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Flashcards in Autism Deck Deck (14)
1

What are the Anti-Autism Medicatoins? 

2 Antipsychotic Meds used for "irritability due to autism"

 

Ariprazole

Risperidone 

SSRIs used for compulsive/anxiety behaviors in autism can WORSEN symptoms

 

Co-occuring ADHD is commone so give either Methylphenidate (ridolin) or non-stimulant Atomexitine (alpha agonist) 

2

What are some key milestones to look for in early social development of a child? 

Relating to others with warmth and pleasure

Continuous Flow and Reciprocity in engaging people 

back and forth gesturing and vocalization

Problem solving

two-way communication

words 

4

What is Autism Spectrum disoder? 

Kids who either regress to have or never develop deficits in social communication or ineraction such as: 

- using communcication as a functional goal in a relationship

- social reciprocity (differential includes hearing/vision problems or neglect/abuse can cause as well)

- Nonverbal communcations

-understanding relationships

Kids also often exhibit: 

-restricted repetitive behaviors or patterns - stereotype movmenments or rigid adherence to patterns and fixed interests 

-symptoms of functional impairment

 THAT can not solely be explained by intellectual capacity 

6

Describe the gender differences in autism? 

Prevalence is 4:1 M>F

but females tend to have more severe intellectual disability

8

What are some neurobiological considerations/clues in brain development? 

Co-occuring seizures are common - do neuro testing!!!

Can see elevated peripheral serotonin levels

Stereotypic movements suggest a role for Da

Increase in Brain Size

fMRI shows difficulties with tasks involving facial expression 

can see alterations in WM 

10

Risk Factors for Autism 

Advanced maternal or paternal age

Extreme Prematurity (

Closer spacing of pregnancies

MORE OCCURENCE IN SIBLINGS

 

Family recurrence among siblings is 2-10% and up to 18% if broad spectrum autism is considered 

12

Essential vs syndromic Autism - main points 

Essential Autism see no clear link with genetic findings or abnormalities (no dysmorphic features) and higher 6:1 Male to Female recurrence rate; higher sibling recurrence and family history

vs

 

Syndromic Autism is more align with recognizable patterns of dysmorphic features, lower male:female 3:1 ratio, lower sibling recurrence and familty history -- Genetic Testing can help see like Karyotypes etc 

14

When does screening for autism occur? 

Universal screening at 18 and 24 months with a questionaire so you can know by age 2 and interject 

16

How can you test for intellectual disability? 

test for deficits in intellectual functions by both clinical evaluation  and standardized testing....IQ test

 

usually >2 SD below population mean 

meaning IQ approximately

18

What is Adaptive Functioning? 

How well you deal with day to day functioning - often autism kids have deficits hear that onset during development 

 

Severity of Autism now more based on Adaptive functioning vs IQ

20

What are the 3 domains for judging severity of autism?

Conceptual: reading, math, writing, knowledge and memory

Social: empathy, social judgment, interersonal communication and skills, ability to make and maintain friends

Practical: personal care, job responsibility, money management, recreation, organizing tasks 

22

What other conditions might be on the differential and why is it important to consider those? 

infectious - like encephalitis causes

Endocrine (Hypothyroid) and Metabolic (homocystinyurea) are important to consider bc you CAN TREAT THESE!!!!!

 

Trauma or Neglect

Toxicity

Genetic syndromes - with other worrisome health predisposisitons 

24

What do you consider in the Psychiatric workup for Autism/Intellectual Disabiliyt? 

MEdical considerations - sometimes kids act out when have tooth pain, GERD etc

Developmental considerations - Identifiy when these are occuring and and put behavior in developmental context - are these behaviors learned?

 

Environmental Considerations - increased sensitiivty to changes in environment/transitions 

26

What is Self-Injurious behavior sometimes indicative of? How can you prevent it? 

Self-Injurious behavior oftem serves a function for child (especially a non-verbal child) and  can indicate ways of esaping from demand or getting social attention so it's best to seek the function of the behavior and the underlying medical condition 

 

Better to use fixed time schedule reinforment with positive social attention