Child Psych Flashcards
(47 cards)
When gathering information in child psychiatry it is important to?
consult multiple sources ( child, parent/caregiver, teacher and coaches, pediatrician, child welfare or juvenile justice system (if relevant))
What is the Kaufman Assessment Battery for Children?
Intelligence test for ages 2-12
Wechsler Intelligence Scale for Children-Revised is what for ages?
6-16
Criteria for diagnosis of Intellectual Disability? (IQ? AGE?, ETC.)
Subaverage intellectual functioning with an IQ of less then or equal to 70, deficits in adaptive skills appropriate for the age group and the onset must be before age 18
Prenatal causes of intellectual disability
TORCH (Toxoplasmosis, Other (syphilis, AIDS, alcohol/illicit drugs), Rubella, CMV, Herpes simplex)
Perinatal causes of intellectual disability
Anoxia, prematurity, birth trauma, MENINGITIS, hyperbilirubinemia
Postnatal causes of intellectual disability
hypothyroidism, malnutrition, toxin exposure, trauma, psychosocial causes
Intellectual disability, obesity, hypogonadism, almond shaped eyes
Prader-Willi Syndrome
Autistic Characteristics, delayed speech, motor delay and sensory deficits. If male have large testicles
Fragile X syndrome
Most common learning disorder
Reading disorder
What do you always have to rule out before diagnosing learning disorders?
Sensory deficits
At least 6 months of negativistic, hostile and defiant behavior during which at least 4 of the following have been present:
Frequent loss of temper, arguments with adults, defying adults’ rules, deliberately annoying people, easily annoyed, anger and resentment, spitefulness, blaming others for mistakes or misbehaviors
Oppositional Defiant Disorder
How is oppositional defiant disorder different from conduct disorder?
Unlike conduct disorder, ODD does NOT involve physical aggression or violation of the basic rights of others
ODD has increased incidence with what?
comorbid substance abuse, mood disorders, ADHD
Cruelty to animals may be a hint at?
conduct disorder
A very persistent pattern of behavior in which the basic rights of others or social norms are violated as evidenced by the presence of at least 3 out of 15 described behaviors in the past year. The behaviors are grouped within the following categories: Aggression toward people and animals, destruction of property, deceitfulness or theft, serious violations of rules
Conduct Disorder
Children with Conduct Disorder have a higher risk of what?
Substance abuse and making suicidal gestures and attempts
Conduct disorder has a high incidence with what other condition?
ADHD
Criteria for ADHD diagnosis?
at least 6 sx of either inattentiveness, hyperactivity, or both, that have presisted for at least 6 months, are present at a degree that is maladaptive and have an onset prior to age 7
in evaluating a toddler who shows no interest or does not speak unless spoken to directly, it is important to do what before making a diagnosis of autism?
order a hearing test
Autism is associated with?
fragile x, tuberous sclerosis and seizures
How do autism and asperger differ?
Children with asperger disorder have normal language acquisition and cognitive development
Asperger disorder social interaction is often characterized by?
a “professional” or “pedantic” style
cognitive development never progresses beyond that of the first year of life
Rett Disorder