ADHD and Autism Flashcards
diagnosis of ADHD
- AAP, AACAP both have diagnostic guidelines
- utilize DSM-IV criteria
- utilize parent, child and other adult interview
- utilize parent and teacher questionaires
- emphasize clinical impairment
assessment in diagnosis includes
- hx
- DSM-5 criteria
- interview parents, teachers and pt
- rating scales to corroborate clinical diagnosis
- physical exam, vital signs, physical explanation for disorder, secondary conditions, drug contraindications
- make assessment for comorbid conditions
inattention symptoms of ADHD
- is careless
- has difficulty sustaining attention in activity
- does not listen
- does not follow through with tasks
- is disorganized
- avoids/dislikes tasks requiring sustained mental effort
- loses important items
- is easily distracted
- is forgetful in daily activities
how many out of the 9 inattention symptoms does a child need to be diagnosed with attention deficit?
6/9
hyperactivity symptoms of ADHD
- squirms and fidgets
- cannot stay seated
- runs/climbs excessively
- cannot play/work quietly
- is on the go/ driven by a motor
- talks excessively
impulsivity symptoms of ADHD
- blurts out answers
- cannot wait turn
- intrudes/interrupts others
how many of the 6 hyperactivity symptoms does a child need to be diagnosed with hyperactivity?
6/6
additional requirements for diagnostic criteria for ADHD: DSM-5
- persistent symptoms of inattention and/or hyperactivity-impulsivity that interferes with fxn or development
- several symptoms were present before age 12
- several symptoms are present in 2 or more settings
- clear evidence that symptoms interfere with, or reduce the quality of, social, academic, or occupational fxning
- symptoms are not better explained by another disorder
DSM-5 subtypes
- ADHD predominately inattentive type
- ADHD predominately hyperactive-impulsive type
- ADHD combined type
ADHD predominately inattentive type
criteria met for inattention but not for impulsivity/hyperactivity
ADHD predominately hyperactive-impulsive type
criteria met for impulsivity/hyperactivity but not for inattention
ADHD combined type
criteria are met for both inattention and impulsivity/hyperactivity
American Academy of Pediatrics: guidelines for ADHD assessment
- evaluate children (age 6-12) on inattention, hyperactivity, impulsivity, academic underachievement, behavioral problems
- DSM-5 criteria
- evidence from parents and teachers of core symptoms of ADHD in school, home and social setting
- assessment for co-existing conditions
- other diagnostic tests are not routinely indicated
core features of autism spectrum disorder (ASD) in DSM-5
- probz with social communication
2. restricted range of behaviors or interests or repetitive patterns of behavior
