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CONDUCTA&DEPRESION

Carmen Contreras

Created on October 14, 2023

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Transcript

Ánimo trsite, vacío e irritable

Acercamiento de los padres (40% ya lo intentó antes)

Afecciones al desarrollo cognitivo, social y psicológico

IDENTIFICACIÓN Y PREVENCIÓN DEL SUICIDIO

Ideación suicida en jóvenes

Comorbilidad aumenta probabilidades (abuso de sustancias y

Tiene un factor hereditario (3x1)

Falta de energía/Lentitud/Pérdida de interés

SÍNTOMAS

Desregularización disruptiva del estado de ánimo

Más prevalente en sexo femenino

Insonmio/Falta de concentración/Culpa/Anhedonia/Delirios

Pérdida de padres

Tendencia genética

Resonancia magnética

DIAGNÓSTICO

Problemas de asociacipon

Depresión en niños y adolescentes

PROBLEMAS EN RELACIONES ENTRE IGUALES

Trastorno Depresivo Mayor

5 síntomas en 2 semanas (DMS-5)

Bajo rendimiento escolar

otros: Trastorno Depresivo Persistente (DISTIMIA) o Trastorno Adaptativo o Trastorno Ciclotímico

Despreocupados de su aspecto personal

TRATAMIENTO

Terapía cognitiva conductail

Sensibilidad al rechazo

Terapía conductual dialéctica

Riesgo de comorbilidad (depresión mayor, bipolaridad, abuso de sustancias)

Fármacos (antidepresivos)

Entre el 4% y el 8% en adolescentes

Neuropsicológicas (tempramento -genética)

Sintomatología en edad temprana con peor pronóstico

Ambiente familiar disfuncional (maltraro)

CAUSAS

Adultez con trastorno de personalidad antisocial (40% niños, 25% niñas)

PREVALENCIA

Multifactooriales

Mayor en varones (8% vs 3%)

Status socioeconómico

Comorbilidad con otros trastornos

Mecanismos culturales (desigualdad)

Tiastorno de la conducta en la niñez y adolescencia

Predecesor común: T. negativista desafiante

Agresión/Violencia/Insensible

DIAGNÓSTICO

TRATAMIENTO

Destrucción

Talleres

Emociones prosociales limitadas (comportamientos antisociales) LEVE MODERADO GRAVE

Tutoriales

Engaño

Terapía (indivudual o familiar)

Bajo rendimiento académico

DIAGNÓSTICOS: Inicio Infantil

  1. Inicio
  2. No Específicado
  3. Inicio Adolescente (<18)

Técnicas de crianza

3 de 15 conductas antosociales (de las 4 categorías DSM-5 por almenos 12 meses)

Fármacos (menos frecuente)

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