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10 Cards in this Set
- Front
- Back
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3 major clinical signs of autism? ***remember, it is a spectrum disorder***
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1. impaired reciprocal social interactions...don't seek connections
2. no language ability, but echolalia 3. abnormal preoccupations; repetitive interests, stereotyped mannerisms |
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What can be said for the motor ability, IQ, and languge ability of asurger's vs. autism>
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Asburger's- very poor coordination, HIGH IQ, normal language, bizarre and unusual hobbies
Autism- FINE motor, diminished IQ, and can't express themselves |
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Epidem of Autism? M/F? When diagnosed? What is the Theory of Mind and can autistic children appreciate this?
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1/500 children; M>F 4:1, diagnosed before age 3.
Theory of Mind = the idea that other people have minds/mental states that are different from our own; autistic kids can't appreciate this |
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Treatment goals of autism?
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To make person more independent and to eliminate destructive behavior. Treat behavioral issues (self-injury/aggression)... Med only as a last resort for behavioral issues, not for underlying disease
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How many of all children fall into this category? 3 major criteria for ADHD?
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7% of children
1. Inaatentive...particularly when fine details are needed at school/work 2. Hyperactive- fidgets with hands/feet/squirms in seat 3. Impulsive-blurts tuff out without being asked |
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Barriers to ADHD diagnosis? 2
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1. reporting differences between teachers and parents
2. tough to know what is "age appropriate behavior" |
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Is ADHD heritable? ADHD as a teenager?
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YES. 77%. Teens more likely to engage in risky behaviors/drug abuse.
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Pathophysiology of ADHD? What region fires less? Impact on DOpamine? Norep dysfunction?
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Decreased pre-frontal cortex activity.
HYPO Dopaminergic state Normally, NOREP is tonically firing, but not the case with ADHD. Very sporadic/diminished. |
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Describe the dual system of attention with respect to motor and sensory commands with DOPA and NOREP in regards to ADHD?
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DOPA- motor control- "POUR yourself some coffee- ANTERIOR brain
NOREP- Sensation- posterior brain "wake up and smell the coffee" |
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What are the treatment goals for ADHD? 3... what meds/mechanism? (ritalin and amphetamines) remember the rule of 30%
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1. Educate family/child. A 10 y/o is really 7 y/o emotionally
2. Behavioral management styles 3. MEDS to increase DOPA or increase NOREP Methylphenidate-ritalin- blocks DOPA reuptake Amphetamines- increase DOPA release Avoid meds if at all possible!!! |
