Autism and Intellectual Disability Flashcards
Diagnostic criteria for Autism? 4
- Impaired socially
- Communication impaired
- Abnormal behavior
- Onset prior to age 3
How many social impairments are needed for diagnosis
2
Nonverbal impairment, no peers, lack of joy, lack of enjoying company
How many communication impairments are needed?
1
Can’t sustain convo, abnormal speech, repeated speech, can’t “play”
How many behavioral impairments are needed?
1
Preoccupation, Rituals, Repetitive movements, obsessed with objects
Total number of criteria met to diagnose autism?
6
What happens if child doesn’t get to six or above criteria?
Determine either PDD-NOS or something else
Two categories of autism in DSM-V?
- Social/communication impaired
2. Patterns of behavior, interests
Social Pragmatic Language disorder definition
Social features of autism without the restricted interests
Sex difference in autism
Males 5:1
% of autism kids with other genetic disorder
10%
Eye contact in autism?
Eye contact with no social purpose
Affection in autism?
Show affection differently
Speech in autism?
Use advanced words of no function
Pointing in autism
Develop pointing later
Intelligence in autism?
Severe disability to normal
Who is often the first purpose to bring up autism?
Physician
Best screening scale for autism
CARS
5 parts of assessment for autism
History Medical Psychological Communication Diagnostic instruments
First level 3 studies for all kids with ASD’s?
Audiology
Educational testing
Speech and language eval
Second level testing in ASD?
Co-existing intellectual disability
Third level testing in ASD?
Targeted tests indicated by clinical eval
3 medical problems with ASD?
- Seizures
- GI
- Sleep
Essential step after diagnosis?
Parent education with genetic testing
What to do with parents after delivering diagnosis?
- Acknowledge grief
- Give info
- Refer
- Encourage communication
- Set up followup
Best prognosis factors? (2)
- Early identification AND intervention
4 reasons to give drugs to ASD kids?
- Stimulants for ADHD
- Anxiety/Depression
- Aggression/self injury
- Sleep
How to treat repetitive obsessive behaviors?
SSRI’s and 2nd gen Anti-Psy’s
How to treat ADHD?
Stimulants, atomoxetine, clonidine, 2nd gen Anti-psy’s
How to treat aggression/self injury?
2nd gen anti-psy’s, anticonvulsants, SSRI’s, clonidine, beta blockers
How to treat sleep dysfunction?
Melatonin, clonidine, anti-histamine
How to treat depression
SSRI’s
How to treat bipolar?
Anti-convulsant
Lithium
Atypical psychotics
Two drugs FDA approved for autism? (irritability specifically)
Risperidone
Aripiprazole
Physician role in autism?
Gatekeeper
What is intellectual disability defined as?
Cognitive functioning two standard deviations below average (typically less than 70 IQ)
Mild ID
55 to 70
Moderate ID
35 to 55
Severe ID
25 to 35
Profound ID
20-25
Most common genetic cause of ID?
Trisomy 21 (Down)
Most common inherited cause of ID?
Fragile X
Treatment in ID?
Treat underlying cause
