Chapter 11: Childhood Neurodevelopmental Disorders

Question 1

What percentage of children adolescents in the US suffer from major mental illness that causes impairment

Answer 1

20%

Question 2

What three factors affect likelihood of a childhood neurodevelopmental disorders

Answer 2

Biological: Genetic, neurobiological

Psychosocial: temperament, resilience

Environmental factors: witnessing violence, neglect and abuse, bullying

Cultural factors

Question 3

What are the four parts of the pediatric mental health assessment

Answer 3

Assessment data

Data collection (parents and patient)

Mental status

Developmental assessment

Question 4

Interventions for children/adolescents

Answer 4

Play therapy (watch kis play)

Bibliotherapy (SPECILIAZED BOOK TO HELP KIDS UNDERSTAND DX)

Expressive art (performing a play, dancing)

Music therapy

Family interventions (if treating the kid you’re treating the family)

Question 5

Examples of nuerodevelopmental disorders

Answer 5

 Communication disorders
 Motor disorders
 Specific learning disorder
 Intellectual developmental disorder
 ASD
 ADHD

Question 6

Motor disorders

Answer 6

Tourette’s or tics (involuntary motor/vocal functions)

Meeting with behaviorist to learn how to manage medications, deep brain stimulation.

Question 7

Specific learning disorders

Answer 7

Dyslexia (reading), dyscalculia (math), Dysgraphia (written expression)

Question 8

Intellectual development disorder

Answer 8

Deficits in intellectual/social/daily functioning from issue at home

Question 9

Characteristics of a pt with autism spectrum disorders

Answer 9

Deficits in social relatedness/relationships

obsessive focus

extreme resistance to change

repetitive speech

hyper/hypo-reactivity to sensory input

appears in early childhood

Question 10

What criteria must be met for a ADHD Dx

Answer 10

ADHD symptoms in two settings

Question 11

COMMUNICATION DISORDER

Answer 11

EXPRESSIVE PROBLEM (CANT FIND RIGHT WORDS/FORM CLEAR SENTENCES)

RECEPTIVE PROBLEM (CANT UNDERSTAND) POORER PROGNOSIS THAN EXPRESSIVE

SPEECH SOUND DISORDER (WABBIT)

FLUENCY DISORDER (STUTTERING)

SOCIAL COMMUNICATION DISORDER (NO SOCIAL SKILLS, HAVE TO R/O AUTISM)

Question 12

MOTOR DISORDER

Answer 12

DEVELOPMENTAL COORD DIS (BELOW COORDINATION OD AGE LEVEL, INTEREFERES W/ ADL)

STEREOTYPIC MOVE DIS (ROCKING, NAIL BITING)

TIC DISORDER (3 TYPES, PROVISIONAL: ONE TIC LESS 1 YEAR, PERSISTANT: MORE THAN 1 TIC LESS THAN YEAR, TOURETTES: MULTIPLE TICS MORE THAN 1 YEAR. ADHD MEDS(CNS DEPRESSANTS) EXACERBATE. Treating tic disorders
 Behavioral techniques
 Medications
 Deep brain stimulation (DBS)

Question 13

Specific learning disorder

Answer 13

ADHD, DUSLEXIA, DYSCALCULIA

Question 14

INTELLECTUAL DISABILITY

Answer 14

DECREASE INTELLECTUAL/SOCIAL/DAILY FUNCTIOINNG