Summary of Detailed Clinical Assessment in Child and Adolescent Psychiatry (Detailed evaluation in Children)

Summary of Video: Detailed Clinical Assessment in Child and Adolescent Psychiatry

Speaker: Dr. Suresh Badmint, Officer of Psychiatry at Adopt Telemedicine Center, Head of Forensic Psychiatry Unit at Neman's Bangalore. Acknowledgments are given to Professor Bashina and Dr. Rajendra KM for their contributions.

Main Ideas and Concepts:

• Importance of Detailed Evaluation
  • Detailed Evaluation in Child and Adolescent Psychiatry is crucial due to the unique challenges posed by the limited communication abilities of young children and adolescents.
  • Information should be gathered from multiple sources, including parents, teachers, and referral agencies.
• Key Domains for Information Collection
  • Home: Interview parents and significant caregivers to understand the child's behavior in a familiar environment.
  • School: Assess academic performance, attention, interaction with peers, and staff.
  • Social Situation: Gather insights from friends and community interactions.
  • Social Media: Consider the child's expression of feelings and issues on social media platforms, while balancing confidentiality and safety.
• Observation and Interaction
  • Observe the child during play to assess behavior, emotional responses, and cognitive abilities.
  • Parent-child interactions in the waiting area provide insights into their relationship dynamics.
• Challenges in Communication
  • Children may not open up easily due to anxiety, intimidation by the clinical setting, or developmental issues.
  • Information may be contradictory across different informants due to varying behaviors in different settings.
• Detailed Evaluation Steps
  • Demographic details
  • Chief complaints
  • Family history
  • Personal history
  • Environmental history
  • Medical history
  • Ancestry
  • History of presenting illness
  • Negative history
  • General physical examination
  • Psychiatric examination (Mental Status Examination)
  • Summary
  • Formulation
  • Diagnosis
  • Treatment plan
• Mental Status Examination
  • Conduct a thorough Mental Status Examination tailored to the child’s cognitive level.
  • Assess various domains including appearance, behavior, speech, mood, perception, and cognitive functions.
• Formulation and Diagnosis
  • Summarize key findings to arrive at a diagnosis using a multi-axial approach, considering primary disorders, developmental issues, and psychosocial factors.

Detailed Bullet Point Format of Methodology:

• Information Gathering
  • Collect data from:
    • Parents and caregivers
    • Teachers and school staff
    • Friends and community interactions
    • Social media platforms
• Observation
  • Observe the child during play and interactions.
  • Assess parent-child dynamics in the waiting area.
• Conduct Detailed Evaluation
  • Follow the 15 steps outlined for a comprehensive assessment.
• Mental Status Examination
  • Tailor the examination to the child’s age and cognitive ability.
  • Evaluate specific domains: appearance, behavior, speech, mood, perception, and cognitive functions.
• Formulation and Diagnosis
  • Summarize findings, analyze for diagnosis, and create a treatment plan.

Conclusion:

The video emphasizes the importance of a thorough and structured approach to evaluating children and adolescents in psychiatry, highlighting the need for collecting comprehensive information from various sources and utilizing observational techniques to inform diagnosis and treatment.

Featured Speakers/Sources:

• Dr. Suresh Badmint
• Professor Bashina
• Dr. Rajendra KM

Notable Quotes

— 00:00 — « No notable quotes »

Category

Educational

Video