Adolescent's Mental Health-IKU

7/25/2019 Adolescent's Mental Health-IKU

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PSYCHIATRICPSYCHIATRIC

DISORDERSDISORDERS

inin

ADOLESCENTSADOLESCENTSDr Ramli Mohd AliDr Ramli Mohd AliPsychiatristPsychiatrist

PBKKR Hosp Permai JBPBKKR Hosp Permai JB


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Some of theSome of thedisorders..disorders..-- AnxietyAnxiety

- Depression- Depression

- Dei!er"te sef-h"rm- Dei!er"te sef-h"rm

- S#i$ide- S#i$ide

- S#!st"n$e A!#se- S#!st"n$e A!#se- S$hi%ophreni"- S$hi%ophreni"


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Anxiety DisordersAnxiety Disorders

&' Sep"r"tion Anxiety&' Sep"r"tion Anxiety

(' So$i" Pho!i"s(' So$i" Pho!i"s

)' *ener"ised Anxiety)' *ener"ised AnxietyDisorder - *ADDisorder - *AD


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Sep"r"tion "nxietySep"r"tion "nxiety

C"rdin" fe"t#resC"rdin" fe"t#res - ex$essi+e "nxiety en,endered !y- ex$essi+e "nxiety en,endered !y sep"r"tionsep"r"tion

- "t e"st /( d#r"tion- "t e"st /( d#r"tion - si,ni0$"nt distressf# imp"irment in- si,ni0$"nt distressf# imp"irment in 1 so$i"1 so$i" 1 "$"demi$1 "$"demi$ 1 or"nd o$$#p"tion" f#n$tionin,1 or"nd o$$#p"tion" f#n$tionin,


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Anxiety DisorderAnxiety Disorder

Exhi!it ex$essi+e distress orExhi!it ex$essi+e distress or

persistent 2orry "!o#tpersistent 2orry "!o#t

- osin, " p"rent or o+ed one- osin, " p"rent or o+ed one - possi!e h"rm !ef"in, " o+ed- possi!e h"rm !ef"in, " o+ed

oneone

S#3er ni,htm"resS#3er ni,htm"res- 2ith themes of sep"r"tion- 2ith themes of sep"r"tion


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Anxiety DisorderAnxiety Disorder

4#tipe som"ti$ $omp"ins4#tipe som"ti$ $omp"ins

- he"d"$hes- he"d"$hes

- stom"$h "$he- stom"$h "$he - n"#se"- n"#se"

S$hoo ref#s"S$hoo ref#s"


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So$i" Pho!i"So$i" Pho!i"

Ch"r"$terised !yCh"r"$terised !y

- m"r5ed 6 persistent fe"r of so$i"- m"r5ed 6 persistent fe"r of so$i"

or perform"n$e sit#"tionor perform"n$e sit#"tion

- in 2hi$h indi+id#" is exposed to- in 2hi$h indi+id#" is exposed to

#nf"mii"r peope or possi!e#nf"mii"r peope or possi!e

s$r#tinys$r#tiny

- fre7#enty foo2s " tr"#m"ti$ e+ent- fre7#enty foo2s " tr"#m"ti$ e+ent

- typi$"y o$$#rs in mid-teens- typi$"y o$$#rs in mid-teens

- fh of "nxiety disorders- fh of "nxiety disorders


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*ener"ised Anxiety*ener"ised Anxiety

DisordersDisordersCh"r"$terised !yCh"r"$terised !y - ex$essi+e 2orry "!o#t perform"n$e- ex$essi+e 2orry "!o#t perform"n$e

6 $ompeten$e6 $ompeten$e

1 in the "!sen$e of s$r#tiny1 in the "!sen$e of s$r#tiny

- r#min"tes "!o#t p"st mist"5es- r#min"tes "!o#t p"st mist"5es

- 2orry "!o#t f#t#re "d+ersities- 2orry "!o#t f#t#re "d+ersities

- m"y res#t in de$ine in "$"demi$- m"y res#t in de$ine in "$"demi$

perform"n$eperform"n$e


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*ener"ised Anxiety*ener"ised Anxiety

DisordersDisorders

88 C"nnot stop 2orryin, 9:C"nnot stop 2orryin, 9:

- "ppe"rs to !e- "ppe"rs to !e

1 restess1 restess 1 tense1 tense

1 fr",ie1 fr",ie

1 irrit"!e1 irrit"!e 1 #n"!e to $on$entr"te1 #n"!e to $on$entr"te

1 sef-$ons$io#s1 sef-$ons$io#s


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DepressionDepression

Ch"r"$terised !y $h"n,es inCh"r"$terised !y $h"n,es in

- !eh"+io#r- !eh"+io#r

- !ioo,i$" "$ti+ities- !ioo,i$" "$ti+ities

- $o,nition- $o,nition


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;eh"+io#r $h"n,e;eh"+io#r $h"n,e


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;ioo,i$" $h"n,e;ioo,i$" $h"n,e

AppetiteAppetite - in$re"se or de$re"se- in$re"se or de$re"se


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Co,niti+e $h"n,eCo,niti+e $h"n,e


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Dei!er"te Sef-h"rmDei!er"te Sef-h"rm

&??x more $ommon th"n $ompeted&??x more $ommon th"n $ompeteds#i$ides#i$ide

- in "does$ents- in "does$ents

fem"es @ m"esfem"es @ m"es

B' f"ied s#i$idesB' f"ied s#i$ides

ris5 of repe"tin, "ttemptsris5 of repe"tin, "ttempts


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Dei!er"te sef-h"rmDei!er"te sef-h"rm

Ris5 f"$torsRis5 f"$tors

1 fh psy$hi"tri$ do1 fh psy$hi"tri$ do

- e., depression "$oho- e., depression "$oho"!#se"!#se

1 #nderyin, psy$hi"tri$ do1 #nderyin, psy$hi"tri$ do

- e., ADHD depression- e., ADHD depression

1 ho "!#se1 ho "!#se

- physi$" sex#" emotion"- physi$" sex#" emotion"


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1 pro!ems in s$hoo1 pro!ems in s$hoo 1 poor imp#se $ontro1 poor imp#se $ontro

1 h"+e modes for imit"tion1 h"+e modes for imit"tion

- e., f"miy mem!ers pop- e., f"miy mem!ers popst"rsst"rs


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Common methodsCommon methods

- in,estion of non-edi!e- in,estion of non-edi!e

s#!st"n$es#!st"n$e

1 e., sh"mpoo 5erosene1 e., sh"mpoo 5erosene

- o+erdose of medi$"tion- o+erdose of medi$"tion

1 e., p"r"$et"mo 1 e., p"r"$et"mo hypnoti$shypnoti$s

- s"shin, 2rists- s"shin, 2rists


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4oti+"tion4oti+"tion

1 express "n,er1 express "n,er

1 feein, oney or #n2"nted1 feein, oney or #n2"nted

1 $ry for hep 1 $ry for hep 1 te"$h " esson 1 te"$h " esson

1 tempor"ry respite from distress1 tempor"ry respite from distress

1 m"5e them $h"n,e their minds1 m"5e them $h"n,e their minds


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S#i$ideS#i$ide

B' "$$ident" de"th fromB' "$$ident" de"th from

DSHDSH

m"es @ fem"esm"es @ fem"es

r"tio (-) F &r"tio (-) F &


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S#i$ideS#i$ide

Common methodsCommon methods

- poisonin,- poisonin, - inh"in, ,"s- inh"in, ,"s

- o+erdose- o+erdose

- h"n,in,- h"n,in,

- #se of 2e"pons- #se of 2e"pons


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S#i$ideS#i$ide

Ch"r"$teristi$s s#,,estin, serio#s intentCh"r"$teristi$s s#,,estin, serio#s intent

1 $"rried o#t in iso"tion1 $"rried o#t in iso"tion

1 timed so th"t inter+ention is #ni5ey1 timed so th"t inter+ention is #ni5ey 1 pre$"#tion t"5en to "+oid dis$o+ery1 pre$"#tion t"5en to "+oid dis$o+ery 1 prep"r"tion m"de1 prep"r"tion m"de - in "nti$ip"tion of de"th- in "nti$ip"tion of de"th


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S#i$ideS#i$ide

Ch"r"$teristi$s s#,,estin, serio#sCh"r"$teristi$s s#,,estin, serio#s

intentintent

1 s#i$ide note eft1 s#i$ide note eft 1 other peope informed of intention1 other peope informed of intention

1 extensi+e p"nnin,1 extensi+e p"nnin,

1 f"i#re to "ert others1 f"i#re to "ert others - foo2in, the episode- foo2in, the episode


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S$hi%ophreni"S$hi%ophreni"

Gs#" onset - "te "does$en$eGs#" onset - "te "does$en$e

Gs#"y insidio#sGs#"y insidio#s

- foo2ed !y " so2- foo2ed !y " so2

deterior"tiondeterior"tion

in f#n$tionin,in f#n$tionin,


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Person"ity tr"its "t ris5Person"ity tr"its "t ris5

1 oners1 oners

1 ex$essi+e shyness1 ex$essi+e shyness 1 s#spi$io#s1 s#spi$io#s

1 o+er-sensiti+e1 o+er-sensiti+e

1 2ithdr"2n1 2ithdr"2n


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Sy 6 SxSy 6 Sx - "#ditory h"#$in"tions- "#ditory h"#$in"tions - de#sions- de#sions - in$oherent spee$h- in$oherent spee$h - !#nt expression- !#nt expression - in"ppropri"te "3e$t- in"ppropri"te "3e$t -ne,e$t person" hy,iene-ne,e$t person" hy,iene - inhi!ition disinhi!ition- inhi!ition disinhi!ition


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S#!st"n$e A!#seS#!st"n$e A!#se

Commony "!#sed s#!st"n$eCommony "!#sed s#!st"n$e 1 to!"$$o1 to!"$$o 1 "$oho1 "$oho

1 stim#"nts1 stim#"nts

1 inh""nts1 inh""nts 1 ,"n"1 ,"n" 1 morphine1 morphine

N; F Pro,ression of #seN; F Pro,ression of #se


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1 f"miy1 f"miy 1 s$hoo1 s$hoo

1 $omm#nity1 $omm#nity


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>"miy ris5 f"$tors>"miy ris5 f"$tors 1 p"rents or si!in,s #se1 p"rents or si!in,s #se

1 m"rit" $oni$t1 m"rit" $oni$t 1 sep"r"tion or di+or$e1 sep"r"tion or di+or$e 1 "!sen$e of p"rents1 "!sen$e of p"rents 1 o2 p"rent" $ontro1 o2 p"rent" $ontro 1 o2 2"rmth 6 p"rent"1 o2 2"rmth 6 p"rent"

in+o+ementin+o+ement


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S$hoo ris5 f"$torsS$hoo ris5 f"$tors 1 hi,h or o2 perform"n$e in s$hoo1 hi,h or o2 perform"n$e in s$hoo 1 itte $ommitment to the s$hoo1 itte $ommitment to the s$hoo 1 ine3e$ti+e no poi$y in s$hoo1 ine3e$ti+e no poi$y in s$hoo - re,"rdin, tr#"n$y 6 smo5in,- re,"rdin, tr#"n$y 6 smo5in, 1 dropo#ts1 dropo#ts

1 friends th"t #se1 friends th"t #se 1 peer "$$ept"n$e1 peer "$$ept"n$e


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Comm#nity ris5 f"$torsComm#nity ris5 f"$tors 1 e$onomi$"y dis"d+"nt",ed1 e$onomi$"y dis"d+"nt",ed or "d+"nt",edor "d+"nt",ed

1 "$5 of so$i" $ohesion1 "$5 of so$i" $ohesion 1 nei,h!o#rhood disor,"nis"tion1 nei,h!o#rhood disor,"nis"tion 1 desire for ess !oredom1 desire for ess !oredom 1 "+"i"!iity1 "+"i"!iity 1 #nderst"ndin, th"t it is the1 #nderst"ndin, th"t it is the

norm norm


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Adolescent's Mental Health-IKU