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30 Cards in this Set

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Childhood Disintegrative Disorder
developmental regression in at least 2 areas of functioning-motor skills, play, social skills, language

following 2 yrs of apparent normal development
Asperger's Disorder
Severe impairment in social interactions.
Re;strictive repertoire of behahiors, interests, and activities.
no delay in language, self help skills or cognitive dev.
normal intelligence
ADHD
hyperactivity-impulsivity
on-set prior to 7
six months
2 settings
Inattention
sustaining attention
no listening
failing to finish work
interrupts
6 or > symptoms
Hyperactivity-Impulsivity
fidgeting
leaves seat
interrups
6 or > symptoms
Associated features
<IQ
Academic difficulties
25-30% learning disabilities
fewer friends
co-diagnosis of Conduct Disorder ODD M<ood, Anxiety Learning or communication disorders
2-9Xs >Boys
Prognosis
Observed by parents -diag in school
symptoms stable-adolescence
adolescents conduct disorder
60% problems as adult
> rates of life difficulties
poor prognosis for dual diag.
Etiology
Genetic
Brain abnormalities-frontal lobe & Basil Ganglia malfunctions-rt hem
repetitive behavior
tx
Ritlin
effects dose dependent
no long term improvement with drgs.
drug holidays
motor & vocal tics with meds
ocd symptoms.
trycyclic Antidepressants Imipramine-Desipramine cimilar to CNS Stimulants
Clonidine-antihypertensive drg.
Psychosocial intervention
behavioral interventions
parential involvement impt.
Conduct Disorder
Childhood onset Prior to 10
> Aggression
> risk of ASPD
Adolescent-10 or >
Associate Features
co-d-ADHD
ODD precursor
> Males
Etiology
Moffin
Life-Curse Persistent-starts early-neurological impairments
Adolescent Limited-temporary ASPD gap between maturation and lack of opportunities
tx
Family tx
Patterson-Parenting Mgmt training
Multisystemtic TX
Oppositional Defiant Disorder
defiant behavior
lose temper argue defies rules annoys others blames others angry and resentful.
Feeding and eating Disorders
Pica- eating nonnutrative substance onset 12-24 mos.
Tic Disorders
recurrent motor mvmts or vocalization
eye blinking facial grimacing
echokinesis-imitatingothers movements
Tourettes
one vocaltic and multiple motor tics
high rates of school problems
ocd
> dopamine
TX
Antispsychotic drugs Haldol
effective 80%
Elimination Disorders
Enuresis
Encopresis
TX Night alarm &
Imipramine-stps 85%
Separation Anxiety
Must last at least 4 wks
onset before 18 mos
3 behaviors - excessive distress-fear-physical complaints
Reactive Attachment Disorder
Inhibited Type failure to initiate respond to social interactions
Disinhibited type indiscriminate sociabililty
Mental disorder dure to General Medical Conditions
Hx, physical exam lab not explained by substance abuse
Delerium
Reduced awareness of env
loss of mem
illusions-hallucinations etc
Associated features
>< of psychomotor activity
emotional distubances
symptoms within a few hrs fluctuate during day
Etiology
Elderly
decreased cerebral reserve-stroke HIV
postcardiotom pts
burn pts
drug dependence
TX
tx underlying issue
env manipulation
haldol and other antipsychotic behavior
Dementia
Mem Impairment
Aphasia difficulty naming people.
Agnosia can't recognize objects or people
progressive/irreversible
unaware of cognitive defdicits
pseudodementia-major depressive disorder
anterograde amnesia can't aquire new info
retrograde anmesia can't recall previously learned material
Associated features
MRI/CT brain abnormalities
motor disturbances
disinhibited behaior
sleep, anxiety-mood disturbances > suicidal ideations
Etiology
Alzheimers, Picks, Parkinsons Huntington Disease head trauma brain tumor, HIV syphilis
Substance dementia
TX
Grp TX
Antidepressant drgs
Behavioral Technigues
Env Man
Fm Inv.