YOHANANTH SIVANANTHAN

ROLL NO:132

NEPALGUNJ MEDICAL COLLEGE

PAEDIATRICS SEMINAR SESSIONS

AUG 2010 BATCH MBBS

how ones feels inside

balancing the emotions and having control

on them

Self esteem and confidence

Being comfortable with whom they are

Copying with one`s feeling and building up

reslience of one`s bouce back ability

Mental health is defined as a state of well-

being in which every individual realizes his or

her own potential, can cope with the normal

stresses of life, can work productively and

fruitfully, and is able to make a contribution

to her or his community.

PERIOD IN LIFE WHEN AN INDIVIDUAL

NOLONGER A CHILD OR YET AN ADULT

IT SPANS AGE GROUP 10-19 YEARS

STAGES OF ADOLESCENCE

EARLY ADLOESCENCE 10-13

MID ADOLESCENCE 14-16

LATE ADOLESCENCE 17-19

A AGGRESSIVE,ANEMIC,ABORTION

D DYNAMIC,DEVELOPING,DEPRESSED

O OVERCONFIDENT,OVERINDULGING,OBESE

L LOUD BUT LONELY,LACK OF INFORMATION

E ENTHUSIASTIC,EPLORATIVE,EXPERIMENT

S SOCIAL,SEXUAL,SPIRITUAL

C COURAGES,CHEERFUL,CONCERN

E EMOTIONAL,EAGER,EMULATING

N NERVOURS,NEVER SAY NO TO PEERS

T TEENAGE PREGNACY

10-13 YEARS AGE PERIOD

PERSONAL IDENTIFY

WHO I AM?

CURIOUS ABOUT SEX-BUT NOT SEXUALLY

ACTIVE

ADJUST TO PHYSICAL CHANGES OF

PUBERTY

14-16 YEARS AGE

ACHIEVING SEPARATE IDENTITY FROM

PARENTS

INTERESTED IN SEXUAL ACTIVITIES AND

ATTRACTION ON OPPOSITE SEX

COGNITIVE EXPANSION

NEW RELATIONSHIP TO PEER GROUPS

OCCUPATIONAL IDENTITY,RESPONSIBILITY

17-19 YEARS AGE

COLLEGE PROFESSIONAL COURSE,JOB

FALLING IN LOVE ,MARRIAGE ETC

DECISION MAKING AND IMPLEMENTING

WELL FORMED OPINION AND IDEAS

EMOTIONAL PROBLEMS

BEHAVIORAL PROBLEMS

SCHOLASTIC ISSUES

IDENTITY PROBLEMS

FAMILY PROBLEMS

DRUG\SUBSTANCE ABUSE

PSYCOLOGICAL PROBLEMS

PERSONAL PROBLEMS

1 – Emphasis on common MENTAL HEALTH

PROBLEMS in adolescents, and

2 – Practical approach to their early

diagnosis and prevention

SADNESS/GRIEF

ANXIETIES/WORRIES

STRESS

INTOLERANT ANGER

VERY COMMON BECAUSE OF THE RAPID

PHYSICAL,PSYCOLOGICAL SOCIAL AND SEXUAL

CHANGES DURING ADOLSCENCE

IMBALANCE IN NEURO TRANSMITTERS NORADRENALINE,GABA,5HT=ANXIETY AND DEPRESSIVE

DISORDERS

ROLE OF MEDICATIONS=EG.SSRI

OFTEN BIOCHEMICAL FACTORS ACT ALONG WITH ENVIORNMENTAL BUT MAY BE SINGULARLY BE IMPORTANT

ENVIRONMENTAL FACTORS

ANXIETY: PSYCOLOGICAL STRESS AND TRAUMA

SOMATISATION:REPRESSION OF FEELINGS,

CONVERSION:PHYSICAL EXPRESSION OF PSYCOLOGICAL CONFLICT

DEPRESSION AND SUICIDE:STUDY PRESSURE ,SEPERATION,,CHRONIC ILLNESS,MALADJUSTMENT

AGGRESSIVE BEHAVIOR TOWARDS PARENTS

TEACHERS,SIBLINGS AND FRIENDS

EXPRESSED IN EITHER INDIVIDUALLY OR IN

GROUP

DISTRUPTIVE BEHAVIOR

RISKY BEHAVIOR LIKE

UNSAFE SEX

HAZARDOUS/DRUNKEN DRIVING

SMOKING

SELF HARM PHYSICAL INACTIVITY

EDUCATIONAL FAILURE AND SCHOOL DROP OUTS

ON RISK OF TAKING BEHAVIOR/ADVENTURE

PEER PRESSURE

STRESS

COMMONLY TAKING SUBSTANCES ARE

ALCOHOL

TOBACCO

HEROIN

CANNABIS

PRESCRIPTION DRUGS OPIODS,CNS

STIMULANTS,CNS DEPRESSENTS ETC.

ADVERSE EFFECTS IMPAIMENT OF GENERAL ABILITIES

SENSES

SPEED OF REACTION

CO ORDINATION

THINKING,CONCENTRATION

INCREASED RISK TAKING WITH POOR INHIBITORY CONTROL OVER BEHAVIOR

MOOD CHANGES AND POOR MOOD CONTROL

LEADING TO ACCIDENTS

VIOLENCE

SUICIDE

RISKY SEXUAL BEHAVIOUR

INTERPERSONAL PROBLEMS:PRONE TO PEER CONFLICTS AS PEER ADVICE CONSIDERED DOCTRINAL BY ADOLSCENTS.ROLE OF TEACHERS IMPORTANT

LOVE AFFAIR:USUALLY KIND OF INFATUATION AND IMMATURE,BUT MAY SERIOULY AFFECT STUDIES ,FUTURE LIFE AT TIMES

BODY IMAGE:DUE TO PERSONALITY FACTOR OVER CONCIOUSNESS ABOUT LOOKS,DEISIRE TO BE APPEALING TO THE OPPOSITE SEX

DEPRESSIVE SYMPTOMS

SUICIDAL TENDENCY

PHOBIA

SLEEP DISORDERS

MENTAL DEFICIETS

IRRATIONAL BELIEFS

LOW SELF ESTEEM

BROAD CLASSIFICATION

EMOTIONAL DISORDERS

BEHAVIORAL DISORDERS

PSYCOSES

OTHER MENTAL HEALTH PROBLEMS-SLOW

LEARNER,SCHOOL PHOBIA,COMMON SPEECH

DISORDERS,EPILEPSY ETC,

ALCOHOLIC FATHER

FINANCIAL PROBLEMS

BROKEN FAMILY

PROBLEM WITH PARENTS

SIBLING RIVALRY

SEPERATION FROM HOME

Strong emphasis placed on educational

achievement has put a lot of pressure on

adolescents

This causes a lot of pressure among adloescents

which could cause psychosomatic symptoms like

Headache

Eye strain

Difficulties in concentrating and sleep problems

Some adolescents are slow or retarded in their

development and may not well do in school

Lack of concentration

Difficulty in making career choices

ADOLESCENCE IS ALSO A TIME WHEN THEY

WANTED TO ESTABLISH THEIR IDENTITY

THERE IS SOMUCH DIVERSITY,MOBILITY AND

OPPORTUNITIES FOR ADULTS TO ESTABLISH

THEIR IDENITITY EASILY

IT IS A CHALLENGE FOR ADOLESCENT TO

DECIDE THEIR IDENTITY

EARLY CHILDBEARING AND PARENTHOOD

UNWANTED PREGNANCY

ABORTION

SEXUALLY TRANSIMITTED INFECTION

SOCIAL STIGMA AND ISOLATION

LOSS OF EDUCATON OPPORTUNITY

LONLINESS