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Psychopharmacology for Child and Adolescent Mood Disorders: Problems and Promise - Test
by John Preston, Psy.D., ABPP and Steven E. Curtis, Ph.D., NCSP, MSCP

Course content © copyright 2005-2023 by John Preston, Psy.D., ABPP. All rights reserved.

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1. Youth present to healthcare providers with a variety of emotional and behavioral challenges. Which answer best describes the challenges health care providers face when conducting assessments and making diagnoses? Help
Until youth are at-least 6-years-old, health care professionals should not be making any definitive diagnoses and instead use the term Unspecified Neurodevelopmental Disorder.
 Youth do not manifest major depressive disorder until adolescence.
 Some youth may be diagnosed with multiple disorders given that comorbidities are high.
 Bipolar disorder cannot be diagnosed until the age of 18.
2. If a parent took their child to a healthcare provider in the 1960s for an assessment of depression, the provider may say: Help
Depression is very common in youth and medication should be started immediately.
 Children do not become depressed.
 Parents are never responsible for the depression, especially the mothers, since depression is purely biological.
 Both 1 and 3
3. Some cases of depressive disorders and bipolar disorder emerge in childhood or early adolescence. Which of the following statements is true? Help
Some of these cases go undiagnosed and untreated for years leading to chronic treatment-resistive conditions.
 Many of these cases probably involve misdiagnoses and treatment of the wrong disorder.
 Since primary care providers may be reluctant to treat childhood-onset disorder, the family of these youth probably need to spend time and money pursuing more specialized providers such as psychiatrists, psychiatric nurse practitioners, and prescribing psychologists.
 All the above
4. Which of the following is a true statement? Help
The diagnosis and treatment of youth with psychiatric disorders is quite similar, if not identical to that of adults.
 Since youth generally metabolize psychotropic medication faster than adults, the rule of thumb when treating youth with medication is to start high and slowly titrate to a lower dose.
 Using psychotropic drugs with young children is like shooting at a moving target.
 Most mental disorders are primarily due to biological causes.
5. Rates of liver metabolism in pre-pubertal children are generally: Help
Higher than that seen in adults.
 Lower than that seen in adults.
 About the same as that seen in adults.
 Are usually irrelevant as this relates to medication dosing.
6. The concept of "neuroprotection" refers to: Help
Reducing harmful effects of toxic levels of stress hormones.
 Promoting neurogenesis (nerve regeneration)
 Reducing possible seizures.
 Both 1 and 2
7. Parents are frequently concerned about giving psychotropic drugs to their youth because of: Help
Fears of addiction.
 Negative information from the media.
 Fears of permanent damage to the body.
 All the above
8. Disruptive Mood Dysregulation Disorder (DMDD): Help
Was added as an alternative diagnosis to pediatric bipolar disorder.
 Most often leads to a later diagnosis of bipolar disorder.
 Is included as one of the DSM-5-TR bipolar disorders.
 Requires the presence of mania for a diagnosis.
9. The most common early symptom picture (in pre-pubertal children) of what later turns out to be bipolar disorder is/are: Help
Attention issues.
 Major depression.
 Mixed mania.
 Intense rage episodes.
10. In general (in large group studies) children and adolescents treated for major unipolar depression with antidepressants show: Help
A very small increase in the incidence of suicidality (primarily suicidal ideation).
 Increased incidence of significant suicidality.
 No noticeable change in depressive symptoms nor overall decrease in suicidality.
 Improvement in depression, but no noticeable impact on suicide attempt cases.
11. The diagnosis of bipolar in youth: Help
Does not require evidence of mania.
 Is controversial.
 Is fairly easy since laboratory testing provides definitive diagnoses.
 Both 1 and 3
12. In general, in the treatment of bipolar disorder in children and adolescents, which of the following is a true statement? Help
It is best to treat with only one medication at a time.
 Multiple medications (e.g., mood stabilizers) most often must be used to control symptoms and prevent relapse.
 Three months after stabilization on medications, it is important to gradually discontinue medications to avoid long-term adverse effects.
 Most case of childhood many can be successfully treated and stabilized within a few weeks.

 

 

  
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