Psychiatry EOR: Disruptive, Impulse Control and Conduct Disorders; Neurodevelopmental Disorders Flashcards
An 8-year old who is disruptive in class, always fidgeting, has difficulty concentrating and does not complete assignments
What does this patient most likely have?
Attention-deficit/ hyperactivity disorder
True or false: To have ADHD symptoms can occur in one setting?
False, they need to occur in more than one setting
What is the Tx for ADHD?
methylphenidate first line can also use mixed amphetamine salts
How long do symptoms need to occur for ADHD?
6 months or more
A child has normal cognitive development, poor relationships and does not spontaneously seek activities with others
What kind of condition does this child likely have or what group of conditions do they fall in?
Autism spectrum disorder
If someone has disruption of social interaction and language at age 3 or earlier what kind of condition do they most likely have?
Autistic disorder
Autism spectrum disorders encompasses?
- Autistic disorder
- Childhood disintegrative disorder
- Pervasive developmental disorder
- Asperger disorder
What DSM V criteria does the ASD require
- Social communication and social interaction deficit
- Restricted and repetitive patterns of behavior
- hese symptoms must be present in the patient’s early developmental period in the absence of an organic etiology
- These symptoms cannot be better explained by other conditions
Tx for ASD?
- refer- Autism specialist, speech & language pathologist
- Audiology evaluation, +/- EEG
- Behavioral therapy (multisystemic?)
What kind of medications are used in the treatment of ASD?
second generation antipsychotics- (risperidone, aripiprazole)
If someone has ASD and is in the aggression/hyperactivity or mood liability range what kinds of meds could you use?
Haloperidol, Carbamazepine
Say someone with ASD has the stereotyped/repetitive behavior what type of medication can you use to treat this?
SSRI’s
A child is referred to your office for unusual animal cruelty and bullying at school
What kind of disorder does this pt have?
Conduct disorder
This describes what kind of disorder?
A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated
Conduct disorder
How many out of the 15 criteria for conduct disorder does someone need to have? and for how long one?
3 and for the past 12 months
What is conduct disorder usually a precursor to?
Antisocial personality disorder
What is the minimum age you need to be to be diagnosed with antisocial personality disorder?
18 years old
What are some behavioral characteristics associated with conduct disorder?
- Aggression to people and animals
- Destruction of property
- Deceitfulness or theft
- Serious Violations of rules
What is the most effective treatment for someone with conduct disorder
one that seeks to integrate individual, school, and family settings. Treatment should also seek to address familial conflicts such as martial discord or maternal depression
A child is found to back talk and resist following instruction from parents or authorities.
What kind of condition does this describe?
oppositional defiant disorder
What is the main difference between children with conduct disorder and oppositional defiant disorder?
children with oppositional defiant disorder are not aggressive towards people or animals, do not destroy property, and do not show a pattern of theft or deceit
What is the Tx for oppositional defiant disorder?
- CBT
2. Family therapy
What kinds of medications are used for oppositional defiant disorder to control the aspect of ODD?
- mood stabilizers
- Antipsychotics
- stimulants
What is a common comorbidity of oppositional defiant disorder?
ADHD, can use haloperidol, thioridazine, and methylphenidate to treat both at the same time.