Flashcards in 3.5 Learning disability and psychiatric illness Deck (13):
What is the criteria for learning disability?
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
What are some causes of challenging behaviour?
Physical: ear or tooth pain, epilepsy, constipation
Environmental: abuse, deaths/loss, changes
Mental: depression, psychosis
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
Reliance on informants
How can antipsychotics be used in LD?
How can antidepressants be used in LD?
How can anticonvulsants be used in LD?
Bipolar affective disorder
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
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
What are the features of depression in LD?
3x more common
++ somatization: sleep/appetite/energy/concentration/anhedonia
Reduced verbal expression of unhappiness or guilt
What are the feautures of Autism Spectrum Disorder in lD?
up to 30% vs 1% avg population risk
70% have IQ
What is the triad of symptoms in autism?
Abnormal social interaction
Rigid/restricted or repetitive behaviour/ interests and activities