USE 5 REFERENCES FOR THIS ASSIGNMENT

SAMPLES ATTACHED

NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template

Week 5: Mood and Anxiety Disorders in Children and Adolescents

School and going out with my friends used to be fun, but not anymore. Mom keeps telling me just to go out and have fun, but I don’t see the point of trying. All my friends are better than I am. I keep having these headaches and just feel worthless. I used to get As and Bs in school, but not anymore. I can’t concentrate at school. I would rather be at home sleeping.

—Madison, age 16

Mood and anxiety disorders can be particularly challenging to address in childhood and adolescence for many reasons. Children may not be able to fully express or understand their feelings and behaviors. Parents may misattribute or not recognize signs and symptoms. The symptoms of disorders also vary when present in children as opposed to adults. The PMHNP needs to know how to diagnose these conditions and must understand the importance of integrating medication management strategies with both individual and family therapy to optimize treatment outcomes.

Learning Objectives

Students will:

· Explain signs and symptoms of mood and anxiety disorders in children and adolescents

· Explain the pathophysiology of mood and anxiety disorders in children and adolescents

· Explain diagnosis and treatment methods for mood and anxiety disorders in children and adolescents

· Develop patient education materials for mood and anxiety disorders in children and adolescents

Learning Resources

Required Readings (click to expand/reduce)

Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental health. American Psychiatric Association Publishing.

· Chapter 3, “Common Clinical Concerns”

· Chapter 7, “A Brief Version of DSM-5″

· Chapter 8, “A stepwise approach to Differential Diagnosis”

· Chapter 10, “Selected DSM-5 Assessment Measures”

· Chapter 11, “Rating Scales and Alternative Diagnostic Systems”

Shoemaker, S. J., Wolf, M. S., & Brach, C. (2014). The patient education materials assessment tool (PEMAT) and user’s guide. Agency for Healthcare Research and Quality. https://www.ahrq.gov/sites/default/files/publications/files/pemat_guide.pdf

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.

· Chapter 60, “Anxiety Disorders”

· Chapter 61, “Obsessive Compulsive Disorder”

· Chapter 62, “Bipolar Disorder in Childhood”

· Chapter 63, “Depressive Disorders in Childhood and Adolescence” 

Required Media (click to expand/reduce)

Center for Rural Health. (2020, May 18)

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NRNP_6665_Week5_Assignment_Rubric

  Excellent Good Fair Poor
In a 300- to 500-word blog post written for a patient and/or caregiver audience:

• Explain signs and symptoms for the assigned diagnosis in children and adolescents.

Points:

Points Range:
27 (27%) – 30 (30%)

The response accurately and concisely explains signs and symptoms of the assigned diagnosis in language and tone that are engaging and appropriate for a patient/caregiver audience.

Feedback:

Points:

Points Range:
24 (24%) – 26 (26%)

The response accurately explains signs and symptoms of the assigned diagnosis in language and tone appropriate for a patient/caregiver audience.

Feedback:

Points:

Points Range:
21 (21%) – 23 (23%)

The response somewhat vaguely or inaccurately explains signs and symptoms of the assigned diagnosis. Language and tone are mostly appropriate for a patient/caregiver audience.

Feedback:

Points:

Points Range:
0 (0%) – 20 (20%)

The response vaguely or inaccurately explains signs and symptoms of the assigned diagnosis. Language and tone are not appropriate for a patient/caregiver audience. Or the response is missing.

Feedback:

· Explain pharmacological and nonpharmacological treatments for children and adolescents with the diagnosis.

Points:

Points Range:
27 (27%) – 30 (30%)

The response accurately and concisely explains pharmacological and nonpharmacological treatments in language and tone that are engaging and appropriate for a patient/caregiver audience.

Feedback:

Points:

Points Range:
24 (24%) – 26 (26%)

The respo

Week 5: Patient Education for Children and Adolescents

College of Nursing-PMHNP, Walden University

NRNP 6665: PMHNP Care Across the Lifespan 1

July 4, 2021

Introduction

Mood disorders in children is one of the most under-diagnosed health or mental

health problems in the U.S and the world at large. Mood disorders that go undiagnosed can put

This study source was downloaded by 100000822789681 from CourseHero.com on 03-29-2022 02:24:20 GMT -05:00

https://www.coursehero.com/file/112764268/Wk-5-Assgn-O-Blog-DMDDdocx/

kids at risk for other conditions, like disruptive behavior and substance use disorders, that remain

after the mood disorder is treated. Children and teens with a mood disorder don’t always show

the same symptoms as adults. As a result, it might be difficult for parents to notice a problem in

their child, particularly if he or she is unable to verbalize his or her feelings or thoughts.

Disruptive mood dysregulation disorder (DMDD) usually starts in childhood disorder marked by

excessive or severe irritation, anger, and frequent, violent outbursts of temper. For treatment of

DMDD if counseling and parent management training aren’t enough to treat DMDD symptoms,

medication may be administered.

Signs and Symptoms of Disruptive Mood Dysregulation Disorder

Disruptive Mood Dysregulation Disorder can lead to persons acting irrationally or

aggressively toward other people, animals, or property. It can include frequent, unexpected

episodes of impulsive or aggressive behavior, as well as verbal outbursts in which the patient

overreacts (Yackey & Stanley, 2019). Disruptive mood dysregulation disorder (DMDD) usually

starts in childhood disorder marked by excessive or severe irritation, anger, and frequent, violent

outbursts of temper. This acute irritation manifests itself in two ways: frequent temper outbursts

and a chronic, irritable mood that is present more or less continuously in between these

outbursts. According to American Psychiatric Association, (2013) a kid must display the

following symptoms to be diagnosed with DMDD:

Temper tantrums that are severe and recurrent: These might be verbal (yelling or screaming)

or behavioral (physical aggression).

Temper outbursts that are out of character for the child’s age: Tantrums in children with

DMDD are not as frequent or as severe as you might assume based on their developmental level.

This study source was downloaded by 100000822789681 from Course

WEEK 5: Mood and Anxiety Disorders in Children and Adolescents

Alexandra Louis-Jeune

College of Nursing- PMHNP, Walden University

NRNP 6665- PMHNP Across the Lifespan I

Megan Shelton

January 3, 2022

A GUIDE ON PERSISTENT DEPRESSIVE DISORDER IN CHILDREN AND ADOLESCENTS

WHAT IS PERSISTANT DEPRESSIVE DISORDER?

This study source was downloaded by 100000822789681 from CourseHero.com on 03-29-2022 02:22:11 GMT -05:00

https://www.coursehero.com/file/126978271/WEEK5ASSIGNLOUISJEUNE-6docx/

A child or adolescent with persistent depressive disorder will experience a depressed or
irritable mood on most days for at least 1 year. The body, emotions, and thoughts of a
child are all affected by the depression. It’s not the same as being gloomy or down in
the dumps. It’s also not an indication of immaturity. It is not something that can be
hoped or commanded away. Children that are depressed are unable to pull themselves
together and improve on their own. Treatment is frequently required.

Symptoms may include the following:
 Lasting feelings of sadness
 Irritability and aggression
 Despair
 Helplessness
 Low self-esteem
 Sleep problems
 Changes in appetite and weight
 Low energy
 Problems focusing
 Suicidal thoughts or attempts
 Running away or threats of running away from home
 Disinterest in normal activities

CAUSES OF PERSISTENT DEPRESSIVE DISORDER:

There is no single cause for persistent depressive disorder. It frequently occurs in the
context of other mental health issues, such as substance misuse or anxiety. There are
unique risk factors for a chronic depressive disorder that include but are not limited to
genetics, epigenetics, prior mental illness, high anxiety states, trauma, life stresses, and
other social health indicators (Patel, & Rose, 2021).

Common risk factors for depression include the following:
 Family history of depression
 High level of stress
 Abuse or neglect
 Physical or emotional trauma
 Other mental health problems
 Loss of a parent, caregiver, or other loved one
 Loss of a relationship
 Other long-term health problems
 Developmental or learning problems

DIAGNOSIS OF PERSISTENT DEPRESSIVE DISORDER IN A CHILDREN AND ADOLESCENTS

This disorder is frequently diagnosed by a mental health professional. A thorough
mental health examination will be performed. F amily members, instructors, and carers
may be consulted. Any psychiatric interview, especially one for diagnostic purposes,
requires a thorough history. The accurate diagnosis is determined by investigating
symptoms, severity, and sequential progres