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Mood and Anxiety Disorders in Children and Adolescents



School and going out with my friends used to be fun, but not anymore. Mom keeps telling me just to go out and have fun, but I don’t see the point of trying. All my friends are better than I am. I keep having these headaches and just feel worthless. I used to get As and Bs in school, but not anymore. I can’t concentrate at school. I would rather be at home sleeping.
—Madison, age 16
Mood and anxiety disorders can be particularly challenging to address in childhood and adolescence for many reasons. Children may not be able to fully express or understand their feelings and behaviors. Parents may misattribute or not recognize signs and symptoms. The symptoms of disorders also vary when present in children as opposed to adults. The PMHNP needs to know how to diagnose these conditions and must understand the importance of integrating medication management strategies with both individual and family therapy to optimize treatment outcomes.
Assignment: Patient Education for Children and Adolescents
Patient education is an effective tool in supporting compliance and treatment for a diagnosis. It is important to consider effective ways to educate patients and their families about a diagnosis—such as coaching, brochures, or videos—and to recognize that the efficacy of any materials may differ based on the needs and learning preferences of a particular patient. Because patients or their families may be overwhelmed with a new diagnosis, it is important that materials provided by the practitioner clearly outline the information that patients need to know.

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For this Assignment, you will pretend that you are a contributing writer to a health blog. You are tasked with explaining important information about an assigned mental health disorder in language appropriate for child/adolescent patients and/or their caregivers.
To Prepare
• Please complete your assignment Bipolar Disorder Depressed
• Research signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.
The Assignment
In a 300- to 500-word blog post written for a patient and/or caregiver audience, explain signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.


Sample Solution

2 Associations that promote the new railway system

UNIFE – Is one of the largest and most respected associations in the Railway Industry created at the beginning of the 1991, being formed at the initiative of numerous private railway operators as well as several national railway companies with associate member status in order to cooperate and collaborate for a more efficient harmonization of the railway transportation in Europe. Before its official mandate, private railway operators were dispersed into one of the three existing associations AICMR (Association Internationale des Constructeurs de Matérial Roulant) AFEDEF (Association des Fabricants Europeens d’Equipements Ferroviaires) or CELTE (Constructeurs Europeens des Locomotives Thermiques et Electriques) which had there main headquarters in France.

Because of the rapid need for restructuring in order to organize and anticipate the future of the industry after the implementation of the Single European Act in 1986, changes needed to be made so that the single market system would generate new opportunities and thus, just before it was introduced in 1993, these three associations based in France managed to unite under one big association in 1991 which would inherit all the functions and expertise of the previous ones and thus, the UNIFE was born.
One year after it began its activity, in the spring of 1992, UNIFE was relocated to be closer to the European Institutions in Brussels and ever since it has successfully established a strong communication framework and in the present it serves as a direct representative of the major European railway operators which participate in the manufacturing and design of trains and train parts, maintenance as well as refurbishment of railway equipment and electronic systems, and all other directly appointed activities in the industry. In time,it was decided that national companies that wish to contribute with technical assistance and support so that they can benefit from mutual agreements as well as technological research and advancement might apply for entrance but can only be accepted under the title of “associate member”.
Today the major role that UNIFE’s has revolves around representation in various forms of the general interests of it’s members in the main European as well as international institutions. It’s clear mission states that is must be actively involved in railway industry development so that it can facilitate the creation of the highest level of competitiveness of the industry that will, as a final result, bring innovation on the market and encourage more the use of both commercial and passenger railway transportation.