Intellectual and communication disorders Flashcards
definition of intellectual disability
significant limitations in intellectual functioning and adaptive behavior that emerges before age 18
3 domains that must be assessed for intellectual disability
-conceptual domain - academic skills
-social domain - relationships
-practical domain - personal hygeine
IQ for mild intellectual disability
-
IQ for moderate intellectual disability
-35-50
IQ for severe intellectual disability
20-35
IQ for profound intellectual disability
<20
associated with moderate intellectual disability
-acquires language
-achieves 2-3 grade level
-socialization difficulty in adolescence
-can do semi-skilled work under supervision
associated with severe intellectual disability
-may develop communcation
-may do well in supervised living
-cause typically identified
associated with profound intellectual disability
-usually identifiable cause
-may/may not be able to communicate
-may/may not be taught some self-care
clinical features of mild intellectual disability
-egocentric or reduced abstract thinking
-intellectually at the high elementary level
-may acquire vocational skills
-social problems
clinical features of moderate intellectual disability
-academic achievement middle elementary
-aware of deficits/feels alienated
-requires supervision in occupation but can become competent with support
clinical features of severe intellectual disability
-minimal speech
-impaired motor development
-may develop language in school age years
-needs extensive supervision
clinical features of profound intellectual disability
-constant supervision
-limited communication
-limited motor development
-may develop language by adult
frequent behavioral traits of profound intellectual disability
-hyperactivity
-low frustration tolerance
-aggression
-affective instability
-repetitive/stereotypic motor behaviors
-self-injurious behavior
How is the severity of intellectual disability determined
level of adaptive functioning, not IQ
alexia
failure to read
agraphia
failure to write
aphasia
failure to communicate
therapy interventions often used with intellectual disability
cognitive therapy
psychodynamic therapy
medication to deal with aggression in intellectual disability
antipsychotics and possible anticonvulsants
(aripiprazole and risperidone)
medications for comorbid ADHD in intellectual disability
stimulants
clonidine
atomoxetine
medications to treat comorbid depressive disorders in intellectual disability
SSRIs
medication for sterotypical motor movements in intellectual disability
antipsychotics (when disruptive/harmful)
SSRIs
which SSRIs are used for sterotypical motor movements in intellectual disability
fluoxetine
fluvoxamine
paroxetine
sertraline
most likely comorbid disorders with mild intellectual disability
disruptive and conduct disorders
most likely comorbid disorders with severe intellectual disability
autism
self-mutilation
self-stimulation
what is prader-willi syndrome almost always associated with
compulsive eating disturbances, hyperphagia, and obesity
clinical features of PKU
-severely intellectually disabled
-perceptual difficulties
-impaired verbal/nonverbal communication
symptoms of rett syndrome
ataxia, facial grimacing, teeth grinding, loss of speech