Chap. 13 - disorders of C/A - CD, ODD, ADHD Flashcards
Conduct disorder
Persistent pattern of behavior in which the rights of others or societal norms or rules are violated
Parents of a child with CD may have one (or more) of these 4 disorders
SZO
Mood disorders
ASPD
SUD
CD affects __ - __% of the US population
1-10%
CD affects __-__% of boys and __-__% of girls
6-16% of boys
2-9% of girls
CD onset for boys is age __ - __ and for girls at about age __.
Boys 10-12
Girls about age 16
Four categories to assess for CD
Aggression towards people or animals
Destruction of property
Deceitfulness or theft
Serious violation of rules
CD dx: ___ or more sx in the past _____, and at least __ in the past _____ _____.
3 or more sx in the past year
1 or more in the past 6 months
Childhood onset is considered before age __.
Before age 10
Differential dx for CD
ADHD
ODD
Mood disorder
SUD
Pharm management for CD
There isn’t any specific pharm management other than symptom-targeted meds
Nonpharm treatment for CD
Behavioral therapy
CD may be dx’d in adults if criteria for _____ _____ _____ is not met
Antisocial personality disorder
ODD
An enduring pattern of negativistic, defiant, disobedient, hostile, and defiant behaviors, usually directed towards an authority figure
ODD is more common in children of parents who have a history of (6)
ODD CD ADHD ASPD SUD Mood disorders
ODD affects __-__% of the population
2-16%
Before puberty, _____ are more often diagnosed with ODD. After puberty _____ are more often diagnosed.
Boys before puberty
Neither after puberty - they are equal
To diagnose ODD, the client must OFTEN display 4 of these 8 symptoms for at least 6 months
Loses temper Argues with adults Actively defies or refuses to comply with adults' requests or rules Deliberately annoys people Blames others for mistakes Is touchy or easily annoyed Is angry or resentful Is spiteful or vindictive
Differential dx for ODD
ADHD Mood disorders SUD MR CD Psychotic disorders
Pharm management for ODD
There is none
Non-pharm management for ODD
Behavioral therapy
ADHD
A persistent pattern of inattention or hyperactivity/impulsivity, or both, that is more frequent and more severe than that typically observed in individuals of the same developmental level
NT dysfunctions in ADHD (2)
DA
NE
Two brain regions most impacted by ADHD
Frontal cortex
Basal ganglia
About __-__% of US children have ADHD
3-5%
ADHD is much more common in _____
Boys
Average age of ADHD onset is __ years; mean age of diagnosis is __ years
Onset age 3
Diagnosis age 9
About __% will have symptoms of ADHD persist into adulthood
60%
Inattention or hyperactivity/impulsivity more common in adults?
Inattention
Symptoms of inattention (10)
Inattention to details Careless mistakes Difficulty sustaining attention Seeming not to listen Failure to finish tasks Difficulty with organizing Avoidance of tasks requiring sustained attention Loss of things Distractibility Forgetfulness
Symptoms of hyperactivity/impulsivity
Blurting out answers before question is finished Difficulty awaiting his or her turn Interrupting or intruding on others Fidgeting Inability to stay seated Inappropriate running or climbing General restlessness Difficulty engaging in leisure activities Always "on the go" Excessive talking
Hypertelorism
Wide-set eyes
Three physical anomalies in those with ADHD
Hypertelorism
Highly arched palate
Low-set ears
Strattera differs from the rest of the ADHD meds in that it is not _____
Scheduled
Ritalin, Concerta, and Metadate are __________ class and are schedule __
Methylphenidate
S2
Adderall is a/an _____
Amphetamine
Focalin and Vyvanse are (supposedly) not _____
Abusable
ADHD scales (2)
Conners
Vanderbilt
