Neurodevelopment Disorders (Cooley) Flashcards
What is a global developmental delay?
the diagnosis given when a patient meets observational criteria for an intellectual disability but is unable to be diagnosed
What are the 3 areas where you should look for adaptive functioning deficits?
- Conceptual
- Social
- Practical
Conceptual adaptive functioning deficit examples
reasoning, problem-solving, planning, judgment, academic learning and learning from experience
Social adaptive functioning deficit examples
difficulty making friends and reading social cues, language is more concrete, difficulty controlling emotions and behaviors in social situation, gulliable
Practical adaptive functioning deficit examples
difficulty with personal care, grocery shopping, transportation, food prep and money management
What signs and symptoms should you look for in an adult that may have an intellectual disability?
-academic skills typically at an elementary level
-support is required for all use of academic skills
-assistance needed for dad-to-day conceptual tasks
-caregivers need to take over these responsibilities fully for the individual
What 4 domains does the Denver Developmental Screening Test (DDST) screen?
gross motor
fine motor
language
personal-social
Wechsler Intelligence Scale for Children (WISC)
test performed by health services clinical psychologist that measures a child’s intellectual ability
What are the 4 types of communication disorders?
- language disorder
- speech sound disorder
- social communication disorder
- childhood-onset fluency disorder
Language disorder
has to do with use of spoken WORDS; sign language, written words and pictures (reduced vocabulary)
Speech sound disorder
has to do with the quality of speech SOUNDS (difficulty making the correct sounds)
Social communication disorder
has to do with behavior for SOCIAL INTERACTION (verbal and non-verbal)
Childhood-onset fluency disorder
has to do with the fluency of their speech sounds (stuttering)
What are 7 key things to look for in Autism Spectrum disorder?
- deficits in social-emotional reciprocity (reduced sharing of interest)
- deficits in nonverbal communicative behaviors used for social interaction (eye contact, facial expressions and gestures)
Sensory integration deficits is commonly seen in what type of disorder?
Autism spectrum disorder; abnormal reaction to sensory input (hyper or hyporeactivity) - either overreacts or under reacts
What is one of the most distinctive features of autism?
Sensory integration deficits; abnormal reaction to sensory input (hyper or hyporeactivity) - either overreacts or under reacts
What are the two criteria that best differentiate Intellectual Disability from Autism Spectrum?
- restricted interest
- repetitive behaviors
What are the only two FDA drugs approved for irritability and agitation associated with autism?
- risperidone
- aripiprazole
What is the most commonly misdiagnosed neurodevelopment disorder?
Attention-Deficit/Hyperactivity Disorder (ADHD)
Attention-Deficit/Hyperactivity Disorder (ADHD)
Executive Function Deficits that interfere with the ability to gain, sustain and shift focus
What population of children are least likely to receive consistent ADHD medication treatment?
the poorest children
Females are more likely to be diagnosed with that subtype of Attention-Deficit/Hyperactivity Disorder (ADHD) compared to boys?
the inattentive subtype
Referral bias that causes under-identification and lack of treatment for females with ADHD is primarily due to what?
less disruptive behavior (females typically present with the inattentive subtype of ADHD)
What is the most common cause of attention and concentration problems in patients diagnosed with ADHD?
mood disorders
