A 14-year-old girl is brought in by her mother due to persistent “stomach aches” and headaches for the past four months, causing frequent school absences. A thorough medical workup is unrevealing. The girl struggles to label her emotions but describes a constant sense of internal distress. This difficulty in verbalizing feelings, presenting as somatic concerns, is best described as?
An 11-year-old boy with a known diagnosis of Crohn’s disease presents with a significant exacerbation of his gastrointestinal symptoms. His parents note the flare began shortly after he started being bullied at his new school. According to the DSM-5, what is the most precise diagnosis to consider for the influence of the bullying on his disease?
A 16-year-old adolescent is being seen for a routine health supervision visit. The pediatrician wants to use a brief, structured interview guide to screen for common psychosocial risk factors. Which of the following is a well-established mnemonic framework for guiding this part of the adolescent interview?
A 13-year-old girl reports feeling “stressed” constantly, worrying about school, her friendships, and her health, for the past 8 months. These worries are difficult to control and cause muscle tension. What is the most likely diagnosis?
A pediatrician is evaluating a 7-year-old for depression. The resident suggests using a self-report scale designed specifically for depression in school-aged children. Which of the following is a 20-item self-report scale suitable for this purpose?
A 10-year-old girl is diagnosed with an anxiety disorder. Her parents mention that they allow her to miss school whenever she feels anxious and they complete her homework for her to reduce her stress. This parental behavior is an example of what factor that can perpetuate anxiety symptoms?
A 7-year-old child is brought in for an evaluation of behavioral problems. What is a primary benefit of using a standardized symptom rating scale as part of the initial evaluation?
A 12-year-old has been experiencing significant worry and fear about separating from her parents for the past year, impacting her ability to attend school camps and sleepovers. To formally diagnose an anxiety disorder, what key components must be considered according to the DSM-5?
A 17-year-old is being evaluated for low mood. The pediatrician decides to use a widely recognized self-report questionnaire that is also used for adults to screen for and measure the severity of depression. Which of the following is an appropriate tool for this purpose?
A 15-year-old with behavioral outbursts has several “subsyndromal difficulties” noted on evaluation. These are symptoms that are present but do not meet full diagnostic criteria. The presence of these difficulties is significant because they?
