Neurodevelopmental Disorders DSM-5 Flashcards

1
Q

Intellectual Disability

- duration

A

onset during developmental period

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2
Q

Deficits in intellectual functioning - reasoning, problem- solving, planning, abstract thinking, learning, judgement

Deficits in adaptive functioning - failure in developmental and personal independence

A

Intellectual disability

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3
Q

Intellectual Disability

- symptoms -

A

Deficits in intellectual functioning - reasoning, problem- solving, planning, abstract thinking, learning, judgement

Deficits in adaptive functioning - failure in developmental and personal independence

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4
Q

Intellectual Disability

- Differential Dx -

A
Neurocognitive D/O
Communication D/O
Specific Learning S/O
Autism
Borderline Intellectual Functioning
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5
Q

Intellectual Disability

- Interventions -

A

Behavior modification
Family centered approach
Inclusion/mainstreaming into academic setting
Integration of therapy into environment
Early Interventions: special education; home health care; language stimulation; social skills

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6
Q

Autism

- duration -

A

Onset during developmental period

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7
Q

Autism

- Symptoms -

A
  • Deficit in social-emotional reciprocity- failure to initiate/respond to social interactions
  • deficits in nonverbal communicative behaviors- lack of eye contact, poor communication, lack of facial expressions/nonverbal communication
  • Deficits in developing relationships- inability adjust to social context, make friends, lack of interest in peers
  • restricted repetitive behaviors- insistence in sameness, fixated interests
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8
Q
  • Deficit in social-emotional reciprocity- failure to initiate/respond to social interactions
  • deficits in nonverbal communicative behaviors- lack of eye contact, poor communication, lack of facial expressions/nonverbal communication
  • Deficits in developing relationships- inability adjust to social context, make friends, lack of interest in peers
  • restricted repetitive behaviors- insistence in sameness, fixated interests
A

Autism

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9
Q

Autism

- specifiers -

A
  • with/without language impairment
  • with/without intellectual impairment
  • associated w/ medical /genetic condition
  • Associated w/ another neurodevelopmental, mental or behavior d/o
  • w/ catatonia
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10
Q

Autism

- Differential Dx -

A
  • ADHD
  • Schizophrenia
  • Intellectual Disability
  • Language Disorder
  • Stereotypic Movement
  • Rett Syndrome
  • Selective Mutism
  • Social Pragmatic Communication
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11
Q

Autism

- interventions -

A

Support Group for parent
Psychoeducation
Parent Training & Support
Focus on improving language, communication skills, social skills, skills of daily living
Behavior Analyst
Relationship Development Intervention
Modeling
Medical/Medication (repetitive behaviors, tics, anxiety,
Behavior Therapy- Chaining; positive reinforcement
Coloring Therapy
Play therapy
Social skills training/social skills group Sand tray therapy
Family Therapy
Adolescent: script fading, social stories, role-playing

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12
Q

ADHD

- duration/onset -

A

> = 6 months; prior to age 12

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13
Q

ADHD - inattention

- Symptoms -

A

6 or more of the following

  • Fails to give close attention or makes careless mistakes
  • Difficulty sustaining attention in tasks or play activities
  • Does not seem to listen when spoken to directly
  • Often does not follow through on instructions, fails to finish tasks
  • difficulty organizing tasks and activities
  • avoids, dislikes, or is reluctant to engage in task that require sustained mental effort
  • loses things necessary for tasks or activities
  • easily distracted by extraneous stimuli
  • often forgetful in daily activities
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14
Q
  • Fails to give close attention or makes careless mistakes
  • Difficulty sustaining attention in tasks or play activities
  • Does not seem to listen when spoken to directly
  • Often does not follow through on instructions, fails to finish tasks
  • difficulty organizing tasks and activities
  • avoids, dislikes, or is reluctant to engage in task that require sustained mental effort
  • loses things necessary for tasks or activities
  • easily distracted by extraneous stimuli
  • often forgetful in daily activities
A

ADHD - inattentive presentation

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15
Q

ADHD - hyperactive/impulsive

- symptoms -

A

6 or more of the following

  • often fidgets/taps hands squirms in seat
  • Often leaves seat when remaining in seat is expected
  • often runs about or climbs in situations where this is inappropriate
  • often unable to play or engage in leisure activities quietly
  • Is often “on the go” acting as if driven by a motor
  • often talks excessively
  • often blurts out an answer before a question has been completed
  • difficulty waiting turn
  • interrupts and/or intrudes on others
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16
Q
  • often fidgets/taps hands squirms in seat
  • Often leaves seat when remaining in seat is expected
  • often runs about or climbs in situations where this is inappropriate
  • often unable to play or engage in leisure activities quietly
  • Is often “on the go” acting as if driven by a motor
  • often talks excessively
  • often blurts out an answer before a question has been completed
  • difficulty waiting turn
  • interrupts and/or intrudes on others
A

ADHD - hyperactive/impulsive type

17
Q

Number of symptoms required for ADHD dx

A

6 or more

18
Q

ADHD

- differential Dx - children

A

ODD; Intermittent Explosive; RAD; Specific Learning Disorder; Intellectual Disability; Autism/Stereotypic Mvt/Tourette
depressive, Bipolar

19
Q

ADHD

- differential Dx - adult

A

depressive, Bipolar
Disruptive Mood Dysregulation; Anxiety; Psychotic D/O; Substance Use; Borderline/Narcissistic/Personality D/O; Medication Induced; Neurocognitive

20
Q

ADHD

- interventions -

A

CBT, Brainwave biofeedback, relaxation training, psychoeducation, support group
Behavior modification
Parent Management Training
Family Therapy

21
Q

Specific Learning Disorder

- duration

A

> = 6 months

22
Q

Specific Learning Disorder

- symptoms -

A

Difficulty learning and using academic skills

Academic skills are below expected for age and cause significant interference with academic performance/DLA

Not accounted for by intellectual disabilities or other mental/neurological disorders

23
Q

Difficulty learning and using academic skills

Academic skills are below expected for age and cause significant interference with academic performance/DLA

Not accounted for by intellectual disabilities or other mental/neurological disorders

A

Specific Learning Disorder

24
Q

Specific Learning Disorder

- specifiers

A

w/ impairment in reading

w/ impairment in written expression

w/ impairment in mathematics

25
Q

Specific Learning Disorder

- differential dx -

A
normal variations in academic attainment
Intellectual Disability
ADHD
psychotic d/o 
neurocognitive d/o
learning difficulties due to neurological/sensory d/o
26
Q

Specific Learning Disorder

-interventions -

A
Appropriate accommodations at school - IEP
tutoring
alternative test-taking methods
psychoeducation
social skills training
language deficit - play/activity therapy
CBT
Behavioral therapy (behavior issue)
play therapy
Client centered
Expressive art therapy