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30 Cards in this Set
- Front
- Back
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Childhood Disintegrative Disorder
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developmental regression in at least 2 areas of functioning-motor skills, play, social skills, language
following 2 yrs of apparent normal development |
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Asperger's Disorder
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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 |
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ADHD
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hyperactivity-impulsivity
on-set prior to 7 six months 2 settings |
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Inattention
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sustaining attention
no listening failing to finish work interrupts 6 or > symptoms |
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Hyperactivity-Impulsivity
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fidgeting
leaves seat interrups 6 or > symptoms |
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Associated features
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<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 |
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Prognosis
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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. |
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Etiology
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Genetic
Brain abnormalities-frontal lobe & Basil Ganglia malfunctions-rt hem repetitive behavior |
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tx
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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. |
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Conduct Disorder
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Childhood onset Prior to 10
> Aggression > risk of ASPD Adolescent-10 or > |
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Associate Features
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co-d-ADHD
ODD precursor > Males |
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Etiology
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Moffin
Life-Curse Persistent-starts early-neurological impairments Adolescent Limited-temporary ASPD gap between maturation and lack of opportunities |
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tx
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Family tx
Patterson-Parenting Mgmt training Multisystemtic TX |
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Oppositional Defiant Disorder
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defiant behavior
lose temper argue defies rules annoys others blames others angry and resentful. |
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Feeding and eating Disorders
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Pica- eating nonnutrative substance onset 12-24 mos.
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Tic Disorders
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recurrent motor mvmts or vocalization
eye blinking facial grimacing echokinesis-imitatingothers movements |
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Tourettes
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one vocaltic and multiple motor tics
high rates of school problems ocd > dopamine |
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TX
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Antispsychotic drugs Haldol
effective 80% |
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Elimination Disorders
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Enuresis
Encopresis TX Night alarm & Imipramine-stps 85% |
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Separation Anxiety
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Must last at least 4 wks
onset before 18 mos 3 behaviors - excessive distress-fear-physical complaints |
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Reactive Attachment Disorder
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Inhibited Type failure to initiate respond to social interactions
Disinhibited type indiscriminate sociabililty |
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Mental disorder dure to General Medical Conditions
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Hx, physical exam lab not explained by substance abuse
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Delerium
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Reduced awareness of env
loss of mem illusions-hallucinations etc |
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Associated features
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>< of psychomotor activity
emotional distubances symptoms within a few hrs fluctuate during day |
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Etiology
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Elderly
decreased cerebral reserve-stroke HIV postcardiotom pts burn pts drug dependence |
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TX
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tx underlying issue
env manipulation haldol and other antipsychotic behavior |
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Dementia
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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 |
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Associated features
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MRI/CT brain abnormalities
motor disturbances disinhibited behaior sleep, anxiety-mood disturbances > suicidal ideations |
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Etiology
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Alzheimers, Picks, Parkinsons Huntington Disease head trauma brain tumor, HIV syphilis
Substance dementia |
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TX
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Grp TX
Antidepressant drgs Behavioral Technigues Env Man Fm Inv. |
