Flashcards in Neurodevelopmental Disorders Deck (19):
When interviewing a child/adolescent, who else might you want to interview?
Autism Spectrum Disorder (ASD). When is this dx usually made and what sx do you usually see?
1. Sx usually develop between 12-24 months (kids experience developmental plateau or regression)
1. Delayed language development
2. Lack of social interest or unusually social interactions
3. Odd/repetitive behaviors
4. Lack of typical play
How do you treat ASD?
Treatment is a multidisciplinary approach to sx including:
Two drugs that target the aggression seen in ASD?
Dx of ASD includes two criteria. what are they?
1. Deficits in social communication and interaction (including social-emotional reciprocity, nonverbal communication, understanding and maintaining relationships)
2. Restricted, repetitive patterns of behavior, interest or activities (including stereotyped motor movements, insistence on sameness, fixated interested and hyper/hypoactivity)
Can ASD because associated with other known medical/genetic conditions (like Down's) or with another neurodevelopmental, mental or behavioral disorder?
What disorders does ASD include now?
Asperger's, Autistic Disorder, Childhood Disintegrative Disorder, and Pervasive Developmental Disorder NOS
What is involved in Social (Pragmatic) Communication Disorder?
the socially awkward child.
1. Problems with meeting/greeting
2. Regulating volume (Donald)
3. Matching communication with context (play talk vs library talk)
3. Appreciating and adhering to social normals of speaking
4. Reading between the lines (understanding humor or metaphors)
This can be an aspect of ASD but there are no repetitive behaviors
Now for the Big one. ADHD. What are the sub-categories of this disorder?
1. Primarily inattentive
2. Primarily hyperactive/impulsive
3. Combined type (little bit of both)
What are some of the tx options for ADHD?
1. Behavioral management
2. School intervention
3. Meds (stimulants vs. non-stimulants)
What is the dx criteria for ADHD?
At least 6 sx in either the inattentive or hyperactive/impulsive domain
Sx develop before age 12 and are present in 2 or more settings (like home and school)
Can you be dx with ADHD as an adult?
Kinda. Childhood ADHD can persist into adulthood, but adults don't suddenly develop ADHD. There must be strong medical evidence that the pt had sx before age 12 in 2 or more settings.
Intellectual Disability. This is what used to be called Mental Retardation. What etiologies are associated with this.
1. Morphogenesis errors: malformations, FAS, genetic disorders like trisomy 21, fragile X,
2. Metabolism disorders: Tay Sachs
3. Extrinsic influences: hypoxia, trauma, poisoning.
What is the dx criteria for intellectual disability?
Must meet the following 3 criteria
1. Intellectual functions
2. Adaptive functioning
3. Onset of #1 and 2 during developmental period
* Examples of adaptive functioning: communication, self-care, home living, interpersonal skills, safety
When do we use the dx of Global Developmental Delay
1. When the intellectual disability scale cannot be reliably determined
2. Not meeting developmental milestones in several areas of functioning
3. Can't undergo systematic assessments
4. They are under age 5
Developmental Coordination Disorder? Just being clumsy?
Not quite. Here you're not acquiring skills you need given your age or IQ, and it's interfering with academics, and it is NOT due to ASD or other medical condition.
So, Renuka trying to open the door with her face is NOT reason to believe she has developmental coordination disorder because she is somehow still passing medical school. Yay.
What is the dx criteria of Tourette's?
Need both multiple motor and 1+ vocal tics, but maybe not at the same time. It can change in frequency but should last 1 year after 1st tic appears. You get it before 18.
What are some of the tx options for Tourette's?
1. Habit Reversal Training
2. Atypical antipsychotics: risperidone, aripriazole,
3. Typical antipsychotics: haldol, primozide
4. Alpha adrenergic agonists: guanfacine, clonidine