L6: Behavior Disorders Flashcards
Intro to ADHD
ADHD change in symptoms with time
Def of Inattention
Def of Hyperactivity
It means a person seems to move about constantly:
- Including in situations in which it is not appropriate
or
- excessively fidgets, taps, or talks
Def of Impulsivity
- It means a person makes hasty actions that occur in the moment without 1st thinking about them and that may have a potential harm
- A desire for immediate rewards or inability to delay gratification
Incidnence of ADHD
ADHD worldwide prevalence of 7.2% among children.
Sex in ADHD
Boys are more than twice as likely as girls to receive a diagnosis of ADHD.
Etiology of ADHD
Dx of ADHD
by DSM-5 Criteria
Types of ADHD
- Inattentive type.
- Hyperactive / impulsive type.
- Combined type.
DSM Criteria of Inattentive ADHD
DSM Criteria of Hyperactive/impulsive ADHD
- Hyperactive
DSM Criteria of Hyperactive/impulsive ADHD
- Impulsive
DSM Criteria of Combined ADHD
- Patient meets both inattentive and hyperactive/impulsive criteria for the past 6 months.
Additional Req for Dx of ADHD
TTT of ADHD
TTT of ADHD
- Types
Types of treatment for ADHD include:
- Behavior therapy, including training for parents
- Medications
TTT of ADHD
- Behavioural Therapy
TTT of ADHD
- Meds
Medical TTT of ADHD
- Stimulants
Medical TTT of ADHD
- Non-Stimulants
Medical TTT of ADHD
- Protocol depending on age
Intro to ASD
Variation in symptoms of ASD
Common Features of ASD
- Certain repetitive behaviors
- Difficulties with social interaction and communication.
Age of Dx of ASD
- ASD is usually first diagnosed in childhood with many of the most-obvious signs presenting around 2-3 years old.
Incidence of ASD
The worldwide prevalence is 6.7 per 1000 persons.
Sex in ASD
- It is 3 to 4 times more common in boys than in girls.
- Many girls with ASD exhibit less obvious signs compared to boys.
- Autism is a lifelong condition.
Etiology of ASD
CP of ASD
- Social interaction and communication problems
- Restricted and repetitive patterns of behaviors, interests or activities
CP of ASD
- Social interaction and communication problems
CP of ASD
- Restricted and repetitive patterns of behaviors, interests or activities
CP of ASD
- Experiencing the sensory aspects of the world in an unusual or extreme way such as โฆ..
Red flags for ASD in young children
Dx of ASD
TTT of ASD
TTT of ASD
- Established Mode of therapy
Non-Pharm
TTT of ASD
- Non-Pharm
TTT of ASD
- Pharmacologic
Pharmacologic TTT of ASD
- 2nd Gen Antipsychotics
Risperidone - Aripiprazole - Ziprasidone
Pharmacologic TTT of ASD
- SSRI
Fluoxetine - Citalopram - Escitalopram
Pharmacologic TTT of ASD
- Stimulants
Methylphenidate
Pharmacologic TTT of ASD
- Alpha 2 adrenergic Agonists
Clonidine - Guanfacine