Mental health articles

OF mental health care and mentally ill

Depression in older people

Depression in older people Depression is a complex and multi-faceted mental experience that reflects changes in a person’s emotions, cognitions, physical state and behaviours. Generally, the diagnosis of clinical depression is based on either the International Statistical Classification of Diseases and Related Health Problems (ICD-10) (World Health Organization (WHO) or the Diagnostic and Statistical Manual […]

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dissociative disorders symptoms

Dissociative disorders The most common symptom in young people is loss of motor function but loss of function in any modality may be reported. Complaints of sensory loss involving sight, hearing or consciousness are not uncommon. The symptoms present as an ‘epidemic’ particularly involving girls where large numbers of children in a class report the […]

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Childhood onset anorexia nervosa

Childhood onset anorexia nervosa The co-ordinal features of childhood onset anorexia nervosa are: •failure to maintain weight gain or actual weight loss in relation to age; •determined food avoidance; •abnormal concerns/preoccupation with weight and shape; and •amenorrhoea in post-menarcheal adolescents or delayed or arrested puberty. Incidence and prevalence In adolescent populations the prevalence of anorexia […]

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substance abuse in adolescence articles

There is increasing evidence of a rise in substance abuse among British adolescents. A survey of British 15- to 16-year-olds found that almost half had tried illicit drugs at some time. While most children who experiment with illicit drugs do not go on to habitual abuse of drugs, the earlier the onset, the more persistent […]

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encopresis in children treatment

Encopresis or faecal soiling is the voiding of faeces in inappropriate places and usually involves the soiling of the child’s clothes. At the age of 7, the prevalence in boys is 2.3 per cent and 0.7 per cent in girls with a male:female ratio of almost 3.5:1. By the age of 11, less than 1 […]

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enuresis treatment in teens

Enuresis treatment in teens. A detailed assessment should include a full psychiatric assessment. Physical causes need to be excluded and urinary microscopy and culture carried out in all cases. Treatment is unlikely to be successful unless the child and family are motivated. Behavioural interventions as well as pharmacological treatments have proven to be effective. Using […]

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enuresis in children

Elimination disorders:Enuresis Many would argue whether enuresis should be seen as a mental health problem. Enuresis may be primary when bladder control has never been achieved or secondary when bladder control is lost after a child has acquired bladder control for at least six months. Boys are more prone to nocturnal enuresis (bed wetting at […]

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adolescent schizophrenia symptoms

Adolescent schizophrenia Children with schizophrenia often present with earlier developmental delays and poor premorbid functioning. Developmental delays are particularly common in the areas of language development, reading and bladder control. A third of children also show difficulties in forming socioemotional relationships. The onset of schizophrenia is usually insidious. The recognition of symptoms during the early […]

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child maltreatment definition

Child maltreatment There are wide variations in the reported incidence of child abuse and neglect based on variation in definition and methods used to estimate prevalence. Types of abuse include: •physical abuse – non-accidental injury, burns, fractures, bruises; •emotional abuse – threats, hostility, failure to protect; •sexual abuse – penetrative, non-penetrative; and •neglect – lack […]

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Treatment of mental health problems in childhood

The long-lasting biological basis for the problems needs to be emphasized to teachers and parents. Support for the family is crucial regarding management of the child. Parents need to adopt a consistent attitude to parenting with clear guidelines for acceptable behaviour. Simple time-out procedures can be used for unacceptable behaviour. Encouraging the child’s sustained attention […]

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