Psych Childhood DOs Flashcards
conduct disorder criteria (2)
1) . persistent pattern of violation of rights of others or age appropriate societal norms with AT LEAST 3 BEHAVIORS over the PAST YR and AT LEAST 1 within PAST 6 MONTHS:
- aggression to humans or animals
- destruction of property
- serious violation of rules
- deceitfulness or theft
2) . less than 18 yo
what is conduct disorder
behavior that deviates significantly from age-appropriate norms, violates rights of others and animals, engage in physical/sexual violence, lack empathy for victims, lack remorse
**may progress to ANTISOCIAL personality DO
tx for conduct DO
behavioral modification, community/family involvement, parent management training
what is ODD
children are generally defiant towards authority but NOT associated with physical aggression, violating others’ basic rights, or breaking laws (unlike conduct DO)
diagnostic criteria for ODD
at least 4 symptoms present for at least 6 months (with at least 1 person not a sibling):
- angry or irritable mood
- argumentative or defiant behavior
- vindictiveness/spiteful: at least 2x in the 6 months
tx for ODD
behavioral modification therapy
what is autism spectrum disorders? when are symptoms typically recognized?
spectrum of developmental disorders characterized by IMPAIRMENT IN SOCIAL INTERACTION or COMMUNICATION, RESTRICTED/REPETATIVE stereotyped BEHAVIORS
** symptoms usually seen between 12 and 24 months old
diagnostic criteria for autism spectrum DO (4)
1) . social interaction difficulties: emotional discomfort or detachment (i.e no eye contact)
2) . impaired communication: inability to communicate or just chooses not to in social situations. understanding difficulties
3) . restricted, repetitive stereotyped behaviors
4) . these disturbances are not better explained by intellectual disability or developmental delay
management for autism spectrum DOs
referral for neuropsychological testing, behavioral modification strategies, and medications
what is ADHD?
neurodevelopmental disorder that is characterized by problems PAYING ATTENTION, IMPULSIVITY, AND HYPERACTVIITY that is not age-appropriate
what are the three subcategories of ADHD?
1) . predominantly inattentive
2) . predominantly hyperactive/impulsive
3) . combined type
diagnostic criteria for ADHD (5)
1). developmentally inappropriate for age
2). symptom onset BEFORE AGE 12
3). sxs present for AT LEAST 6 MONTHS and must occur in AT LEAST 2 SETTINGS
4). at least SIX inattentive sxs:
-easily distracted
-has difficulty maintaining focus
-misses details, makes mistakes
-forgets or loses things
-difficulty in completing assignments
-becomes bored with a task after a few minutes
AND/OR
5). at least SIX hyperactive/impulsive sxs
-fidgets/squirms
-constantly in motion
- talks non-stop
-impatient
-dashes around, touches everything
-has trouble sitting for long periods
-difficulty doing quiet tasks
-restlessness
- blurts out appropriate or inappropriate comments
-interrupts the conversation of others
Management of ADHD
MULTIMODAL
1) . behavioral modification including social skills training, classroom help, and parent education
2) . stimulants- first line med tx
3) . non stimulants
4) . adjunctive meds: alpha agonists
MOA of stimulants for ADHD/ADD
block reuptake and increases the release of NE and DA in synaptic cleft (sympathomimetic)
ADRs of stimulants used for ADHD/ADD
ABD PAIN, insomnia, weight loss, dizziness, vomiting, anxiety, HTN, inc HR, growth delays
