Unformatted text preview: Adolescents Things to Know & Think About
Things to know: People who work with adolescents should be on the lookout for what clinical issues? What are their features? How are they usually treated? Things to think about: Are the current methods / programs for helping adolescents effective? Why or why not? Are they theory based or research driven? Adolescent Behavior Contextual & cultural Identity & autonomy Rebellion Maladaptive behavior Common Clinical Issues Externalizing behavior disorders Internalizing behavior disorders Other Externalizing Behaviors Oppositional defiant disorder Conduct disorder 1. aggression to people & animals 2. destroying property 3. deceitfulness or theft 4. serious violations of rules Internalizing behaviors: 1. excessive fears & worries 2. feelings of inner restlessness 3. excessive wariness & vigilance Anxiety 1. abnormally depressed mood 2. loss of interest and pleasure 3. inappropriate guilt Depression More on Depression Irritability vs. melancholy Quiet children Ecological model Maternal influence Treatment Self injury Definition: deliberate repetitive attempt to harm one’s own body tissue without a conscious desire to commit suicide Unknown causes Various reasons 39% of adolescents admit 1x 61% of inpatients 97% are female Tx: impulse control and emotional regulation Suicide Suicidal ideation: suicidal thoughts or behavior Why? impulsivity & feelings of omnipotence Suicidal gesture – 85% female Attempts & completed suicides – 80% male 3rd leading cause of death for teens Tx for at risk Current intervention Future recommendations Suicide vs. Homicide Suicide vs. Homicide by Race Eating Disorders Anorexia
– – – – Maladaptive family patterns Tx: inpatient & family counseling Bulimia: 85% of normal body weight intense fear of gaining weight distorted perception of body absence of menstrual cycle for 3 mos Tx – therapy, family therapy, cognitive behavioral therapy, antidepressants & antianxiety rx – binging & purging – far more common Schizophrenia Symptoms – – – – – delusions hallucinations (usually auditory) cognitive impairment disorganized behavior inability to express emotions Tx – antipsychotic meds – skillbuilding in selfcare & management – social skills – targeting risk factors http://images.google.com/imgres? imgurl=http://www.loni.ucla.edu/~thompson/J/1_PERC_comp_6PANELS_SMALL.gif&imgrefurl=http://lauraf reberg.com/blog/%3Fm %3D200610&h=887&w=775&sz=235&hl=en&start=56&um=1&tbnid=K8tHzkFn347z7M:&tbnh=146&tbnw=1 28&prev=/images%3Fq%3Dadolescent%2Bschizophrenia%26start%3D40%26ndsp%3D20%26svnum %3D10%26um%3D1%26hl%3Den%26client%3Dfirefoxa%26rls%3Dorg.mozilla:enUS:official%26sa %3DN Other Adolescent Issues Teen pregnancy – – – – 60% of high school seniors are sexually active Early alcohol use & poverty Abstinence only programs are controversial Direct & indirect prevention ADD & ADHD
– – – Medication Behavioral plans Group therapy ...
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- Spring '09
- Schizophrenia, clinical issues, Rebellion Maladaptive behavior, omnipotence Suicidal gesture