Aatbs Review Abnormal 666 Ctw

Front 1

Retardation: Diagnosed and what are the levels:

Back 1

IQ below 70, and two areas of adaptive functioning impairments, onset before 18.
Mild:50/55-70
Moderate: 35/40-50/55
Severe:20/25-35/40
Profound: below 20-25

30% (largest) embryonic issues

Borderline is 71-75

Front 2

Stuttering:

Back 2

Starts: 2-7, 3x M:F, usually remits spontaenously by 16.
Treat with "habit reversal" and breathing techniques.

Front 3

Rett's Disorder
Vs:
Childhood Disintegrative Disorder

Back 3

Rett's: FEMALE: more physical: Normal development for 5 months, then sudden deceleration of head growth, loss of hand movement or odd movement, coordination, impaired language, social functioning.
CDD: Two years of normal development, then sudden regression in 2+ areas of functioning. (not so much physical)

Front 4

ADHD Prevalence, etc:

Back 4

3-7% , maybe even 7.8% population, 2-4x boys over girls.
60% have symptoms as adults.

Front 5

ADHD and Brain:

Back 5

Caudate Nuclus, Globus Pallidus, prefrontal cortex. (smaller and/or less active)

Front 6

Conduct Disorder

Back 6

Persistent pattern of disregard for rights of others. WORSE than ODD/ADD.
Worse prognosis earlier diagnosed.
Best treated with multisystems / parent training approach.
See also MOFFITS two types.

Front 7

Tic D/O's:
Tourettes:
Chronic M or V Tic D/O:
Transient Tic D/O:
NOS:

Back 7

Tourettes: one vocal, multiple motor prior to 18. Avg age 6 or 7, more male.
Chronic Tic: One but not both.
Transient: 4 weeks to 12 months.
NOS: ie, after age 18, other,

Front 8

Reactive attachment:

Back 8

Pathogenic care and difficulty attaching: 2 types:
Inhibited: ambivalent, hypervigilant
Disinhibited: indiscriminate sociability /attachment

Front 9

Cortical Vs. Subcortical Dementias

Back 9

Cortical: Alzheimers: ealry aphasia, calculation problems, recall and recognition probs.
SUBcortical: hunts or parks: early executive problems, recall, dysarthia (speech), slowed motor and personality change.

Front 10

Pseudodementia vs. Dementia:

Back 10

Pseudo is actually depression:
Aware of deficits, uncooperative during testing, abrupt onset. Impaired recall but intact recognition.

Front 11

Alzheimers: Stages, etc.

Back 11

65% of dementia:
Acetylcholine problems, temporal lobes.
8-10 year prognosis, uncurable.
1: 1-3 years: anerograde, visuospatial problems, indifference, irritable, sad, anomia.
2. 2-10: flat or labile mood, restless, delusions, aphasia, acalculia, ideomotor apraxia
3. 8-12: apathy, incontinence, limb rigidity, severe intellectual

Front 12

HIV dementia:

Back 12

Early signs are forgetfulness, attention, psychomotor slowing... sometimes known as AIDS dementia complex.
0 Normal
.5 subclinical: minimal symptoms, no impairment.
1 Mild: impairment, but no interference in living ADL
2. Mod: Cannot work but can self care
3. Major intellectual/motor probs
4. Vegetable.

Front 13

Agnosia
Apraxia
Anomia

Back 13

Agnosia- cant recognize
Apraxia- cant make movement
Anomia- cant name/find word

Front 14

BiPolar I VS. BiPolar II

Back 14

1: manic/mixed, with or without depression.
2: Hypomanic, depression (no manic)

Front 15

Depression:
Female to Male:
% lifetime risk
Point prevalence
Mono/Dizygotic Twins:

Back 15

F:M 2-3:1
10-25%F:5-12%M
5-9:2-3
Onset early 20s. 5-10 will have manicTwins: 0.5, 0.2, 1.5-3x more likely in first degree relatives

Front 16

Bipolar:
Lifetime: 1 & 2
Onset, likelihood of multiple episodes
Twins, relatives
Meds:

Back 16

Lifetime:(1) .4-1.6 M=F
(2) .5 M<F
Early 20s, 90%
Mono: .67-1, Dizy: .20,
first degree: 4-15% bpd, 5-14 depression.
Lithium in 60%.

Front 17

Suicide:
History
Age
Gender
Race
Marital
Other features

Back 17

History: 60-80% made previous attempt, 80% warn
Age: Highest over 65, increase in 45-54
Also growth in 10-24yo
Gender: 4-5x males, but f attempt 2-3
Whites, except native american teens
Marital: Divorced, separated, widowed, then single.
Other: Hopelessness, perfectionism, lack of problem solving skills, impulsivity. 50-80% depression history, (also substance, bipolar)

Front 18

Stats on anxiety:
% with anxiety that have another diagnosis:
%with GAD that have another lifetime:

Back 18

%50 have co-occurring
%90 GAD had lifetime co-occurring (usually depression)

Front 19

Panic Prevalence:
Gender

Co-Occurrance

Tx:

Differential Diagnose with Social Phobia

Back 19

1-2%, half of those have agorophobia. up to 75% female.

PD w/ Agoraphobia: 59% have co-occurring, usually depression, then gad, then phobias.

Tx: ERP, cbt. Meds usually only work temporarilty, with 30-70%relapse after discontinuing.

DD: SP restricted to social/performance, agoraphobia do well with a friend or trusted person.

Front 20

Phobia Types and Theories of:

Back 20

Animal, Natural, Situational, BII, other

Mower's two factor theory: object beomces a conditioned stimulus for fear, then is negatively reinforced (operantly) through avoidance.

Front 21

Somatization: D/0

Back 21

8 fucking symptoms before age 30- and you dont think you are making them up (4 pain, 2 gi, 1 sex, 1 neuro)

Front 22

Conversion d/o

Back 22

One neurological (paralysis, blindness, etc)

Front 23

Undifferentiated Somatoform vs. Somatoform NOS

Back 23

US: 1 + complaints, 6+ months (chronic fatigue, appetite, GI)

SNOS: If it doesnt meet the others, ie, pseudocyesis.