Mood 2 Nerodevelopment Flashcards
fetal stress can
permanently change fetal brain development
Fetal Alcohol Syndrome
interferes with embryonic/fetal development
FASD
fetal alcohol spectrum disorders
physical, behavioral, cognitive, neural impairments
FAS Causes
alcohol abuse during pregnancy
birth-induced morphologic injury & developmental disabilities
FAS s/s
deficiency in weight/height
abnormalities in development of nervous system
thin upper lip
smooth philtrum (smooth between nose and lip)
small palpebral fissures
HIV-positive infants
delayed neurodevlopment
Maternal Depression on child development
ADD/hyperactivity disorder
oppositional defiant disorder
lower levels of social engagement/empathy
large genetic components in which disorders
autism spectrum disorder
intellectual disability
advanced paternal age plays role in
autism
bipolar disorder
schizophrenia
advanced maternal age plays role in
down syndrome (trisomy 21) autism and other
Down syndrome
most common chromosomal condition
intellectual disability and other serious morbidity
can be subtle w/ not all features
Down syndrome pathogenesis
chromosome 21 trisomy
total intracranial volume smaller, especially cerebellum/brainstem/frontal lobes
down syndrome s/s
facial characteristics short stature dysmorphism growth delays hearing problems
down syndrome tx
no known cure
pt/ot
speech therapy
family interventions (sign language/visual cues)
autism spectrum disorder s/s
series of deficits in social interaction & communication
restricted, repetitive stereotyped behavior patterns
anxiety disorders
autism spectrum disorder dx
based on child’s behavior & development
MMR does not cause autism
autism spectrum disorder tx/interventions
discrete trial training
comprehensive behavioral treatment
joint attention intervention
self-management
Psychosis
symptom rather than disorder
abnormal thought processes interfering significantly with perceptions of reality
psychosis associated with
underlying illness or substance use, schizophrenia trauma severe peripartum depression bipolar disorder stroke
mean duration of untreated psychosis
364-721 days
longer = pooer outcome
psychosis assessment
toxicology screening
screening for suicidal ideation/self-injurious behavior
referral for further evaluation by mh provider
special considerations in pregnant/postpartum women
Schizophrenia
devastating long-term mental disorder
breakdown between thought, emotion, behavior
faulty perception
inappropriate actions & feelings,
withdrawal from reality/personal relationshps into fantasy/delusion
hallucinations
mental fragmentation
schizophrenia manifests men/women
15-24
25-34
schizophrenia etiology/pathogenesis
cause not known may be genetic 1% of world's population similar rates across ethnicities very variable childhood trauma usually increased levels of cytokines neurotransmitter abnormalities/impaired immune fx neuronal malformation
schizophrenia formal thought disorder
altered thought processes pressured/distracted speech poverty of speech loose associations word salad
schizophrenia s/s
social withdrawal abnormal movements memory & attention loss of executive function avolition (reduced ability to engage in goal-directed behavior)
schizophrenia positive symptoms
additions to normal experiences delusions hallucinations abnormal movements formal thought disorder
schizophrenia negative sympotoms
diminished affects/behaviors flat/blunted affect thought blocking avolition poverty of speech social withdrawal
schizophrenia cognitive symptoms
memory deficits
attention deficits
language difficulties
loss of executive function
schizophrenia dx
predictors of fx in early dx parallel factors that predict fx chronically
clinical signs persist for at least 6 months
lack of clinical insight one of most important features
