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Flashcards in Childhood Disorders Deck (20)
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Autism Spectrum Disorder

ONSET: early childhood
2 Categories need to be met in order to diagnose:

1) persistent deficit in social interaction
- lack of eye contact
- lacks ability to understand emotions or affect
- abnormal social engagement
- difficulty with friends
- stands out more when in school when expectations are not met

2) restrictive, repetitive patterns in behavior, interests or activities
- motor movement
- repeat what others say
- inflexible functioning
- needs rituals and order


Social (Pragmatic) Communication Disorder

ONSET: early childhood
FKA - Aspergers

- deficit in communication only
- no repetitive or inflexible behavior


Specific Learning Disorder

FKA - Learning Disorder

- note specifically which part of learning has issue: reading or writing
- unable to learn in the typical manner

- phonics awareness: unable to break up words into sounds


Attention Deficit Hyperactivity Disorder (ADHD)

ONSET: symptoms must be present before age 12

- need to show up in 2 settings: school and ____

- inattention or unable to sustain attention
- hyperactivity: squirming, fidgeting, unable to stay seated, lots of energy, excessive talking
- impulsivity: blurting out answers, butting in conversations

- refer out for medication (psychostimulants recommended)

* for ages 6 - 7, refer to psych testing to rule out learning disorder (make sure learning is fine before ADHD is diagnosed)


Language Disorder

- persistent difficulties in acquisition and use of language or words
- reduced vocabulary
- limited word knowledge and use
- limited sentence structure


Speech Sound Disorder

- sound production of speech
- cannot articulate words correctly
- words not formed correctly, run together
- limited pronunciation


Child Onset Fluency Disorder

- sound and syllable repetition
- sound prolongation
- broken words, pause between words


Tourette's Disorder

ONSET: symptoms must be present for at least 1 year
- multiple motor tics: motor and vocal present
- at least one or more vocal tics


Persistent Motor / Vocal Tic Disorder

- does not require presence of vocal tic
- need to have one or the other, NOT BOTH



ONSET: must be at least 4 years old
- inappropriately passing feces
- can be involuntary or intentional



ONSET: must be at least 5 years old
- wetting bed or clothes


Separation Anxiety Disorder

ONSET: symptoms must be present for 4 weeks

- developmentally inappropriate and excessive anxiety concerning separation from home or a person of attachment
- marked distress during separation or anticipation of separation
- persistent worry about losing or harm coming to attachment figure
- fear of being kidnapped
- refusal to leave attachment figure
- nightmares about separation
- physical complaints so child can stay close


Generalized Anxiety Disorder

ONSET: symptoms present for 6 months

- if less that 6 months, even with same severity --> UNSPECIFIED ANXIETY DISORDER

- anxiety is more pervasive and general


Selective Mutism

- very rare anxiety disorder
- persistent failure to speak in specific social situations, can speak everywhere else
- refuse to speak where speaking is expected


Social Anxiety Disorder

- fear or anxiety of being in social settings
- more broad and pervasive


Reactive Attachment Disorder (Inhibited)

ONSET: before age 5
REQUIRES: early disruptions in caregiving

- lack of connection with caregivers
- withdrawn
- no help seeking behaviors
- be by themselves when upset
- flat affect with few positive engaging emotions
- disengaged


Disinhibited Social Engagement Disorder

ONSET: before age 5
REQUIRES: early disruptions in caregiving

- indiscriminate attachment
- willing to attach to strangers
- attention seeking behavior
- stand out, problematic at school


Oppositional Defiant Disorder (ODD)

ONSET: common in teenagers
RULE OUT: possible depression

- negative, defiant, disobedient behavior toward adult authority figures
- losing temper, arguing
- refusing to comply with requests or rules
- annoying, blaming others, irritable
* specific to problems with authority


Conduct Disorder

- violation of the basic rights of others
- aggressive: causes or threatens harm to others or animals
- property loss, stealing, damage
- lying
- can have ODD symptoms until it crosses line of law breaking behavior
- precursor to [Anti-Social Personality Disorder cannot be diagnosed until age 18]


Disruptive Mood Disregulation Disorder

ONSET: can only be diagnosed between ages 6 - 18

- parents reporting severe temper outbursts 3 or more / week
- lasting for hours or days --> could be looking at a manic phase
- consistent angry or irritable mood
- can be diagnosed in conjunction with other disorders
- came from overdiagnosis in kids for BiPolar Disorder