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teaching:child-adol-psych-interview [on April 25, 2020]
teaching:child-adol-psych-interview [on October 19, 2020] (current)
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 ===== Primer ===== ===== Primer =====
-== Key Questions ​== +The **Child and Adolescent Psychiatry Interview** is a specialized [[teaching:​1-psych-interview|psychiatric interview]] tailored to children and adolescents. It requires a particular focus on psychosocial factors. 
-  * Who are the family members present? + 
-  * Does the child have any Individualized Education Plans? +===== Timeline of Childhood Disorders ===== 
-  * Have they had a psychoeducational assessment? When? By whom? +When doing a child and adolescent assessment, it is very important to keep in mind the age of the child, and the likelihood disorders occurring at that particular age. 
-  * Report card comments? + 
-<WRAP group> +<imgcaption image1|>{{:​teaching:​core:​emergence-childhood-disorders.png?​direct&​900|Timeline of the emergence of childhood psychiatric disorders by age}}</imgcaption>
-<WRAP half column>+
  
-==== HPI ====+===== Patient ID ===== 
 +  * Age 
 +  * Home/Living with 
 +  * Grade/​School 
 +  * Part time jobs 
 +  * Religious affiliation 
 +===== History of Presenting Illness (HPI) ===== 
 +==== Depression ​====
   * Depression   * Depression
     * Don't forget to ask about irritability,​ which is common in children and adolescents     * Don't forget to ask about irritability,​ which is common in children and adolescents
     * When asking about appetite and weight, also ask about body image and intentional weight loss to screen for eating disorders     * When asking about appetite and weight, also ask about body image and intentional weight loss to screen for eating disorders
  
-==== Social History ​==== +==== Anxiety and Panic ==== 
-  * **School*+<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​See main article: ​**[[anxiety:​home|]]**</alert>
-    * Grades +
-    * Favourite Subject +
-    * Homework +
-    * Teachers +
-  * **Social** +
-    * Bullying? +
-    * Friends +
-    * Social Media +
-    * Relationships (Sexual/Romantic) +
-  * **Home** +
-    * Siblings +
-    * Parents +
-    * Are conflicts common? +
-  * **Self** +
-    * Feelings +
-      * "What are the main feelings you usually feel?" (happy, sad, angry, anxious, irritable) +
-    * (lead to) Behaviours +
-      * "What do you do when you have these feelings?"​ (self-harm, externalized behaviours (e.g. - acting out, truancy, disruptive),​ internalized behaviours (e.g. - rumination) +
-    * What are your strengths? (Can ask both the parents or the child)+
  
-==== Neurodevelopmental History ==== +Anxiety symptoms and disorders are common ​in children, and are often part of the normal neurodevelopmental history.
-  * Age of parents at conception +
-  * Illnesses ​in pregnancy +
-  * Substance use during pregnancy +
-  * Toxin exposure +
-  * Birth term +
-  * Delivery complications +
-  * Growth charts+
  
-==== Pubertal history ​==== +==== Psychosis ​====
-  * Age of menarche +
-  * Regular/​irregular menstrual cycles+
  
-==== Medical ​==== +==== Mania ==== 
-  * History of seizures, recurrent infections, easy bruising/​blood clots, tumours/​growth,​ muscle pains/​arthritis,​ or any other diagnosed medical conditions+Childhood bipolar disorder is overdiagnosed.
  
-==== Family History ​==== +==== OCD ==== 
-  Psychiatric (bipolar disorder, schizophrenia,​ completed suicide/​suicide attempt), seizures/epilepsy, Parkinson'​s,​ dementia, other cancers, birth defects, infertility,​ known genetic conditions+<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​See main article: ​**[[ocd:​1-ocd|]]**<​/alert>
  
-</​WRAP>​ +OCD can present commonly in childhood.
-<WRAP half column>+
  
-== Oppositional Defiant Disorder ==+==== ADHD ==== 
 +<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​See main article: **[[child:​adhd|]]**</​alert>​ 
 +==== Oppositional Defiant Disorder ​====
   * Loses temper   * Loses temper
   * Argues with adults   * Argues with adults
   * Defies or refuses   * Defies or refuses
   * Deliberately annoys   * Deliberately annoys
- 
   * Blames others   * Blames others
   * Touchy or easily annoyed   * Touchy or easily annoyed
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   * Spiteful   * Spiteful
  
-== Medical History ​== +==== Eating Disorders ==== 
-  Hearing, visionor cardiac problems?+<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​See main article: ​**[[eating-disorders:​home|]]**</​alert>​ 
 +It is important to screen for eating disorders in children and adolescentsas there high prevalence and high mortality with eating disorders.
  
-== Family Psychiatric History ​== +==== Safety ==== 
-  * Sudden Unexplained Deaths (SIDS?) +  * Suicide/​homicide 
-  * Congenital Cardiac Malformations?​+  * Cutting and self-harm 
 +  * Trauma or abuse from adults at home/​school/​other 
 +===== Social History ===== 
 +In the social history, you need to get an understanding of the child'​s relationship with their family, school, friends, extracurricular activities, and any ongoing stressors.
  
-== Development ​== +==== School ==== 
-  * Developmental Milestones+  * Grades 
-  * How are things with family, ​schoolfriendsextracurricular activitiesstressors?+  * Favourite Subject 
 +  * Homework 
 +  * Teachers 
 +  * Does the child have any Individualized Education Plans
 +  * Have they had a psychoeducational assessment? When? By whom? 
 +  * Report card comments? 
 + 
 +==== Social ==== 
 +  * Bullying? 
 +  * Friends 
 +  * Social Media 
 +  * Relationships (Sexual/​Romantic) 
 + 
 +==== Home ==== 
 +  * Who are the family ​members present? 
 +  * Siblings 
 +  * Parents 
 +  * Are conflicts common? 
 +  * What are the family dynamics at home? 
 + 
 +==== Self ==== 
 +  * Ask about feelings 
 +    * "What are the main feelings you usually feel?" (happysadangryanxiousirritable) 
 +  * Feelings -> (lead to) Behaviours 
 +    * "What do you do when you have these feelings?" (self-harm, externalized behaviours (e.g. - acting out, truancy, disruptive),​ internalized behaviours (e.g. - rumination) 
 +  * What are your strengths? (Can ask both the parents or the child) 
 + 
 +===== Legal History ===== 
 +  * Truancy 
 +  * Skipping school 
 + 
 + 
 +===== Neurodevelopmental History ===== 
 +  * Age of parents at conception 
 +  * Illnesses in pregnancy 
 +  * Substance use during pregnancy 
 +  * Toxin exposure 
 +  * Birth term 
 +  * Delivery complications 
 +  * Growth charts 
 +  * Developmental Milestones
   * What is the child/​adolescent’s strengths?   * What is the child/​adolescent’s strengths?
-</​WRAP>​ 
-</​WRAP>​ 
  
-===== Timeline ​of Childhood Disorders ​===== +===== Medical ===== 
-<​imgcaption image1|>​{{:​teaching:​core:​emergence-childhood-disorders.png?​direct&​900|Timeline ​of the emergence of childhood psychiatric disorders by age}}</imgcaption>​+  * History ​of seizures, recurrent infections, easy bruising/​blood clots, tumours/​growth,​ muscle pains/​arthritis,​ or any other diagnosed medical conditions 
 +  * Hearing, vision, or cardiac problems 
 + 
 +==== Pubertal History ​==== 
 +  * Age of menarche 
 +  * Regular/irregular menstrual cycles 
 + 
 + 
 +===== Family History ===== 
 +  * Psychiatric (bipolar disorder, schizophrenia,​ completed suicide/​suicide attempt) 
 +  * Seizures/​epilepsy 
 +  * Birth defects 
 +  * Infertility 
 +  * Known genetic conditions 
 +  * Sudden Unexplained Deaths (SIDS?) 
 +  * Congenital Cardiac Malformations?​ 
  
 ===== Resources ===== ===== Resources =====
-  * {{ :teaching:​core:​child_template_new.pdf |Consult Template}}+  * [[http://www.drcheng.ca/​styled-2/​|Dr. Michael Cheng: Child and Adolescent Psychiatry for Medical Students]]
  
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