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The GenerEhlist - CCFP Exam Prep, Low Risk Obstetrics & Canadian Primary Care Medicine

Jan 17, 2021

CCFP Key Topic 11 - Behavioural Problems in a new tab)

Written By: Chris Cochrane

Reviewed By: Kajsa Heyes

Objective One:
In all patients, when working up a behavioural problem:

a) Ensure a thorough assessment of medical and mental health conditions and psychosocial factors before offering a diagnosis or definitive advice
b) Use a validated assessment tool if available
c) Use multiple sources of information (e.g., workplace, family, school) with consent
d) Explore the patient’s own perspective, not just that of the caregiver

Objective Two:
In assessing behavioural problems in adolescents specifically look for substance use, peer issues, abuse, and other stressors.

Objective Three:
While assessing behavioural problems in a patient,

a) Evaluate the impact of the behaviour

b) Explore any underlying emotional distress with the patient

c) Destigmatize embarrassing behaviours

Objective Four:
When making a diagnosis of a behavioural problem in a patient,

a) Avoid premature labelling of a behaviour as a disorder

b) Follow up with support and regular visits until the situation is clearer and any therapeutic requirements are more evident

Objective Five:
When managing behavioural problems:

a) Assess and address immediate risk for the patient and others

b) Do not limit treatment to medication; address other dimensions (e.g., do not just use amphetamines to treat ADD, but add social skills teaching, time management, etc.) and match to available community resources

Objective Six:
When there is a challenging relationship with a patient with behavioural problems maintain a continuous, therapeutic, and non-judgmental relationship with the patient and family.