Developmental Disorders - Ryst Flashcards
What is a communication disorder?
Impairment in ability to receive, send, process and comprehend concepts or symbol systems.
What is a speech disorder from the ASL assoc?
Problems with articulation, fluency and voice.
What is a language disorder from the ASL assoc?
Impaired comprehension and/or use of spoken, written or other symbol systems.
What is a language disorder from the DSM5?
Persistent difficulties in the acquisition and use of language across modalities due to deficits in comprehension or production that include the following:
Reduced vocabulary
Limited sentence structure
Impairments in discourse
What is a speech sound disorder according to the DSM5?
Persistent difficulty with speech sound production that interferes with speech intelligibility or prevents verbal communication of messages.
WHat is a child-onset fluency disorder according to the dSM5?
- disturbances in normal fluency and time pattern
2. persist over time
What are these things characteristic of?
Sound and syllable repetitions
Sound prolongations of consonants as well as vowels
Broken words (pauses within words)
Audible or silent blockers (filled or unfilled pauses in speech)
Circumlocutions
Words produced with an excess of physical tension
Monosyllabic whole-word repetitions
Stuttering, aka child-onset fluency disorder
Expressive language delay occurs in (blank) percent of children under three years and drops to 3-7% by school age
10-15%
MIxed receptive-expressive issues in approximately (blank) percent of preschoolers and 3% of school aged kids
5%
Moderate to severe phonological disorders are seen in only 2% of early school aged kids but mild forms can be up to (blank) percent
20%!
What percent of young kids stutter?
1%
About 1/2 of kids with comm disorders also have an axis (blank) disorder
Axis I psych disorder
What are the most common comorbid psych disorders seen with comm issues?
ADHD
OCD
Conduct disorder
anxiety disorders
What’s on your DDx for a comm disorder?
Hearing impairment
Intellectual Disability
Autism
Selective Mutism
What is the Tx for a comm disorder?
- teach specific strategies to change the deficit and increase skills, aka speech and language therapy
- compensatory coping skills
- change kid’s environment
What is the biggest asset in improving a kid’s dev?
the parents!
What are the criteria for a development coordination (motor) disorder?
- clumsiness or slowness and inaccuracy of motor skills.
- sig. interferes with ADLs
- not due to a a med condition and not due to PDD
- If ID is present, motor difficulties cannot be better explained by it
What are the two major categories of motor disorders?
tics
Stereotypic movement disorder
Tics are (voluntary/involuntary)
voluntary
Over time, tics show a (blank to blank) progression
rostral to caudal; start with eye blinking and move down the body
What are simple tics?
few muscle groups; eye blinking, jaw thrusting, throat clearing
What are complex tics?
multiple organized contractions which mimmic contextual speech or movement (copropraxia, corprolalia, echolalia, echopraxia)
when do tics onset?
5-6 years
when do tics reach their peak intensity?
10-12
when do tics begin to reduce?
15-17 years
If a tic has been present for less than (blank) amount of time, then it is a provisional disorder
less than one year
Tourette’s includes what?
multiple motor and one or more vocal tics at some time during the illness; present for more than one year
If only motor OR vocal tics present for more than one year , then the disorder is….
Persistent (Chronic) Motor or Vocal Tic disorder
Overall presence of all tics, including transient tics, is….
11% girls
18% boys
FHx is often positive for what issues in first in pts with tics?
ADHD, OCD, and tics in first and second degree relatives