5: Arrested intellectual development: clinical features and management Flashcards Preview

Psychiatry Week 3 2018/19 > 5: Arrested intellectual development: clinical features and management > Flashcards

Flashcards in 5: Arrested intellectual development: clinical features and management Deck (13)
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1

The life expectancy of people with learning disabilities is (greater than / less than) average life expectancy.

less than average

2

The life expectancy of patients with learning disabilities is (increasing / decreasing).

Why?

increasing

better care

3

Do people with learning disabilities develop psychiatric disorders?

Yes

Mood disorders, psychosis, personality disorders, eating disorders...

4

Why are people with learning disabilities more likely to develop psychiatric disorders?

Brain pathology - somehow more vulnerable

Fulfill the risk factors - alienation, unemployment, meaningful relationships etc

5

What is learned helplessness?

"Giving up"

People with learning disabilities get used to resistance / failure in every aspect of their lives

6

People with learning disabilities can be ___ ___ of their symptoms, resulting in underdiagnosis of their psychiatric disorders.

talked out

"are you sure you're having hallucinations?"

7

How are delusions and hallucinations described by patients with learning disabilities?

Lacking detail

Paranoia reflective of a lack of understanding of a situation rather than delusive thoughts

8

How does psychiatric illness first present in patients with a learning disability?

Change in behaviour

usually 'acting out'

9

In which four areas should the management of learning disabilities be focused?

Environment - where are they and what support are they getting there

Education - special needs

Social - hobbies, relationships, support network

Communication - hearing aids, glasses, complex needs

10

What are some psychological treatments for learning disabilities?

Behavioural therapy

COGNITIVE behavioural therapy

etc

11

Which drug classes are used in the management of psychiatric illness in those with learning disabilities?

Antipsychotics

Antidepressants

Anticonvulsants

look at these individually

12

What is the triad of features of ALD?

Communication problems

Difficulties with social interaction

Inflexibility of thought and ideas

+/- repetitive movements

13

Which disorder often overlaps with learning difficulties?

Autism spectrum disorder (ASD)