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Behavioral - Block2 - Psych Disorders Childhood Onset Flashcards

To understand the difference between a "normal " problem and an "abnormal" problem in childhood.
To be able to list the symptoms of the psychiatric disorders that originate in childhood.
To understand the differential diagnosis between the disorders that arise in childhood.

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307204099Disorders defined by persistently problematic thoughts, feelings and actionsPsychological disorder0
307204100Psychological disorders fit into four categoriesDeviance - unusualness Distress - upsetting Dysfunction - interferes with life Danger - risk of harm1
307204101Psychological disorders are formed byBilogical, Psychological and Social/Cultural influences2
307204102Axis 1 psychological disorder ispresence of a clinical syndrome (ex. anxiety, depression, mood disorder)3
307204103Axis 2 psychological disorder isPersonality disorder or retardation4
307204104Axis 3 psychological disorder isGeneral medical condition (ex. diabetes, hypertension, arthritis)5
307204105Axis 4 psychological disorder isPsychosocial and Environmental problems6
307204106Axis 5 psychological disorder isGlobal assessment of persons functioning7
307204107Pediatric screeningsGenetic and metabolic errors Hearing Vision Development Mental Health8
307204108Pediatric screening system - ages birth to 5Ages and Stages Questionnaire9
307204109Pediatric screen system - ages birth to 8Parents Evaluation of Develpment Status10
307204110Pediatric screening system - ages 11 and upPediatric Symptom Checklist11
307204111Two most common causes of mental retardation in USFetal Alcohol Syndrome Down Syndrome12
30720411270-55IQ 55-40 40-25 25 and belowMild Moderate Severe Profound Mental Retardation13
307204113Normal ranges of IQs14
307221438Capabilities of mildly retarded (55-70)Language and social skills Good motor development Academic achievement <6th grade in adolescence Self supporting15
307221439Capabilities of moderately retarded (40-55)Talking/Signing Motor development Self-help skills Academic achievement to 2nd grade16
307221440Capabilities of severely retarded (25-40)No academic achievement Few words and gestures Poor expressive skills Poor social skills Controlled environment needed17
307221441Capabilities of a profoundly retarded (<24)Minimal sensorimotor capability Indicates needs with sounds or body movement Dependent on nursing care and constant supervisioin18
307221442Ptient test score is significantly below the expected score for age, IQ and educationLearning Disorder19
307221443Four types of learning disordersReading Mathematics Writing Non-verbal20
307221444Motor co-ordination difficulty interferes Normal IQ No general medical conditions No pervasive developmental disorders (ex. autism)Developmental Coordination Disorder21
307221445How old must a child be to receive a DCD Dxatelast 4 years22
307221446Common neurological conditions that may appear like DCDcerebral palsy muscular dystrophy intracranial malignancy epilepsy23
307221447Poor motor coordination and social isolation are also symptoms ofVisual abnormalities and Pervasive developmental disorders24
307221448During questioning for a DCD, include what questionsPresence of: Developmental regression Loss of sensation Bladder/bowel control loss Abnormal movement Headache Vomiting Seizures Collapse25
307266024Variations of expressive language disordersExpressive language disorders Mixed receptive-expressive language disorder Phonological disorder Stuttering26
307266025Poor ability to express self via languageExpressive language disorder (be sure to check hearing)27
307266026Poor ability to understand and express languageMixed receptive-expressive langugae disorder28
307266027Failure to use developmentally expected speech sounds appropriate for age and dialectPhonological disorder29
307266028Subtypes of Attention defecit hyperactivity disorderPredominantly inattentive Predominantly hyperactive- impulsive type Combined type30
307266029DSM criteria for ADHD6 signs of hyperactivity or inattention 6 months of maladaptive behavior not consistent with developmental norms Symptoms must appear prior to age 7 Symptoms appear in atleast two settings Functioning must be clearly impaired31
307266030Fails to give close attention, careless mistakes Difficulty sustaining attention to tasks or play Does not seem to listen when spoken to directly Does not finish work or follow through on instructions Has trouble organizing Avoids, dislikes or is reluctant to engage in tasks that require attention Loses necessary things Is easily distracted by outside things Is forgetful in daily activitySymptoms of inattention32
307266031fidgets or squirms leaves seat when supposed to be seated runs or climbs excessively at inappropriate times has trouble with quiet activities or play is often "on the go" as if "driven by a motor" often talks excessivelySymptoms of hyperactivity33
307266032Blurts out answers before questions are completed Has difficulty awaiting turn Interrupts or intrudes on othersSymptoms of impulsivity34
307266033Age of remission for ADHD12-20 20% continue to adulthood35
307266034Advice for handling ADHD childrenBehavior modification techniques Remove penalties and punishment and implement reward system Special allowances as required by ADA36
310214689DIsruptive behavior disordersOppositional defiant disorder Conduct disorder37
310214690Types of conduct disordersChild onset types Adolescent type Unspecified type38
310214691Criteria for oppositional defiant disorder6 months negative hostile Not functioning in school or socially 4 additional criteria39
3102146926 months negative and hostile Not functioning in school or socially 4 of the following = Oppositional Defiant Disorderloses temper argues with adults refuses rules deliberately annoys blames others for own mistakes easily annoyed spiteful and vindictive40
310214693Underlying conditions that lead to Oppositional Defiant DisorderOne parent depressed (mother normally) Martial discord Substnaceabuse by caregiver (negligence)41
310214694Essential components of Tx for Oppositional Defiant DisorderHelp caregiver and child Responds well to loving and safe environment42
310214695Criteria for Conduct DisorderBehavior that violates rights of others, rules and norms over 12 months Impaired in school and social 3 of following43
310214696Violating rights of others, rules and norms over 12 months Impaired in school and socially 3 of followingAggression to people and animals bullies and threatens starts fights uses weapon cruel to people stolen while confronting victim forced sexual activity44
310214697Child Conduct Disorder may develop intoAdult Antisocial Personality Disorder45
310214698Tx for child Conduct DIsordersManagement Special schooling and settings46
310214699Shy, quiet loners, who don't participate muchThe forgotten group47
310214700"The forgotten group" kids typically struggle withAnxiety Depression48
310214701Deficit in using language to communicate --> imparied social interaction, communication, repetitive behaviorsAutistic49
3102147025 months onset --> decelerated head growth, loss of hand skillsRett50
3102147032-10yrs onset --> loss of acquired skills in 2 areas of normal functioningChildhood Disintegrative Disorder51
310214704Impaired social interactions and communication w/o significant delay in language or cognitive developmentAspberger's52
310214705Autism usually comes along withDigestive problems Seizures Sleep problems Persistent preoccupation53
310214706Age of onset for AutismPrior to age 354
310214707M-CHAT does whatIdentifies children at risk for Autism55
310214708Vital components of checklist for toddlers with AutismChild prefers to pretend alone Child uses index finger to point instead of speak Does child look at object when called attention Child instantly uses tea pot and cup Does child point at object when asked to show it to parent56
310278110Children with Aspergers often displayNonverbal behavior Inappropriate peer relationships Seek to share enjoyment Lack of social or emotional reciprocity Intensity of focus on interest Inflexibility to routine Sterotypes mannerisms NO delay in languga NO delay in cognitive development57
310278111Social, verbal, and cognitive disorders that are lost in Childhood Disintegrative DisorderLanguage Social Skills Adaptive Behavior Bowel or bladder control Play Motor skills Social interactioin Communication Patterns of behavior Interests and activities Motor stereotypes58
310278112Mutations in what gene cause Rett SyndMECP2 --> gene promotor it appears59
310278113Persistent eating of non-nutritive substancesPica60
310278114Repeated regurgitation and rechewingRumination disorder61
310278115Failure to eat adequately in infancy or early childhoodFeeding disorder62
310278116Vocal tics, mutliple motor ticsTourette's disorder63
310278117Motor or vocal tics occuring many times dailyChronic motor or vocal tic disorder64
31027811812 months of vocal or motor ticsTransient Tic disorder65
310278119Repeatedly passing feces in inappropriate placesEncopresis66
310278120Repeated voiding of urine into bed or clothesEnuresis67
310278121Failure to speak in selective enironmentsSelective mutism68
310278122Pathogenic care by caregiver --> disturbed social relations or diffuse attachmentsReactive attachment disorder69
310278123Child approaches and cuddles up indiscriminantlyDisinhibited type reactive attachment disorder70
310278124Child is withdrawn and unresponsiveInhibited type reactive attachment disorder71
310278125Repetitive driven, non-functional motor behaviorsStereotypic movement disorder72
310278126Inapproprite/excessive anxiety concerning separation Nighmares of same Complains of physcial symptoms in anticipation of sameSeparation anxiety disorder73
310278127Chart of age of onset74

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