distress and disorder fernanda garcia-costas child and adolescent consultant psychiatrist plym...
Post on 04-Jan-2016
212 Views
Preview:
TRANSCRIPT
Distress and Disorder
Fernanda Garcia-CostasChild and Adolescent Consultant Psychiatrist
Plym Bridge HouseFernanda.garcia-costas@nhs.net
Distress
• Distress needed for the diagnosis of mental disorder in many conditions as depression, anxiety, obsessive compulsive disorder, post traumatic stress disorder...
• No possibility of diagnosis without certain level of distress
...distress without disorder
• Distress due to normal transitions, challenges and losses (associated with education and work, family life, relationships)
• Distress associated with social deprivation, exclusion or persecution.
• Distress associated with physical illness.
Childhood psychiatric disorder: Definition
• Persistent disturbance of behaviour, emotions or relationships that is abnormal for the socio-cultural background and stage of development and is accompanied by impaired social and personal functioning and/or disturbance of development.
• All of the above needed for diagnosis of disorder, not distress in isolation
Developmental context
• Year 1: Attachment to the primary care giver• Year 2 : Beginning to be independent: – Child learns to feed and toilet– Move around independently– Communicate using language
• Year 3-5:– Play creatively– Links with others– Further development of language skills
Dev context. Cont
• Year 5-7: – Learning to relate to other children– Build up a sense of self esteem
• Adolescence:– Learns to become independent and separated from
parents– Relationships outside the home incl sexual relationships– Develops academic and physical skills– Develops sense of his/her own identity
top related