Developmentally Disabled Flashcards
Intellectual Disability
Deficits in intellectual functions: planning, problem solving, abstract thinking, judgment,
Fail to meet developmental & sociocultural standards
Onset in developmental period
Mild IQ
50-75
Moderate IQ
35-55
Severe IQ
20-40
Profound IQ
Intellectual Disability Syndromes
Down’s syndrome: single palmar transverse crease, protruding tongue, flat facies, small ears, thick neck
Tay Sachs
Untx PKU
Fragile X Syndrome: males–severely delayed cognitive abilities, behavior problems, hand flapping, large ears, elongated face & enlarged testes
Tx/management of Intellectual disability
Placement issues
Supportive counseling & training in behavior for family
Meds if indicated
Learning Disorder
Unable to achieve a specific area of learning (reading, writing, math) at a level consistent with their overall IQ
-often assoc with: ADHA, mood disorder, conduct disorder, truancy, substance abuse
Learning disorder Tx
Remedial instruction
Supportive counseling for child & family
Autistic Spectrum Disorder-ASD
Impaired social interactions
Impaired ability to communicate
Restricted range of activities & interests
Autism
Onset: first 3 years of life
Boys 4x > girls
Good px: Higher IQ, better language & social skills
Asperger Syndrome
Good verbal language
Milder nonverbal problems
Restricted range of interests & relationships
Engage in repetitive routines
Theory of autism spectrum disorders
Brian dysfxn with abnormalities in brain structure & abnormalities in NT (serotonin & DA)
Genetic cause
Tx/Management of ASD
Well-structured classroom & home routines
Individualized instruction
Behavior modification techniques
Rett’s Syndrome
Girls >
Normal development to age 4 then –> dec social & verbal cognitive skills, hand wringing, ataxia, dec IQ
Childhood Disintegrative Disorder
Boys>
Normal development until age 2 to 10 –> lose all skills
Feeding Disorders of Infancy & early childhood
Onset
Tourette’s Disorder
Onset: 6-7 yo (as early as 2) Boys 3-5x > girls Lifelong or resolve by adulthood Involuntary motor & vocal tics Tx: antipsychotics-Haloperidol
Chronic Motor & Vocal Tic Disorder
Either Motor or vocal tics (NOT BOTH)
Transient Tic Disorder
Single or multiple motor or vocal tics for
Separation Anxiety Disorder
4% of school kids: "School Phobia" Fear of a loss of major attachment figure c/o physical sx FH of anxiety disorders Tx: SSRI: good results