4. 1- Background
It was not until the 1980’s that the
scientific community believed children
could be depressed.
Psychiatric symptoms in childhood
often predict psychiatric symptoms
later in life.
Symptoms must be viewed in a
developmental framework.
5. 2- Child Development
Child development is more than height
& weight.
We have to observe how children
play, learn, speak & act.
We have to chick different areas of
development: Social, Communication,
Cognitive, Motor & Adaptive.
Monitoring milestones can offer early
signs of delay including signs of ASD.
6. A- By The End of 7 Months
Red Flags
• No big smiles or other warm
Joyful expressions by six
months or thereafter.
• No back sharing of sounds,
smiles or other facial
expressions by nine months
or thereafter.
7. B- By The End of 12 Months
Red Flags
• No back gestures
(Pointing, Showing,
Reaching or Waving Bye
Bye).
• Not answering to one’s
name when called.
• No babbling – Mama,
Dada & Baba.
8. C- By The End of 18 Months
Red Flags
• No single words.
• No simple
pretend play.
9. D- By The End of 2 Years
Red Flags
• No two-word meaningful
phrases (without imitating or
repeating).
• Lack of interest in other
children.
• Any loss of speech or babbling
or social skills.
10. 3- Early Treatment
• Children with acute symptoms are
often more resilient than adults.
• Early diagnosis give us insight
into the pathophysiology of adult
illness.
• Early intervention may improve
prognosis.
11. 4- Parental Involvement
• Family history of mental illness.
• Parents may show similar
symptoms in many disorders.
• Parents are obviously a key part of
the assessment & treatment of
childhood disorders.
12. 5- Childhood Psychopathology
A- Epidemiology
5 - 15% with clinically significant disorders.
Boys outnumber girls, below age 12 years,
Higher rates of Behavioral, Learning &
Developmental disorders.
Girls outnumber boys, 12 to 18 years,
Higher rates of Anxiety & Mood disorders.
25. Conclusion
• Child Psychiatry: is a rapidly
expanding field with research in
Treatment, Pathophysiology,
Neuroimaging, Inheritance, Molecular
& Neuro-Metabolic Studies.
• Child psychiatry: combines roles in
Medicine, Science & Psychology.
Editor's Notes
Before treatment is initiated, it is necessary to obtain a diagnosis of ADHD by a qualified professional. There are no specific physical tests for ADHD. Neuropsychological testing has a role in specific cases. A diagnosis of ADHD requires evaluation by different raters in multiple settings – a complete process. Parent – reports non-compliance with daily routine, overall functioning. Teacher – reports academic performance failure/disruption of classroom/fighting during lesson breaks. Child – has self-esteem issues: “I’m too stupid.” Peers – has few friends; rejected by peers.
