Class 5 Flashcards
Interventions for learning disabilities
Early intervention, educational remediation by speech therapist/ orthopedagogue, positive coping strategies, occupational therapy, IEP (individual education planning)
Reading: break down the word in sections, kinesthetic, with pictures
Writing: practice ++
Math: flashcards, computer games
Refer to a psychologist (CBT for negative cognitions), speech language pathologist, teacher, principle, psychoeducation (at school), OT if motor problems, involve family, social worker could help link up with less expensive tutors, alloprof, pediatrician, tutor
R/o: hearing and vision problems
Interventions for autism
Social skills, teach method, ABA method (applied behavioral analysis: problematic behaviors, social skills training), Denver approach (early childhood intervention), individual therapy (anxiety, depression, self-esteem, obsessive compulsive sx, CBT for repetitive behaviors) and family therapy, integration in a normal classroom (peer involvement).
Complementary approaches: service dog, interactive electronic program
CRDI, CLSC
Irritability and self-harm in autism trx
risperidone 1-4, abilify: 2-15, olanzapine and Seroquel less data
Repetitive behaviors in autism trx
Risperdal, buspar
Sensory overload in autism trx
low stimulation rooms, noise cancelling headphones, heavy blankets, offering breaks, OT
Psychosocial interventions ADHD
§ Interventions at school
• Environnement, organisation, routine, educational help, seated away from distractions and next to a good role model, fidget toys, noise cancelling headphones, more time to do the work, breaks: give them tasks (hand out the papers, go sharpen the pencils), alternating the work (harder vs easier subjects)
§ Psychosocial interventions
• Individual psychotherapy
• Behavioural psychotherapy: reinforcing good behaviors, training programs for the parents, systems to track and reward when they’re doing well (with points), prosocial privileges (in charge of something)
• Sports activities
• Family therapy
• psychoeducation for the child and the family: on trx and nature and sx of ADHD
Guanfacine
selective alpha2A receptor agonist Monotherapy or adjuvant for the treatment of ADHD
Clonidine
non-selective alpha2 receptor agonist Used as an adjuvant with psychostimulants in complex cases or for tics or aggression comorbidities. BID/ TID
Short acting pros
PRN
supplemental doses
little anorexia
Short acting cons
Administration BID
loss of effect in the evening
risk of addiction
long acting pros
administration die
evening effect
little dependency
long acting cons
More action time
insomnia
anorexia at dinner
Self report rating scale ADHD
Conners-WellsAdolescentSelf Report Scale
teacher and parent ADHD scale
SNAP
Depression psychosocial trx
CBT, IPT, family therapy
