intellectual and communication disorder Flashcards
basic definition of intellectual development disorder
intellectual and adaptive functioning deficits in conceptual, social, and practical domains
what three criteria have to be met for dx of intellectual development disorder
-intellectual disability confirmed by standardized tests
-adaptive functioning deficit causes failure to meet standards for independence
-onset during early developmental period
what determines severity of intellectual disability
adaptive funcitoning not IQ scores
3 domains of adaptive funcitoning to measure for intellectual developmental disorder
conceptual domain
social domain
practical domain
conceptual domain of adaptive functioning
competence in memory, language, reading, writing, etc
social domain of adaptive funcitoning
awareness of others feelings, empathy, interpersonal skills
practical domain of adaptive functioning
personal care, job responsibilities, money management, organization of tasks
when is adaptive functioning deficit criteria met for intellectual development disorder
when 1 of the 3 domains is impaired enough to require ongoing support to function adequately
differential diagnoses for intellectual development disorder that may also be comorbid
neurocognitive disorders
communication disorders
specific learning disorder
autism
most common comorbidities with intellectual development disorder
ADHD
depression/bipolar
anxiety
autism
impulse control disorders
stereotypic movement disorders
when do you give a diagnosis of global developmental delay
when the child is under 5 and clinical severity cannot yet be assessed reliably
how old do you have to be to get a diagnosis of intellectual development disorder
at least 5
basic definition of language disorder
difficulty in the acquisition and use of language d/t deficits in comprehension or production
diagnostic criteria for language disorder
-language abilities substantially below expected for age enough to cause limitations in communication or social, academic, and occupational domains
-onset in early developmental period
-not attributable to sensory deficit or another disorder
clinical features of language disorder
-deficits in written, spoken, sign language
-language problems d/t comprehension/production of vocabulary, grammar and sentence structure
-first words/phrases delayed
prognosis if diagnosed with language disorder after 4 years old
likely to be stable and persist into adulthood
are receptive or expressive language deficits associated with a poorer prognosis
receptive
common comorbidities with language disorder
-specific learning disorder
-ADHD
-intellectual disability
-autism
-developmental coordination disorder
-social pragmatic communication disorder
diagnostic criteria for speech and sound disorder
-difficulty w/ sound production interferes w/ intelligibility of speech
-communication limitations affects social, academic, or occupational domains
-onset in early developmental period
-not attributable to another condition
possible problems causing speech and sound disorder
may have phonetical knowledge deficit or inability to coordinate movements of anatomical structures required for speech
development and course of speech and sound disorder
most respond well to treatment and difficulties improve over time. Poorer prognosis if language disorder comorbid
basic defintion of childhood onset fluency disorder
disturbances in fluency pattern inappropriate for age that are persistent and cause anxiety about or limitations in communication,, social interaction, and academic/occupational functioning
6 possible manifestations of childhood onset fluency disorder (must have 1)
-repetition of sounds/syllables
-sound prolongations
-broken words/pauses within a word
-audible or silent blocking
-circumlocutions
-monosyllabic word repetitions
what are circumlocutions
word substitutions to avoid problematic words
other diagnostic criteria for childhood onset fluency disorder
-causes anxiety about speaking or limits communication
-onset in early developmental period
-not attributable to another disorder
common differential diagnoses for childhood onset fluency disorder
sensory deficits
specific learning disorder
bilingualism
medication side effects
tourette’s
Onset of stuttering
from 2-7 years old
can be sudden or insidious
basic definition of social pragmatic communication disorder
difficulty with social use of verbal and nonverbal language
4 manifestations required for social pragmatic communication disorder
-problems with language for social purposes (greeting, sharing info)
-problem changing communication style to match context or needs of the listener
-difficulty following rules of conversation
-difficulty understanding anything that is not explicitly said (inferences)
other diagnostic criteria for social pragmatic communication disorder
-limits communication and/or function in at least one important area
-onset in early developmental period
-not attributable to another condition
when is social pragmatic communication disorder diagnosed
not before age 5
main differential diagnoses for social pragmatic communication disorder
autism
ADHD
social anxiety disorder
intellectual development disorder
global developmental delay
what differentiates social pragmatic communication disorder from autism
the presence of restricted/repetitive patterns of behavior, interests, or activities
what is the differentiating factor between social pragmatic communication disorder and social anxiety disorder
onset
no hx of adequate social communication in social pragmatic communication disorder
