Escolar Documentos
Profissional Documentos
Cultura Documentos
in Adolescent
Ronny T Wirasto
Program Studi Pendidikan Dokter
FMIPA
Universitas Tadulako
2011
Topik
• Definisi
• Gangguan
• Diagnosis
• Terapi
Background
• World Health Organization evidence indicates
that internationally:
– by 2020 childhood neuropsychiatric disorders will
rise proportionately by over 50%
– neuropsychiatric disorders will become one of the
five most common causes of morbidity, mortality
and disability among children
Developmental theory :
• Psychosexual
• Psycho-cognitive
• Psychosocial
• Adolescence represents a “station”
– on the human development
– between childhood and adulthood
– Supportive psychotherapy
– Family psycho-education
Anxiety
• Affects more females than males
• Differentiate between normal shyness
and anxiety disorder
• Clinical features :
– Anxious/conscious of
• appearance
• school performance
• personal relationship
• gender identity
• school refusal
– Physical symptoms
• headaches
• abdominal pains
• hyperventilation
• Management
– Exposure with relaxation
– Social skills training
– Anxiolytics
• Alprazolam
• Diazepams
– Anti-depressants
• Fluvoxamine
• Fluoxetine
• Eating disorder
• Anorexia nervosa
– Diagnostic criteria
• Underweight
– <85% of expected weight for age and height
• Intense fear for fatness
– feels and believes to be fat
– eventhough underweight
• Amenorrhoea
– for 3 consecutive months
• Excessive diet restriction
– voluntary starvation
– increase activity level
– use of laxative and purgative
• Bulimia
• Diagnostic criteria
a) Recurrent episodes of binging
• “ox hunger”
b) Recurrent purging and excessive exercises
• To prevent weight gain
c) Binging and purging
• Occurring at least 2X per week for 3 months
d) Self worth that is overly influenced by body shape and
weight
• “Binge”
• Consuming large amounts of food in a discrete
period
• Has no control over the eating
* In Bulimia
• Patient feels remorse after binging
• Binging usually done alone
Bulimics resort to drastic measures to prevent
weight gain after a binge
• Self-induce vomiting
• Compulsive & excessive exercise
• Abuse laxatives & diuretics