behavioural delay and emotional development Flashcards
three examples of behavioural problems
- hyperactivity
- aggressive behaviour
- temper tantrums
what is the normal age for temper tantrums and signs
18m - 3 years frustation anger tantrums hitting biting babies/toddler-> holding breath
what is aggressive behaviour
risk factors
frustration and child inability to deal with can be extreme-conduct behaviour large children active from big families martial discord and aggression home exposed to tv and games school failure
what is hyperactivity
poor ability to attend to task
motor overreactivity
impulsivity
M>F
not given limits or taught to have self control
tension and problems at home
history is most important to aid diagnosis
features of a hyperactive child
- restless impulsive excitable poor conc span little sense of danger
management of temper tantrums
firm, no anger back reward good behaviour avoid hunger and tiredness-triggers ignore when in full cry time out distraction
management of hyperactivity
- routine and regularity firm boundaries consistency in discipline teacher support adhd assessment
management of aggression
consistency from parents
timeout and star charts
reduce tension in house
if bullying or bullied, school interventions
what does ADHD stand for
Attention deficit hyperactivity disorder (ADHD) is mental disorder of the neurodevelopment type characterised by problems of paying attention, excessive activity, difficulty controlling behaviour
what characterises ADHD
problems of paying attention, excessive activity, difficulty controlling behaviour not appropriate for age impulsive easily distracted doesn't follow instructions talks excessively fidgety inattention overreactive apparently 'not listening' poor self organisation seems forgetful
diagnosis
problems in more than one setting
excessive compared to other children of same age
early age
assessment
Hx including development and co-morbid conduct disorder anxiety global learning disability scholastic skill disorder language impairment tourettes motor function dysorder
management
regular daily routine
overstimatulion and over fatigue to avoid
counselling
can be hard to follow simple instructions
structured tasks
time out
what medications can be given fro ADHD
METHYPHENIDATE ( RITALIN)
side effects of this med
reduce appetite sleep disturbance headache abdo pain nausea
