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10 Cards in this Set
- Front
- Back
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Intellectual disability Differential Diagnosis
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Major and mild neurocognitive disorders
Communication disorders and specific learning disorder Autism spectrum disorder |
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ADHD - Diagnostic Criteria (in general)
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Inattention or Hyperactivity and impulsivity
6 or more for 6 months before age 12 (over 17 yo 5 or more) - inconsistent with developmental level - negatively impacts social and academic/occupational activities - not oppositional, defiance, hostility, failure to understand |
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ADHD - Inattention (9)
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- little attention to details, careless mistakes
- difficulty sustaining attention - does not seem to listen - Does not follow through - difficulty organizing - avoids or dislikes engaging in tasks that require sustained attention - loses things - easily distracted - forgetful in daily activities |
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ADHD - Hyperactivity and impulsivity (9)
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Fidgets
Leaves seat when being seated is expected runs or climbs inappropriately unable to play quietly on the go or driven by a motor talks excessively blurts out answer difficulty waiting turn interrupts or intrudes |
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ADHD DD
ODD Intermittent explosive Other neurodevelopmental |
defiance v. difficulty
both impulsive but aggression v. attention difficulties not repetitive movement v. fidgety |
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Schizophrenia
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2 or more for a 1- month or more
at least one needs to be first three Delusion • Hallucination • Disorganized thinking • Disorganized motor behavior • Grossly disorganized or odd motor behaviors • Negative behaviors level of functioning below level before onset Signs of symptoms for continuous for 6 months Rule out Schizoaffective or Depressive or Bipolar if history of autism or communication disorder - diagnosis of schizophrenia if delusions or hallucinations or other symptoms of schizophrenia for 1 month |
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Schizophrenia DD (there are more than I listed p. 104)
Major depressive or bipolar with psychosis or catatonia Schizoaffective - OCD or Body dysmorphic - PTSD - |
- if delusions or hallucinations occur exclusively during a major depressive or manic episode with psychotic features
- major depressive or manic episode occurs concurrently with active symptoms and mood symptoms are present during most of the duration of the active period - have delusions but also have obsessions and/or compulsions, preoccupation with body odor, hoarding , or body focused repetitive behavior - Hallucinations are specific to a traumatic event |
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Bipolar I
Can be One How long What three things or how many symptoms What are they What else Rule out |
Manic episode can be preceded or followed by hypomania or major depressive
Manic episode – one manic episode 1 week Abnormal elevated, irritated, or goal directed Or hospitalization 3 symptoms, 4 if irritable • Grandiosity • Decreased need for sleep • Talkative • Flight of ideas Impairment in social and occupational function Rule out psychotic disorders |
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Bipolar II
Have to have No How long of what how many symptoms what are they two other things manic if |
Have to have major depressive episode and hypomania – mo manic episode
Hypomania 4 or more days of abnormal mood or energy 3 or more 4 if irritable • Grandiosity • Decreased need for sleep • Talkative • Flight of ideas Change in functioning Observable by others *Manic if - hospitalization or impairment in social and occupational function, psychotic Depression 5 or more 2 weeks 1 symptom depressed or loss of interest • Sigecaps SADNESS INTEREST GUILT ENERGY CONCENTRATION APPETITE PSYCHOMOTOR RETARDATION SUICIDE SLEEP |
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Bipolar I DD
Major depression Other bipolar GAD or other anxiety ADHD in children |
- depends on mania or hypomania
- mania - anxious ruminations could be mistaken for racing thoughts - symptoms as a pattern or distinct episode |
