Special Areas of Childhood Mental Health MCQs

Nihilistic delusion is associated postpartum and duration is around 3 weeks. Diagnosis is Postpartum psychosis. Reference: Kaplan and Saddocks Synopsis of Psychiaitry, 11th Edition, Chapter 8, Page No.: 357

It is observed that about 20–30% of those with OCD show a significant improvement, 40–50% have a moderate improvement, while the rest have a chronic or worsening course. Poor prognostic factors include yielding to compulsions, a childhood onset , male , bizarre content of compulsions, need for hospitalization , a coexisting major depressive disorder , the presence of overvalued ideas , and the presence of personality disorder (especially schizotypal). (Option A, B & C) A good prognosis is indicated by good premorbid adjustment, the presence of a precipitating event, and episodic nature. The content or theme of obsessions and family history do not relate to the prognosis . Reference: Synopsis of Psychiatry, Eleventh edition, Chapter 10, page no. 420

Unintentional injury and homicide were the leading causes of death among residents ages 15-24, each accounting for 34.2% and 32.9%, respectively, of all deaths. These were followed by suicide (9.9%) and cancer (5.8%). Accidents (unintentional injuries), homicide, suicide, cancer, and heart disease make up the five leading causes of death for teenagers Reference : https://cchealth.org/health-data/hospital-council/2010/pdf/11_lcd_by_age.pdf

Explanation: The Mental Health Gap Action Programme (mhGAP) by the World Health Organization (WHO) aims to improve access to mental health care in low and middle-income countries. It focuses on priority conditions including: Depression (Option B) Schizophrenia (Option C) Bipolar disorder Epilepsy Dementia Self-harm Alcohol and substance use disorders Child and adolescent mental disorders (Option D) OCD is not listed as a core mhGAP target condition. References: https://www.ncbi.nlm.nih.gov/books/NBK310854/

Explanation: Under the Mental Healthcare Act (MHCA) 2017, a person with a mental illness (PMI) has the right to complain about any deficiencies in the provision of mental health services. If the person is unable to do so, their nominated representative (NR) can file a complaint on their behalf. Reference: The Mental Healthcare Act, 2017

Explanation: As per section 94 of the Mental Healthcare Act (MHCA) 2017, emergency treatment can be provided for up to 72 hours, with the consent of the nominated representative (if available). Any medical practitioner can provide emergency treatment as per the provisions of this section of the act. Reference: The Mental Healthcare Act, 2017

Explanation: Asynchronous communication refers to interactions that do not occur in real time. Asynchronous communication includes methods like email, where information can be sent at one time and reviewed later, unlike real-time communication, such as video conferencing (Option A), Telephonic consultations (Option C), and Live chat forums (Option D). Reference: Telemedicine Practice Guidelines, Ministry of Health and Family Welfare, 2020

Erikson, a student of Freud, accepted the basic theory of early psychosocial development but proposed that development continues across the lifespan, particularly in terms of the developing relationship between the individual and the social system within which they live. He underlined the social context for this final stage of growth. In Childhood and Society, he wrote, 'the style of integrity developed by his culture or civilisation thus becomes the "patrimony" of his soul In such final consolidation, death loses its sting When the attempt to attain integrity has failed, the individual may become deeply disgusted with external world and contemptuous of persons as well institutions Reference: Synopsis of Psychiatry, eleventh edition, chapter 4, page no. 169