10/17 Neurodevpt Disorders - Petti Flashcards Preview

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Flashcards in 10/17 Neurodevpt Disorders - Petti Deck (47)
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1

differences in assessing child/adolescent (as compared to assessing adult)

  • neurodevpt changes
    • cognitive
    • emotional
  • relative importance of the environment
  • need to consider motivation for seeking help (often due to parent/teacher request)
  • need to differentiate normally expected behaviors from psychopathology
    • ex. we expect to see oppositional/defiant behavior in the "terrible twos" and adolescence → separation/individuation phases in which this is normal
  • need for indirect methods of assessment in young children

2

pearls for neurodevpt disorder classification criteria

 

intellectual disability

ASD

language disorder

social (pragmatic) communication disorder

specific learning disorder

devpt coordination disorder

stereotyped movement disorder

intellectual disability

  • low intelligence
  • need for special help to cope with life in conceptual, social, practical domains

autism spectrum disorder

  • impaired social interactions and communication
  • stereotyped interest and behavior from early life

language disorder

  • delay using spoken and written language
  • notable for small vocabulary, sents grammatically incorrect, trouble understanding sents/words

social (pragmatic) communication disorder

  • have adequare vocabulary, ability to create sentences BUT unable to use language practically
  • conversations/writing tend to be inapprop

specific learning disorder

  • problems with reading, written expression, mathematics beyond expected for age

developmental coordination disorder

  • motor coordination slowly developed

stereotyped movement disorder

  • repeated rocking, head banging, skin or body orifice picking, or biting that is STEREOTYPED

3

pearls for neurodevpt disorder classification criteria

 

intellectual disability

ASD

language disorder

social (pragmatic) communication disorder

specific learning disorder

devpt coordination disorder

stereotyped movement disorder

intellectual disability

  • low intelligence
  • need for special help to cope with life in conceptual, social, practical domains

4

pearls for neurodevpt disorder classification criteria

 

intellectual disability

ASD

language disorder

social (pragmatic) communication disorder

specific learning disorder

devpt coordination disorder

stereotyped movement disorder

autism spectrum disorder

  • impaired social interactions and communication
  • stereotyped interest and behavior from early life

5

pearls for neurodevpt disorder classification criteria

 

intellectual disability

ASD

language disorder

social (pragmatic) communication disorder

specific learning disorder

devpt coordination disorder

stereotyped movement disorder

language disorder

  • delay using spoken and written language
  • notable for small vocabulary, sents grammatically incorrect, trouble understanding sents/words

6

pearls for neurodevpt disorder classification criteria

 

intellectual disability

ASD

language disorder

social (pragmatic) communication disorder

specific learning disorder

devpt coordination disorder

stereotyped movement disorder

social (pragmatic) communication disorder

  • have adequare vocabulary, ability to create sentences BUT unable to use language practically
  • conversations/writing tend to be inapprop

7

pearls for neurodevpt disorder classification criteria

 

intellectual disability

ASD

language disorder

social (pragmatic) communication disorder

specific learning disorder

devpt coordination disorder

stereotyped movement disorder

specific learning disorder

  • problems with reading, written expression, mathematics beyond expected for age

8

pearls for neurodevpt disorder classification criteria

 

intellectual disability

ASD

language disorder

social (pragmatic) communication disorder

specific learning disorder

devpt coordination disorder

stereotyped movement disorder

developmental coordination disorder

  • motor coordination slowly developed

9

pearls for neurodevpt disorder classification criteria

 

intellectual disability

ASD

language disorder

social (pragmatic) communication disorder

specific learning disorder

devpt coordination disorder

stereotyped movement disorder

stereotyped movement disorder

  • repeated rocking, head banging, skin or body orifice picking, or biting that is STEREOTYPED

10

pearls for neurodevpt disorder classification criteria

 

Tourette's disorder

persistent/chronic motor or vical tic disorder

Tourette's disorder

  • multiple vocal and motor tics throughout day
  • duration from onset > 1yr

persistent (chronic) motor or vocal tic disorder

  • vocal OR motor tics → not both
  • duration from onset > 1yr

provisional tic disorder

  • tics lasting < 1yr

11

pearls for neurodevpt disorder classification criteria

 

ADHD

attention-deficit/hyperactivity disorder

  • inattentive, hyperactive, or impulsive (3 presentations)

12

pearls for neurodevpt disorder classification criteria

 

ODD

oppositional defiant disorder

  • various forms of persistent negative behaviors
  • duration from onset is important

13

pearls for neurodevpt disorder classification criteria

 

CD

conduct disorder

  • persistent violation of rules/rights of others
  • duration from onset is important

14

pearls for neurodevpt disorder classification criteria

 

disruptive mood dysregulation disorder

disruptive mood dysregulation disorder

  • persistently negative, irritable mood between temper outbursts

 

15

pearls for neurodevpt disorder classification criteria

 

MDD

major depressive disorder

  • SIG E CAPS

sleep, interest, guilt/worthless/hopelessness, energy, concentration, appetite, psychomotor, SI/HI

 

16

pearls for neurodevpt disorder classification criteria

 

separation anxiety disorder

  • anxious and fearful when separated from parents or home
  • does not need to begin before 18

17

pearls for neurodevpt disorder classification criteria

 

generalized anxiety disorder

  • worry about everything
  • feel tense
  • feel anxious much of the time

kids need 1/3, adults need 3/3

18

pearls for neurodevpt disorder classification criteria

 

social anxiety disorder

  • imagine being embarassed when speaking, writing, eating in public

19

pearls for neurodevpt disorder classification criteria

 

PTSD

  • repeated reliving of severely traumatic event

20

pearls for neurodevpt disorder classification criteria

 

pica

  • eating non-food material

21

pearls for neurodevpt disorder classification criteria

 

encopresis

enuresis

encopresis

  • repeated defecation after age 4

enuresis

  • repeated voiding urin into clothing/bed after age 5

22

intellectual disability

aka

intellectual developmental disorder

 

***exam

onset during devptal period

3 of following criteria reqd:

  • deficits in intellectual fx confirmed by BOTH clinical assessment and individualized/standardized intelligence testing
  • inability to meet standards for social responsibility and independent learning
    • communication
    • social participation
    • indep living across environments
  •  

23

clinical features of intellectual disability

 

by severity

more severe:

  • early manifestation of delayed fx and clinical sx
  • dysmorphic features
  • decreased adaptive fx over time

less severe:

  • later manifestation of sx
  • more normal appearance
  • increased ability to adapt

 

psych sx more common in this pop than in general pop

24

mild intellectual disability vs genpop

 

conceptual domain

preschool: no obvious diffs

school-age: difficulties learning academic skills (support needed in 1+ areas)

adults: imparied abstract thinking, executive fx, short term memory, fx use of academic skills

 

more concrete approach to prob solving

25

mild intellectual disability vs genpop

 

social domain

immature social interactions

  • difficulty accurately perceiving social cues
  • communication/conversation/lang more concrete or immature than expected for age
  • difficulty regulating emotion and behavior in age-approp fashion
  • poor understanding of risk in social situations
  • poor social judgment, high gullibility

26

mild intellectual disability vs genpop

 

practical domain

age-approp personal care BUT need some support with complex daily living tasks

  • grocery shopping
  • transport
  • food prep

support typically needed to make health care and legal decisions, to learn to perform a skilled vocation, to raise a family

27

intellectual disability

 

IQ and level of fx

(mild vs mod vs severe)

mild: 50-55 → 70

  • usually fine academically to 6th grade level
  • conform socially by late teens
  • can be self-supporting in adulthood with ltd guidance needed (unusual social/economic stressors)

moderate: 35-40 → 50-55

  • ceiling is 2nd grade level
  • may learn to travel alone in familiar places

severe: 20-25 → 35-40

  • relatively non-fx

28

intellectual disability: etiology

approx 50% organic

  • known insults from antenatal period

approx 50% unknown

  • most have mild ID, prob with genetic basis yet to be discovered

 

more than 750 known genetic causes! many have known behavioral pattersn

29

Prader Willi syndrome

vs

Angelmann's Syndrome

absence of active paternal gene (15q11.13)

  • mild-mod intellectual disability
  • hyperphagia → obese

absence of active maternal gene (15q11.13)

  • mod-severe intellectual disability with motor delays

30

Fragile X syndrome

2nd most common intellectual disability due to chromosomal abnormality

  • devpt delays, mild-mod ID
  • connective tissue dysplasia
  • gaze aversion
  • macroorchidism
  • appear to have large ears