Mental health articles
OF mental health care and mentally ill
DSM-IV Bulimia Nervosa Diagnosis
Criteria for diagnosis of bulimia nervosa. Current classification and definition (the main points of ICD1O (WHO 1992) and DSM-IV (APA 1994) combined) A persistent compulsion to overeat accompanied by a sense of lack of control. The overeating consists of more than 1000 calories – more than others would eat during a similar 2-hour period. These […]
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Case study: generalized anxiety disorder
Case study: generalized anxiety disorder Andrew was a 49-year-old tradesman who reported feeling worked up, tense and worried for most of his waking day. He had difficulty sleeping, particularly getting off to sleep. His chief complaint was that he was unable to stop worrying about ‘stupid little things’ that, he considered, most people would take […]
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Treatment efficacy: health anxiety
Unfortunately, neither The NHS Centre for Reviews and Dissemination nor the Cochrane Database of Systematic Reviews databases have examined the efficacy of treatments for health anxiety. However, a review of the clinical trials registered on the Cochrane Controlled Trials Register suggests that CBT approaches are effective. Two recent clinical trials (Bouman and Visser 1998; Visser […]
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Principles of treatment in child and adolescent psychiatry
Once a comprehensive assessment has been completed, the child and parents need to be involved in drawing up a treatment plan. The successful rate of treatment will depend on the extent to which they feel their wishes, fears and anxieties have been addressed during the initial meetings. It is useful for the therapists and the […]
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Chronic fatigue syndrome symptoms
Chronic fatigue syndrome This is a condition in which severe disabling fatigue persists for over six months (three months in children) and is associated with a variety of other associated symptoms unexplained by primary physical or psychiatric causes. The most significant complaint on presentation is one of fatigue often preceded by a flu-like illness from […]
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The role of nurses in child and adolescent services
The Audit Commission document Children in Mind described a four-tier model for the delivery of child and adolescent services. Tier 1 services are provided by primary care and other front-line services offering advice for mild to moderate problems and promoting mental health. Tier 2 services are generally provided by specialist professionals working on their own […]
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Child and adolescent mental health problems in primary care
Although childhood psychiatric disorders are relatively common, only 1 in 10 of cases is seen in specialist mental health services for children. Two to 5 per cent of children attending primary care during any one year present with emotional or behavioural disorders. Pre-school children present predominantly with oppositional deficient disorder, while school-age children present with […]
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Early childhood mental health information
Mental health problems in childhood Pre-school problems Pre-school problems such as sleep problems, tantrums and feeding problems are relatively common. Moderate to severe behavioural problems have been found in 7 per cent with mild problems in a further 15 per cent, with a slight male excess. Disorders starting in pre-school years can persist into later […]
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Classification of child and adolescent psychiatric disorders
The present system of classification for child and adolescent psychiatric disorders has focused primarily on symptomatology rather than aetiology. In child psychiatry, organic disorders in which psychiatric disorders arise secondary to physical causes are rare. Multi-axial classification takes into account different aspects of a patient’s disorder and classifies the disorder along different axes giving a […]
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generalized anxiety disorder definition and diagnosis
Definition and diagnosis Generalized anxiety disorder is diagnosed using DSM IV (APA 1994) criteria if the following are seen: 1Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least six months, about a number of events or activities (such as work or school performance). 2The person finds it difficult to control […]
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