Special Populations: ADHD Flashcards

1
Q

What is ADHD

A

neurologically based disorder that is diagnosed behaviorally

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2
Q

ADHD people will always have what piece?

A

intattention! can’t categorize it by hyperactive always but always can say they have inattention

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3
Q

ADHD is:

A
  1. behavioral
  2. inattention and/or hyperactivity-impulsivity
  3. symptoms must occur before age 12
  4. chronic
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4
Q

DSM 4

A
  1. symptoms before age 7
  2. great info for diagnosing children
  3. asd is an exclusionary criteria
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5
Q

DSM 5

A
  1. symptoms before age 12
  2. updating diagnosis info to include ability to diagnose adults
  3. asd is not a part of exclusionary criteria
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6
Q

3 types of ADHD

A
  1. combined presentation
  2. predominantly inattentive presentation
  3. predominantly hyperactive-impulsive presentation
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7
Q

inattention

A
  1. a lot of things we do behaviorally affect our ability to attend
  2. a lot of these things require executive function
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8
Q

6 or more symptoms of inattention for kids up to age 16- five or more for 17+, symptoms must be present for at least 6 months and they are inappropriate for developmental level:

A
  1. fail to pay attend to detail
  2. difficulty holding attention to an activity
  3. appears not to listen
  4. doesn’t follow through on tasks
  5. difficulty organizing tasks
  6. chooses not to participate in tasks that demand mental effort
  7. loses things
  8. distracted
  9. forgetful
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9
Q

6 or more symptoms of hyperactivity for kids up to 16, (same as with inattention for ages)

A
  1. fidgets
  2. leaves seat
  3. runs about
  4. inability to stay quiet during activities
  5. continuously moving
  6. excessively talks
  7. blurts out answers
  8. impatient
  9. interrupts
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10
Q

Additional criteria for ADHD diagnosis

A
  1. before 12
  2. exhibit symptoms across multiple settings
  3. interferes w/ functioning
  4. not explained by other disorders
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11
Q

Language in children with ADHD

A

show overall language weakness

-probs in pragmatics

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12
Q

Approximately _____% of children w/ ADHD present with language impairment

A

45%

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13
Q

Higher level language in general: where you see adhd manifest itself-do first words on time but struggle with these areas

A
  1. finding mistakes
  2. judging how easily they understood-overestimate their ability so unaware of problems
  3. understand info in science texts-less memories
  4. understand cause-affect relationships-not overt
  5. inferencing
  6. story retelling-comes out jumbled/miss important parts
  7. clarifying
  8. using concise, specific vocabulary
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14
Q

So majority of ADHD kids don’t show a language problem

A

only 45% do

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15
Q

If you have probs w/ attention your _______ is also imapaired

A

memory!

-also problem solving is important to be able to talk about something out loud

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16
Q

Most likely to see problems w/ ______ in adhd kids

A

pragmatics; identifying facial expressions

-have a really hard time doing tasks and staying on topic

17
Q

Treatment of ADHD

A
  1. nonpharmacological interventions (parent training and direct behavioral interventions)
  2. pharmalogical interventions
  3. multimodal
18
Q

For ADHD, pharmalogical tend to have…

A

the best affect on changing symptoms

19
Q

Kids w/ ASD that use pharm drugs tend to engage in

A

self injury more and sleep is affected

20
Q

Direct Behavioral Interventions for ADHD

A
  1. token reinforcement
  2. response cost
  3. time out
  4. token economy
21
Q

token reinforcement

A

half of kids when they did it right got a chip; you stay on task you get a chip

22
Q

response cost

A

you don’t do it and we take away a chip

-teachers would rather do this one

23
Q

token reinforcement and response cost showed:

A

equally as good

24
Q

time out

A

when you remove them from whatever it is they want to do

25
Q

token economy

A

you get chips for good things, taken away for bad, you get to trade it in for something good

26
Q

ADHD symptoms associated w/ communication disabilities include:

A
  1. behavior
  2. expressive language
  3. written language
27
Q

Behavioral symptoms in ADHD

A

task avoidance and off-task

28
Q

Expressive language symptoms in ADHD

A
  1. abandoned problematic utterances
  2. tangential information
  3. excessive talkativeness
  4. shorter utterances
  5. inability to modify language to task
29
Q

written language symptoms in adhd

A

incompetent monitoring and editing skills

30
Q

general management strategies for ADHD

A
  1. consistent program structure and routine
  2. visual schedules
  3. clear, simple instructions
  4. motor activities
  5. consistent/immediate feedback
  6. positive reinforcement
  7. response cost procedures-punishing the bad things you don’t want
  8. intergrated behavior management program across settings
  9. short individual therapy sessions
31
Q

behavioral interventions have been shown to be superior to simulant medications in treating symptoms of adhd (t/f)

A

false

32
Q

which of following is true about behavioral interventions in adhd?

A

token reinforcement is about as effective as response cost reinforcement

33
Q

you can have a diagnosis of adhd w/o having hyperactivity (t/f)

A

true

34
Q

what percentage of children w/ adhd have language impairment?

A

45%

35
Q

symptoms of adhd can interfere w/ speech-language treatment sessions

A

true