3.5 Learning disability and psychiatric illness Flashcards Preview

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Flashcards in 3.5 Learning disability and psychiatric illness Deck (13):
1

What is the criteria for learning disability?

IQ

2

What does dual diagnosis mean?

It means a diagnosis of psychiatric disorder in people with learning disability
3x more common to have psychiatric disorder vs. avg

3

What are some causes of challenging behaviour?

Physical: ear or tooth pain, epilepsy, constipation
Environmental: abuse, deaths/loss, changes
Mental: depression, psychosis

4

What assessment should you do in Learning disability?

Nature and severity of LD
Current problems, and their history
Predisposing, ppt and perpetuating factors
Full hx, and family hx
Physical exam- Full
Mental state exam
Environmental and social factors

also assess:
Support Network
Reliance on informants

5

How can antipsychotics be used in LD?

To treat:
-psychosis
-behavioural disturbance
-autism
-ADHD

6

How can antidepressants be used in LD?

To treat:
-depression
-anxiety disorders
-self injury
autism

7

How can anticonvulsants be used in LD?

To treat:
Bipolar affective disorder
Episodic dyscontrol

8

What are the cautions against using pharmacotherapy in LD?

Comorbid physical disorders may limit therapeutic use: epilepsy, constipation
Atypical responses- with increased or decreased sensitivity, and paradoxical reactions
Evidence base is often lacking

9

What are the features of schizophrenia in LD?

3x more common
Avg onset earlier- 23
Negative symptoms more common
PC: behaviour change

In severe LD: unexplained aggression, bizarre behaviour, social withdrawal, mood lability, increased mannerisms or stereotyped

10

What are the features of depression in LD?

3x more common
++ somatization: sleep/appetite/energy/concentration/anhedonia
Reduced verbal expression of unhappiness or guilt

11

What are the feautures of Autism Spectrum Disorder in lD?

up to 30% vs 1% avg population risk
70% have IQ

12

What is the triad of symptoms in autism?

Abnormal social interaction
Communication impairment
Rigid/restricted or repetitive behaviour/ interests and activities

13

What is the treatment approach in autism?

Structure
Routine
Predictability
Communication