Learning Disability & child psych Flashcards
4 levels of intellectual disability? Difficulties with what at each level? Support?
Mild - academic tasks, problem solving (almost normal comprehension / speech)
Moderate - Markedly limited academic (reading,writing, time, money) with daily support needed for these
Reasonable comprehension / speech
Severe - Limited understanding of written language / money …
Extensive support required
Comprehension of simple speech /. Gestures
Profound - Extremely limited
May understand simple instructions
What level of of communication do you find in profound learning disability?
Pre verbal - no understanding of words and no speech
What is non verbal ability of communication
Understanding but no speech
What factors can influence communication ability?
Cognitive - memory / concentration
Anxiety - autism, social phobia, busy environments
People with autism have impairments in?
Social interactions / communication
Autism characteristic behaviour / interest? Reaction to sensory input?
Restricted repetitive patterns of behaviour interests / activities
Hyper/hypo reactivity / unusual interests to sensory aspects of the environment
Which type of Schitz do you see delusions and hallucinations?
Paranoid
Which schitz do you see disorganised speech behaviour (silly / shallow) and a flat / inappropriate affect?
Hebephrenic
Which schitz do you get psychomotor disturbance
Catatonic
Which schitz do the previous positive Sx get less marked -> prominent negative Sx ? What is it also called?
Residual
Post schizophrenic depression
What happens in simple schizophrenia ?
No delusions / hallucinations
Negative Sx gradually arise without an acute episode
There are a lot of DDs for schitz … name some
Substance induced psychosis Psychosis due to medical condition Mood disorders Transient psychotic disorder Lack of sleep Delusional disorder Dementia + delusion PTSD Pervasive development disorder OCD Anxiety disorder Shared psychotic disorder Factitious disorder Hypochondriasis
What kinds of medical conditions could make them DDs of schitz ?
Disease - Injury, infection, tumour, post epileptic
Metabolic - increase Na / decreased Ca
Endocrine - hyperthyroid / Cushing
Why could anxiety disorder mimic schitz ?
Put uses ‘paranoia’ to describe over concern / social phobia
What is a shared psychotic disorder?
Close friends / relatives share delusional beliefs
What is factitious disorder
Sx faked to avoid responsibilities / maintain sick role
What are the core sx of ADHD and how long do they need to have been occurring for? What is the latest age of presentation usually? What else is needed for Diagnosis
> 6month
Short attention span, distractibility, overactivity, impulsivity
Present by age 7
Must occur in 2 settings Eg home and school
Management of ADHD in children
Parent training / education
Classroom behavioural interventions (trained teachers)
Methylphenidate / atomoxetine (NA reputable inhibitor)
What happens with ADHD in adults
Less hyperactive but learning difficulties persist
-> antisocial behaviour
What are conduct disorders? Eg?
Persistent, disruptive, deceptive and aggressive disorders
- truancy, disobedience, damage to property, fighting, stealing
What is associated with conduct disorder ?
Low self esteem
Hyperkinetic / ADHD, learning developmental disorder
What is the difference between socialised conduct disorder and unsocialised?
Socialised - behaviours viewed as normal within peer group / family
Unsocialised - behaviours are solitary - with peer / parental recognition
Management of conduct disorder
Group/ individual Parent training / education
Improve communication with child + understand emotions
Behaviour management principles
CBT
Do people usually ‘grow out’ of antisocial behaviour in conduct disorder?
No - antisocial behaviour persists into adult life
