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20 Cards in this Set
- Front
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ADHD symptoms?
Timing of diagnosis criteria |
Core symptoms- inattention, hyperactivity, and impulsivity
- Onset prior to age 7 (sometimes doesnt start causing problems till later) - Duration greater than 6 months - symptoms in 2 or more settings |
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What do you need to R/o in d/d for ADHD?
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• R/o normal range for development
• Anxiety disorders • Mood disorders • Conduct disorder • Oppositional defiant disorder • Learning disorders |
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Classic comparison of Bipolar I to ADHD...
a. sleep patterns b. psychosis c. hypersexual d. nightmares e. stimulant use |
a. bi-higher energy in morning both trouble sleeping
b. bi- psychosis shown c. hypersexual in bi polar e. stiumlants hurt bi polar |
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ADHD testing...
two main types |
CPT - continuous performance test (computer based)- compares with other kids of ADHD
also... Conner's rating scale- very subjective rating scales filled out by teachers and parents |
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Treatment of ADHD-
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1. Pharm
2. Parent Education 3. School-Related Interventions 4. Psychotherapeutic Interventions (one of few things that does not work well) 5. Unestablished treatments |
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What is 504 plan?
What about IEP? |
(504 plans- needs accommodations special for student)
IEP- individual education plan (has to have academic or emotional/behavior performance)- more funding and testing needs to be done |
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Gold standard for ADHD?
What are the names of non-stimulants? |
Stimulants 1st therapy
2 main categories: 1. amphetamines (Adderall/Vyvanse) 2. methylphenidates (Ritalin, Concerta, Focalin) Non-stimulant agents- Clonidine and guafacine (long acting versions: Kapvay, Intuniv) Atomoxetine (straterra) Antidepressants (buproprion- wellbutrin, venlafaxcine- Effexor)- off label use |
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PDDs (aka Pervasive developmental disorders) are what?
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A group of conditions in which there is delay or absence in the development of social skills, language/communication, and range of behavioral skills
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5 main categories of pervasive developmental disorders in kids
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5 Main Categories:
– Autistic Disorder – Asperger’s Disorder – Rett’s Disorder – Childhood Disintegrative Disorder – Pervasive Developmental Disorder, NOS |
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food dyes and sugar and aDHD
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if you already have ADHD it can make it worse
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Autistic disorder?
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Diagnosis includes deficits in 3 main areas of development with at least one of the 3 below before the age of three
– Social skills – Language development and usage – Restricted or stereotypical behavioral patterns |
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What is most common type of autism spectrum disorder?
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PDD NOS
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Asperger's disorder...
1. main areas of development affects? IQ usually? |
Kinda the rude kids (still have normal life)
1. social skills, w/ restricted repetitive patterns of behavior, interest, and activities - IQ within average range or may even be above average |
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Treatment for autistic spectrum disorders?
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1. Applied Behavioral Analysis (ABA therapy)-->
– More for Autistic Disorder than Asperger’s Disorder due to the emphasis on language 2. psychotherapy 3. parental education 4. Meds- Risperidone (for aggression) and aripiprazole (irritability( , stimulants for attention, SSRI for anxiety |
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Rett's disorder what population?
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Development of several specific deficits following a period of normal functioning after birth
• Only occurs in females • Normal development for at least the first 6 months usually occurs 6-months- 2 yrs. then develope encephalopathy - pts who live into adulthood stay cognitively at first year of life |
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Rett's disorders' clinical signs
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– Loss of purposeful hand movements
– Stereotypical motions – Loss of previously acquired speech/language/social skills – Psychomotor retardation – Ataxia – Head-circumference growth decelerates |
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Tx of Rett's disorder
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• Symptomatic
• Physical therapy for muscular dysfunction • Behavioral therapy • Medications to treat symptoms of aggression or self injurious behaviors |
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What is childhood disintegrative disorder? Normal onset?
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- Marked regression in several areas after at least 2 years of normal development, usually
onset is between 3 and 4 years of age • Onset may be insidious over several months or abrupt with abilities diminishing in days or weeks • Loss of skills from 2 areas: language, social, or adaptive behavior, bowel/bladder control, play and motor skills |
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symptoms of Childhood disintegrative disorder
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Core features-->
– Loss of communication skills – Marked regression of reciprocal interactions – Regression of self help skills such as bowel/bladder control – Onset of stereotypical movements and compulsions – Affective symptoms, particularly anxiety |
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MC type of autism spectrum disorder...
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Severe pervasive impairment in communication skills or the presence of
stereotypical behavior, interests, and activities with associated impairment in social interactions • The criteria for a specific pervasive developmental disorder is not met |
