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CHILD PSYCHOLOGY

Child psychology is the specialized branch of psychology which tends to map into children’s physical, cognitive,

social, emotional and psychological development. It is a specialty that focuses on the psychological

processes of children, and specifically, how these processes differ from those of adults;

how they develop from birth to the end of the teenage years, and how and why there are individual

differences in the development of one child to another.
The department of psychology, under the umbrella of the child and adolescent unit of the Federal Neuro

Psychiatric Hospital, Yaba, has child psychologists, who attempt to make sense of every aspect of

a child’s development. Some of these areas of development include how children learn, think,

interact and respond psychologically and emotionally to those around them. Other areas are how they make

friends, understand emotions and their own developing personalities, temperament and skills.
Children typically achieve developmental milestones which reflect abilities such as neck control,

babbling, crawling, talking and walking that are achieved by most children at similar ages.

Among other things, we as child psychologists are interested in trying to explore how children

attainthese milestones; and how an individual’s social, cultural and religious environment may influence his/her childhood.

         

 

WELCOME TO
THE CHILD AND ADOLESCENT
MENTAL HEALTH SERVICE CENTRE

of the Federal Neuropsychiatric Hospital, Yaba, Lagos.
   


 

Hello Friends,

The Child and Adolescent Mental Health Service Centre (CAMHSC) of the Federal Neuropsychiatric Hospital,Yaba, Lagos is situated in the densely populated region of Oshodi, in Lagos State, Nigeria. It is the largest Child and Adolescent Mental Health Service Centre in the country Nigeria with a clientele base of almost 15,000 registered cases as at the end of the year 2016.

The centre was founded on the 13th of May 1999 under the leadership of a foremost psychiatrist in the country,Dr Malomo Idowu. The mantle for running this novel centre in the country then rested heavily on another very senior psychiatrist Dr (mrs) Ogun Oluwayemi Cecelia who has run the centre effectively from then up to this day. She has been joined by two other seasoned psychiatrists since 2009; Dr. Ijarogbe Temitayo Grace and Dr. Bello-Mojeed Moshudat both of whom she mentored and trained along with other national and internationally trained and based child psychiatrists such as Professor Olayinka Omigbodun who is the immediate past president of the IACAPAP (International Association for Child and Adolescent Psychiatrists and Allied Professionals) domiciled at the University College Hospital Ibadan,  Dr Cornelius Ani from the United Kingdom, Professor Brian Robertson form South Africa, Patricia Ibeziakor from the U.S., Divan Guari from India and others within the national system like Reader Ikeoluwa Olagunju (foremost Neurologist at UCH), Helen Osinowo (foremost Psychologists at UCH), Olayinka Egbokare and a host of others to deliver Child and Adolescent Mental Health (CAMH) Services both within our Lagos hospitals and out in the peculiar Nigerian community. 

Because of the rarity of the CAMH field on the African continent, the centre has often had to embark upon widespread campaign and media outreach to the community to alert the public about child mental health issues. The response from Lagos suburbs and beyond has been phenomenal showing that there is a great need for CAMH services but that the awareness hitherto had been low. This process of public enlightenment has been heavily aided by all the Medical Directors since 1999 since most of them have a passion for making outstanding progress in clinical services and developing community targeted management of cases and research. Their support and drive for excellence in this centre has been very help in the last couple of years for advancing the course of the Centre.

There is a dearth of intersectoral collaboration for CAMH services and poor recognition of child mental health symptoms among the populace. Because of this, the centre has focussed deeply on the training of teachers in regular and special needs schools on CAMH issues yearly. Recognition of mental illness in children by these teacher we hope should encourage referral of these children from their schools to the hospitals. Also on our target are other important stakeholders in early child development hindrance detection services, such as the individuals working at immunization centres, tertiary paediatric centres and the primary health care centres. Some of these centres especially in the rural areas are still usually manned by nurses and community health extension workers.
The centre now facilitates the training of nurses from these key centres all across the country in conjunction with their training centres and colleges on yearly basis. It is our dream that in the next ten years, the trajectory effect of these training sessions will make CAMH awareness and the development of intervention services enormous in the Nigerian community.

Our General Medical Practitioners are not left out. They are one of our subtle targets for training. It amazes us so many a-time at this Child Mental Health facility when adolescents contact us for the first time despite having had several previous contacts with their family physicians since their early life without ever having been referred for their obvious mental health condition(s).

The multimodal approach to management of CAMH cases has now been so entrenched within our hospital services such that all the mental health professionals working in CAMH exist under the same roof. This significantly helps to minimize the stress that parents experience while attempting to access the different professionals involved in their child's care. The presence of the multidisciplinary team and the integration of their services under one roof is perhaps what stands this CAMHS Centre tall among other centres in the country.

By far, we are not yet at our desired goal. It is our hope that within a few years, this centre will be able to drive for full intersectoral collaboration of all the major stakeholders involved in child services in the community. This hopefully should give birth to the creation of non existing services like respite homes, dedicated vocational centres for the children, autism training schools and other Special Needs schools, functional and efficient social welfare support services and insurance cover for children seeking medical treatment within the country. We also hope other government and non-governmental agencies will also participate with us to drive for improved CAMH services as well as its requisite legislation over time.


OUR SERVICES

  • 1.  Consult with the psychiatrist
  • 2.  Meet the family physician if you need to
  • 3.  Acclimatize yourself with our courteous nurses
  • 4.  Talk to the psychologists
  • 5.  Pay for all your services at the accounts office
  • 6.  Check on the pharmacist for your medications
  • 7.  Have you met the speech and language therapist?
  • 8.  Look in on the education unit for your child’s school placement recommendations
  • 9.  Complain to and ask for assistance with school, home, finance, government      services etc. from the social welfare officers
  • 10. Locate a suitable school close to you with the help of our educational needs officers
  • 11. Re-adjust your child back to meaningful living at the occupational therapy unit
  • 12. Get your child into shape and form with our physiotherapists
  • 13. Ask the unit caregivers for assistance with child care
  • 14. Request for all your investigations at the laboratory
  • 15. Visit the Electroencephalogram laboratory for your EEG
  • 16. Make diverse enquiries about your child's care with our liaison officers
  • 17. Join a support group relevant to your situation
  • 18. Request for referral to any child medical and non-medical centre in the world

Who Is A Child And Adolescent Psychiatrist

The child and adolescent psychiatrist is a physician who specializes in the diagnosis and the treatment of disorders of thinking, feeling and/or behavior affecting children, adolescents, and their families. A child and adolescent psychiatrist offers families the advantages of a medical education, the medical traditions of professional ethics, and medical responsibility for providing comprehensive care.
The child and adolescent psychiatrist uses the knowledge of biological, psychological, and social factors in working with patients. Initially, a comprehensive diagnostic examination is performed to evaluate the current problem with attention to its physical, genetic, developmental, emotional, cognitive, educational, family, peer, and social components. The child and adolescent psychiatrist arrives at a diagnosis and diagnostic formulation which are shared with the patient and family. The child and adolescent psychiatrist then designs a treatment plan which considers all the components and discusses these recommendations with the child or adolescent and family. An integrated approach may involve individual, group or family psychotherapy; medication; and/or consultation with other physicians or professionals from schools, juvenile courts, social agencies or other community organizations. In addition, the child psychiatrist is prepared and expected to act as an advocate for the best interests of children and adolescents. Child and adolescent psychiatrists perform consultations in a variety of settings (schools, juvenile courts, social agencies).


 


WELCOME TO
THE CHILD AND ADOLESCENT
MENTAL HEALTH SERVICE CENTRE

of the Federal Neuropsychiatric Hospital, Yaba, Lagos.


TEEN SUCIDES

Suicides among young people continue to be a serious problem. Each year around the world., thousands of teenagers commit suicide. Suicide is the third leading cause of death for 15-to-24-year-olds, and the sixth leading cause of death for 5-to-14-year-olds.

Teenagers experience strong feelings of stress, confusion, self-doubt, pressure to succeed, financial uncertainty, and other fears while growing up. For some teenagers, divorce, the formation of a new family with step-parents and step-siblings, or moving to a new community can be very unsettling and can intensify self-doubts. For some teens, suicide may appear to be a solution to their problems and stress.

Depression and suicidal feelings are treatable mental disorders. The child or adolescent needs to have his or her illness recognized and diagnosed, and appropriate treatment plans developed. When parents are in doubt whether their child has a serious problem, a psychiatric examination can be very helpful.

Many of the signs and symptoms of suicidal feelings are similar to those of depression.

Parents should be aware of the following signs of adolescents who may try to kill themselves:

  • change in eating and sleeping habits
  • withdrawal from friends, family, and regular activities
  • violent actions, rebellious behavior, or running away
  • drug and alcohol use
  • unusual neglect of personal appearance
  • marked personality change
  • persistent boredom, difficulty concentrating, or a decline in the quality of schoolwork
  • frequent complaints about physical symptoms, often related to emotions, such as stomachaches, headaches, fatigue, etc.
  • loss of interest in pleasurable activities
  • not tolerating praise or rewards

A teenager who is planning to commit suicide may also:

  • complain of being a bad person or feeling rotten inside
  • give verbal hints with statements such as: I won't be a problem for you much longer, Nothing matters, It's no use, and I won't see you again
  • put his or her affairs in order, for example, give away favorite possessions, clean his or her room, throw away important belongings, etc.
  • become suddenly cheerful after a period of depression
  • have signs of psychosis (hallucinations or bizarre thoughts)

If a child or adolescent says, I want to kill myself, or I'm going to commit suicide, always take the statement seriously and immediately seek assistance from a qualified mental health professional. People often feel uncomfortable talking about death. However, asking the child or adolescent whether he or she is depressed or thinking about suicide can be helpful. Rather than putting thoughts in the child's head, such a question will provide assurance that somebody cares and will give the young person the chance to talk about problems.

If one or more of these signs occurs, parents need to talk to their child about their concerns and seek professional help from a physician or a qualified mental health professional. With support from family and appropriate treatment, children and teenagers who are suicidal can heal and return to a more healthy path of development.


ASPERGERS DISORDER

Asperger’s Disorder was a term previously used to describe one of the pervasive developmental disorders. Children and adolescents diagnosed with Asperger’s Disorder had problems in the development of social skills, often experiencing difficulty interacting with peers. They also tended to display unusual, eccentric or repetitive behaviors.

Asperger’s Disorder was sometimes referred to “high functioning autism.” This is because many of the children diagnosed with the disorder had average or above average intelligence and near normal development of speech and language.


In 2013, the diagnosis of Asperger’s Disorder was removed from the newly revised Diagnostic and Statistical Manual (DSM-5). Children previously diagnosed with Asperger’s Disorder were included in the broader category of Autism Spectrum Disorder. The new definition covers children who display problems with communication and social interactions. For example, they may respond inappropriately in conversations or misread non-verbal cues. They may also have difficulty building friendships appropriate to their age. In addition, children with Autism Spectrum Disorder may be overly dependent on routines, unusually sensitive to changes in their environment, or intensely focused on specific items.

The decision to combine the categories grew out of research demonstrating that Asperger’s was not actually a separate “disorder.” Instead, children previously diagnosed with Asperger’s were better and more accurately described as having a disorder “on the autism spectrum.” Researchers also hope that the improved accuracy and consistency of the diagnosis will lead to enhanced research on the cause, treatment and ultimately prevention of Autism Spectrum Disorders.

Child and adolescent psychiatrists have the training and expertise to evaluate Autism Spectrum Disorders. They can also work with families to design appropriate and effective treatment programs. Currently, the most effective treatment for Autism Spectrum Disorder involves a combination of psychotherapy, special education, behavior modification, and support for families. Some children will also benefit from treatment with medication.

The outcome for children with Autism Spectrum Disorders is related to intellectual functioning and communication skills. Children with normal or above normal intelligence and normal or near normal speech and language often finish high school and attend college. Although difficulties with social interaction and awareness may persist, they can often do well in specific work settings and develop lasting relationships with family and friends. Access to ongoing counseling, support and assistance increases the likelihood of a positive and successful outcome.


CONDUCT DISORDER

"Conduct disorder" refers to a group of behavioral and emotional problems in youngsters. Children and adolescents with this disorder have great difficulty following rules and behaving in a socially acceptable way. They are often viewed by other children, adults and social agencies as "bad" or delinquent, rather than mentally ill. Many factors may contribute to a child developing conduct disorder, including brain damage, child abuse or neglect, genetic vulnerability, school failure, and traumatic life experiences.

Children or adolescents with conduct disorder may exhibit some of the following behaviors:

Aggression to people and animals

Destruction of Property

Deceitfulness, lying, or stealing

  • has broken into someone else's building, house, or car
  • lies to obtain goods, or favors or to avoid obligations
  • steals items without confronting a victim (e.g. shoplifting, but without breaking and entering)

Serious violations of rules

  • runs away from home

Children who exhibit these behaviors should receive a comprehensive evaluation by an experience mental health professional. Many children with a conduct disorder may have coexisting conditions such as mood disorders, anxiety, PTSD, substance abuse, ADHD, learning problems, or thought disorders which can also be treated. Research shows that youngsters with conduct disorder are likely to have ongoing problems if they and their families do not receive early and comprehensive treatment. Without treatment, many youngsters with conduct disorder are unable to adapt to the demands of adulthood and continue to have problems with relationships and holding a job. They often break laws or behave in an antisocial manner.

Treatment of children with conduct disorder can be complex and challenging. Treatment can be provided in a variety of different settings depending on the severity of the behaviors. Adding to the challenge of treatment are the child's uncooperative attitude, fear and distrust of adults. In developing a comprehensive treatment plan, a child and adolescent psychiatrist may use information from the child, family, teachers, community (including the legal system) and other medical specialties to understand the causes of the disorder.

Behavior therapy and psychotherapy are usually necessary to help the child appropriately express and control anger. Special education may be needed for youngsters with learning disabilities. Parents often need expert assistance in devising and carrying out special management and educational programs in the home and at school. Home-based treatment programs such as Multisystemic Therapy are effective for helping both the child and family.Treatment may also include medication in some youngsters, such as those with difficulty paying attention, impulse problems, or those with depression.

Treatment is rarely brief since establishing new attitudes and behavior patterns takes time. However, early treatment offers a child a better chance for considerable improvement and hope for a more successful future.


ATTENTION-DEFICIT HYPERACTIVITY DISORDER

Supported by a grant from The Klingenstein Third Generation Foundation.

Parents are distressed when they receive a note from school saying that their child won't listen to the teacher or causes trouble in class. One possible reason for this kind of behavior is Attention Deficit/Hyperactivity Disorder (ADHD).

Even though the child with ADHD often wants to be a good student, the impulsive behavior and difficulty paying attention in class frequently interferes and causes problems. Teachers, parents, and friends know that the child is misbehaving or different but they may not be able to tell exactly what is wrong.

Any child may show inattention, distractibility, impulsivity, or hyperactivity at times, but the child with ADHD shows these symptoms and behaviors more frequently and severely than other children of the same age or developmental level. ADHD occurs in 3-5% of school age children. ADHD typically begin in childhood but can continue into adulthood. ADHD runs in families with about 25% of biological parents also having this medical condition.
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A child with ADHD often shows some of the following:

  • trouble paying attention
  • inattention to details and makes careless mistakes
  • easily distracted
  • loses school supplies, forgets to turn in homework
  • trouble finishing class work and homework
  • trouble listening
  • trouble following multiple adult commands
  • blurts out answers
  • impatience
  • fidgets or squirms
  • leaves seat and runs about or climbs excessively
  • seems "on the go"
  • talks too much and has difficulty playing quietly
  • interrupts or intrudes on others

There are three types of ADHD. Some people have only difficulty with attention and organization. This is also sometimes called Attention Deficit Disorder or ADD. This is ADHD inattentive subtype. Other people have only the hyperactive and impulsive symptoms. This is ADHD-hyperactive subtype. The Third, and most commonly identified group consists of those people who have difficulties with attention and hyperactivity, or the combined type.

A child presenting with ADHD symptoms should have a comprehensive evaluation. Parents should ask their pediatrician or family physician to refer them to a child and adolescent psychiatrist, who can diagnose and treat this medical condition. A child with ADHD may also have other psychiatric disorders such as conduct disorder, anxiety disorder, depressive disorder, or bipolar disorder. These children may also have learning disabilities.

Without proper treatment, the child may fall behind in schoolwork, and friendships may suffer. The child experiences more failure than success and is criticized by teachers and family who do not recognize a health problem.

Research clearly demonstrates that medication can help improve attention, focus, goal directed behavior, and organizational skills. Medications most likely to be helpful include the stimulants (various methylphenidate and amphetamine preparations) and the non-stimulant, atomoxetine. Other medications such as guanfacine, clonidine, and some antidepressants may also be helpful.

Other treatment approaches may include cognitive-behavioral therapy, social skills training, parent education, and modifications to the child’s education program. Behavioral therapy can help a child control aggression, modulate social behavior, and be more productive. Cognitive therapy can help a child build self-esteem, reduce negative thoughts, and improve problem-solving skills. Parents can learn management skills such as issuing instructions one-step at a time rather than issuing multiple requests at once. Education modifications can address ADHD symptoms along with any coexisting learning disabilities.
Video: ADHD Treatment Options (use your browser's back button to return to this page.)

A child who is diagnosed with ADHD and treated appropriately can have a productive and successful life.
Video: ADHD and Supporting School Success

For additional information, click here to listen to an ADHD expert (free account necessary).

DEPRESSION IN CHILDREN AND TEENS

Not only adults become depressed. Children and teenagers also may have depression, as well. The good news is that depression is a treatable illness. Depression is defined as an illness when the feelings of depression persist and interfere with a child or adolescent’s ability to function.

About 5 percent of children and adolescents in the general population suffer from depression at any given point in time. Children under stress, who experience loss, or who have attentional, learning, conduct or anxiety disorders are at a higher risk for depression. Depression also tends to run in families.

The behavior of depressed children and teenagers may differ from the behavior of depressed adults. Child and adolescent psychiatrists advise parents to be aware of signs of depression in their youngsters.

If one or more of these signs of depression persist, parents should seek help:

  • Frequent sadness, tearfulness, crying
  • Decreased interest in activities; or inability to enjoy previously favorite activities
  • Hopelessness
  • Persistent boredom; low energy
  • Social isolation, poor communication
  • Low self esteem and guilt
  • Extreme sensitivity to rejection or failure
  • Increased irritability, anger, or hostility
  • Difficulty with relationships
  • Frequent complaints of physical illnesses such as headaches and stomachaches
  • Frequent absences from school or poor performance in school
  • Poor concentration
  • A major change in eating and/or sleeping patterns
  • Talk of or efforts to run away from home
  • Thoughts or expressions of suicide or self destructive behavior

A child who used to play often with friends may now spend most of the time alone and without interests. Things that were once fun now bring little joy to the depressed child. Children and adolescents who are depressed may say they want to be dead or may talk about suicide. Depressed children and adolescents are at increased risk for committing suicide. Depressed adolescents may abuse alcohol or other drugs as a way of trying to feel better.

Children and adolescents who cause trouble at home or at school may also be suffering from depression. Because the youngster may not always seem sad, parents and teachers may not realize that troublesome behavior is a sign of depression. When asked directly, these children can sometimes state they are unhappy or sad.

Early diagnosis and treatment are essential for depressed children. Depression is a real illness that requires professional help. Comprehensive treatment often includes both individual and family therapy. For example, cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) are forms of individual therapy shown to be effective in treating depression. Treatment may also include the use of antidepressant medication. For help, parents should ask their physician to refer them to a qualified mental health professional, who can diagnose and treat depression in children and teenagers.

 

S/N ARTICLES TITLE AUTHOURS PUBLISHED DATE  
         
1 Bed Wetting –What Parents Should Know Dr. Ogun O. C.    
2 Caring for Children with Special Needs Dr. Ogun O. C.    
 3  The Restless child  DR EZE C. N    
4 Challenges and Hope for children with Mental Health Disorder

 Miss S.O.S

   
5

Autism Disorders

 Akingbohungbe A    
6  Convulsions and Seizures Dr. Afe T. O    
7  HOW TO HELP A CHILD WITH CONVULSION C&A Center    
8 Child Abuse Dr. Nwagbo    
9

Stress Management for Caregiver of Children with Mental Ill-health

Caleb Ademola Gbiri    
10 Juvenile Delinquent Dr Ijarogbe    
11 Separation Anxiety Damilola Alliu    
12

Child Psychology

Ronke Oginni    

FACT FOR FAMILY GUIDE

Not all children grow from infancy through their adolescent years without experiencing some bumps along the way. While every child is unique and special, sometimes they encounter emotions, feelings or behavior that cause problems in their lives and the lives of those around them. Families often worry when their child or teenager has difficulty coping with things, feels sad, can't sleep, gets involved with drugs, or can't get along with family or friends.

AACAP's Facts for Families provide concise and up-to-date information on issues that affect children, teenagers, and their families. AACAP provides this important information as a public service and the Facts for Families may be duplicated and distributed free of charge as long as the American Academy of Child and Adolescent Psychiatry is properly credited and no profit is gained from their use.

 

New and Updated Facts for Families

  • Gangs and Children - Gangs are groups of children, adolescents and young adults who share a common identity and are involved in wrongful or delinquent activities.

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Pediatric chronic physical illness and adult psychiatric disorders are substantial sources of burden for family care-takers, but little attention has been paid to parental burden resulting from children's or adolescents' psychiatric disorders.

Child and adolescent psychiatry or Pediatric Psychiatry is a branch of psychiatry that focuses on the diagnosis, treatment, and prevention of mental disorders in children, adolescents, and their families. It investigates the biopsychosocial factors that influence the development and course of these psychiatric disorders and treatment responses to various interventions.Contact our Child & Adolescent Mental Health Service Center
08155170000, 09060001907

Someone with substance abuse disorder (drugs or alcohol) and mental illness (depression, PTSD, anxiety, OCD, etc.), the diagnosis is called a co-occurring disorder. Any combination of mental health disorders and substance abuse or addiction qualifies for this diagnosis (sometimes referred to as a dual diagnosis), such as alcoholism and depression, anorexia and cocaine dependence, post-traumatic stress disorder and heroin addiction, prescription drug dependence and anxiety, and more.

For proper diagnosis and treatment contact our Co-occuring treatment Center on 08155170000, 09060001907

At Total Diagonistic Center we provide special medical diagonistic services. Eminent Services, unmatched image quality and superior diagnostic capability make YabaTotal Diagnostics Center, the premier service provider and the centre of choice for numerous clients in Nigeria.

Individual differences in posttraumatic response and recovery are the result of complex interactions among person, event, and environmental factors. These interactions define the interrelationship of individual and community and together may foster or impede individual recovery. In attending to the social, cultural and political context of victimization and acknowledging that survivors of traumatic experiences may recover without benefit of clinical intervention.

For treatment and counseling contact  Traumatic & Disorder Center on 08155170000, 09060001907

Research

 Hospital Pioneers Research on Biological Psychiatry On Wednesday, 28th September, 2011, the hospital hosted a seminar titled “Building capacity for Neurobiological research: Endophenotype-based...Read More

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As an accredited post-graduate trainer for psychiatric Residency, the hospital takes in doctors for the six-year training on a yearly basis.

Medical students from all over the country also come for one research, training or the other while Nurses from various nursing institutions are also posted here for clinical experience... Read More

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