_Ch. 26 - Childhood Disorders And Medication’s Flashcards
ADHD – symptoms and signs
+ Persistent inattention
+ hyperactivity
+ impulsiveness inappropriate for develop. level
+ Concentration issues
+ careless mistakes
+ difficulty focusing
+ easy distraction
+ messy
+ fidgety
+ excessive motor activity
Oppositional, defiant disorder – signs and symptoms
+ No insight — everyone else’s fault
+ common with ADHD – mood disorders
+ more boys and girls before puberty
+ disobedient, stubborn, no compromise, resistance, angry outburst
+ low frustration tolerance
+ blame others for
Conduct disorder – signs and symptoms
4 MAIN BEHAVIORS:
+ aggressive – harms people, or animals, lacks remorse
+ VERY IMPULSIVE
+ destruction of property
+ deceitful – left, stealing, lying, truancy
+ repeated serious violations of rules
Autism spectrum disorders - signs / symptoms
+ Disturbance in social relations
+ developmental and social impairment and interaction and communication
+ delayed or deviant language or concrete thinking
+ stereotypical behavior – repetitive rocking hand flapping repetitive verbalizations
Risks for childhood psychopathology / disorders
+ poverty and homelessness
+ child abuse and neglect
+ out of home placement
+ substance abusing families
Genetic factors of childhood mental disorders
+ Temperament – personality traits made up from nine different areas + resilience
3 overarching factors / categories to childhood mental disorders
+ genetic
+ biochemical
+ environmental – aces
Examples of different types of disorders in childhood or adolescence
+ developmentally delayed
+ learning
+ motor skills
+ communication
+ developmental
+ attention deficit or disruptive
+ feeding and eating
+ tick disorders
+ elimination disorders
Medication’s for autism spectrum disorder
+ Antipsychotics – risperidone, aripiprazole
+ methylphenidate/Ritalin: and attention, impulsivity, over activity
+ SSRIs – fluoxetine, sertraline: anxiety, obsessive traits
+ clonidine – hyperactivity, self-stimulation, irritability
+ buspirone & trazodone: reduce agitation
Interventions for ADHD
+ child behaviors does not equal the child!
+ Provide boundaries
+ follow through with consequences
+ clear directions
+ attainable goals
+ reward each step of process
+ give positive regard to child
+ positive feedback for good behavior
+ be matter of fact / neutral
+ focus on behavior, not child
Pharmacology for ADHD
+ Methylphenidate – Ridellan + amphetamine salts – Adderall
How to give stimulants for ADHD
+ Give in the morning – causes insomnia
+ stop taking before school breaks – time for height/weight to catch up
+ high fat/protein/dense snacks
+ weigh weekly!!!!!
+ eat when not hungry
Difference between oppositional, defiant disorder, and conduct disorder
+ Oppositional defiant disorder: problems with being controlled
+ Conduct disorder: problem being controlled and need to exert control over others