Childhood Psychiatric Disorders Flashcards Preview

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Flashcards in Childhood Psychiatric Disorders Deck (24)
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1
Q

What are the diagnostic criteria for intellectual disability or intellectual developmental disorder?

A

Onset during developmental period
Three of the following:
- Deficits in intellectual functioning (shown by tests)
- Unable to meet standards for social responsibility (communication, social participation, independent living)
–> More severe: earlier symptoms
–> Less severe: later symptoms

2
Q

Describe some features of mild severity intellectual disability.

A
  • Help needed in 1 or more academic areas
  • More concrete approach to problem solving
  • Immaturity in social interactions
  • Some support needed for complex activities of daily living
3
Q

Describe the associations of mild, moderate and severe IQ with functioning.

A

Mild (50-70) –> achieve academically till 6th grade
Moderate (35-50) –> achieve academically till 2nd grade
Severe (20-35) –> relatively non-functional

4
Q

What are some chromosomal etiologies of intellectual disability?

A

Prader-Willi Syndrome
Angelman Syndrome
Down Syndrome
Fragile X

5
Q

What are the criteria for language disorder?

A

Persistent problem in using written and spoken language

6
Q

What are the criteria for social (pragmatic) communication disorder?

A

Persistent difficulties in social use of language

Ex: hard time making inferences, difficulty with story telling, etc.

7
Q

Autism spectrum disorders are characterized by:

A

Deficits in social communication (language) & social interaction + restricted repetitive behaviors (RRBs)

8
Q

If you suspect autism in a child but RRBs are not present, what is another possible diagnosis?

A

Social Communication Disorder

9
Q

What are the diagnostic criteria for specific learning disorder?

A

Difficulties learning & using academic skills (shown by at least 1 symptom) for at least SIX MONTHS despite interventions
–> symptoms: difficulties with reading, written expression, math, etc.

10
Q

What is a potential problem in early diagnosis of specific learning disorder?

A

You might not see the learning difficulties till later when the workload is more difficult

11
Q

What are features of developmental coordination disorder?

A

Impaired coordinated motor skills interfering with daily functioning

12
Q

What mood disorders do we see in children?

A

Bipolar disorder (manic episode)
Dysthymia = Persistent Depressive Disorder
Major Depressive Disorder
Disruptive Mood Dysregulation Disorder

13
Q

How is a depressed mood manifested differently in children and adolescents?

A

Depression = irritability!

14
Q

How are the criteria for Persistent Depressive Disorder different for children?

A

Symptoms for at least ONE year! (versus 2 in adults)

15
Q

What are the criteria for separation anxiety?

A

Inappropriate or excessive anxiety around separation from parenting figures lasting 4 weeks in children (6 months adults) & need >3 symptoms:

  • Worry
  • Refusal/reluctance to go
  • Physical symptoms when they have to leave
  • Repeated nightmares
16
Q

What are the criteria for ODD?

A

Recurrent pattern of at least 4 symptoms for >6 months:

  • Angry/irritable
  • Argumentative/defiant toward authority figures
  • Vindictiveness
17
Q

What are the criteria for conduct disorder?

A

Repetitive violation of basic rights of others or social norms with 3 symptoms during past 12 months

  • Property destruction
  • Thefts
  • Serious rule violations
  • Agressive conduct
18
Q

Individuals with conduct disorder are likely to develop…

A

Antisocial PD

19
Q

When do attachment disorders begin in children? What are they associated with?

A

Begin at age 5; associated with grossly pathological care - neglect, abuse

20
Q

What are the attachment disorders children can develop?

A

(1) Reactive Attachment Disorder - emotionally withdrawn & socially inhibited
(2) Disinhibitive Social Engagement Disorder - talk to strangers

21
Q

What is selective mutism? When does it usually occur?

A

Consistent failure to speak in social situations but speak in other situations - for ONE MONTH
Onset between 3-8 years or when starting school

22
Q

How are the criteria for generalized anxiety disorder different for children?

A

Only 1 symptom for 6 months

23
Q

How are criteria for social anxiety disorder different for children?

A

Anxiety must occur in peer settings and not just interact with adults

24
Q

What are the elimination disorders in children? What age do they occur around?

A

Ages 4/5

1) Enuresis: bed wetting (2x weekly for 3 months
(2) Encopresis: soiling (1x weekly for 3 months)