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Neurodevelopmental disorders |
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Definition
1. Begin early in life (before 2 or atbirth) 2. Have wide-ranging effects on cognitive, behavioral and emotional development 3. Biological basis in nervous system |
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Deficits in: Intellectual, Adaptive, Independence, Social |
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IQ 55-69 85% of ID Mostly independent, occasional assistance, possible sheltered occupation |
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IQ 40-54 10% of ID Outside of institution, but need assistance, sheltered occupation, group home |
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IQ 25-39 4% of ID Other diagnoses, institutional setting, can learn some skills |
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IQ below 25 <1% Multiple probs Institutionalized, total care |
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Down's Syndrome Trisomy-21 1/3 of ID Often sociable and affectionate |
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Lead, alcohol, nutrition, rubella |
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Psychosocial Causes of ID |
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Definition
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Deficits in social communication and interaction. Restricted, repetitive behaviors and interests. Often also ID |
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Variety of problems. Variety of severity |
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Onset before age 3 Problems are gradual Lack of development Loss of previous development Usually preschool diagnosis |
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4-5 times more common in males chromosomal abnormalities in 10-15% Heritability 45% |
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Biological: early cell overgrowth, decreased function in empathy area, inter hemispheric weak, |
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Behavior: What can and can't do Gentle Teaching: Quality of life Psychopharmacology: Antipsychotic, antidepressant, effective?? |
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Sensory integration therapy autism |
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Definition
Increase comfort with certain kinds of stimulation |
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Inattention and hyperactivity-impulsivity Before age 12 Symptoms present in two settings or more |
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Predominately inattentive Predominately hyperactive-impulsive Combined |
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Difficulty with: Details, sustained, listening, instructions, follow through, organizing, mental effort, forgetful |
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Fidget, squirm, restless, noisy, talkative, on the go, |
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Blurts, impatient, interrupts, intrudes |
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3-9% school age Males more than females |
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Toddler, disappear with adulthood, increased risk for other disorder. Family members |
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Heritability 75% Environment Decreased size of posterior cerebellum 15% |
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Stimulants, no long term benefits Antidepressents Guanfacine Lithium mood stabilizer Environmental manipulation Cognitive-behavioral therapy Mindfulness therapy |
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Physical, Sexual, Emotional, Emotional Neglect |
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Decreased intelligence Increased behavior disorders Early: Changes in brain structure |
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