clinical guidelines.

A 10-year-old is brought in for evaluation after 8 months of irritability, severe outbursts, and persistently dysphoric mood that is not episodic. What DSM-5 diagnosis BEST fits?

Answer: Disruptive mood dysregulation disorder (DMDD)

DMDD is characterized by severe, recurrent temper outbursts and persistently irritable/angry mood that is non-episodic, distinguishing it from bipolar disorder.

In the United States, what is the FDA's black box warning for antidepressants in children and adolescents?

Answer: Increased risk of suicidal ideation and behavior in those under 25

The FDA mandates a black box warning on all antidepressants about increased risk of suicidal thinking and behavior in children, adolescents, and young adults up to age 25.

Which condition is characterized by a child's failure to speak in specific social situations (e.g., school) despite speaking normally in other settings (e.g., home)?

Answer: Selective mutism

Selective mutism involves consistent failure to speak in specific social situations where speech is expected, despite speaking in other settings.

What is the MINIMUM age at which conduct disorder can be diagnosed, and what key feature distinguishes it from oppositional defiant disorder?

Answer: Age 5; conduct disorder includes violations of others' basic rights

Conduct disorder can be diagnosed at any age but requires a persistent pattern that violates the basic rights of others or major age-appropriate societal norms, beyond the defiant behavior of ODD.