Term
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Definition
unknown but could be
genetic disorder
environmental factors (such as nutrition, T.V., etc.)
social environments
brain injuries |
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Term
| what % chance is for child of ADHD to have ADHD? |
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Definition
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Term
| what is the definition of ADHD? |
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Definition
| A persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequently displayed and is more severe than is typically observed in individuals at comparable level of development.” |
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Term
| how many criteria and for how long should be present in order to dx with ADHD? |
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Definition
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Term
| what is impulsivity in DSM IV criteria for ADHD? |
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Definition
Impulsivity
- often blurts out answers before questions have been completed.
- often has difficulty awaiting turn.
- often interrupts or intrudes on others (e.g. butts into conversations or games). |
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Term
| for ADHD hyperactive-impulsive or inattention symptoms that caused impairment were present before what age? |
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Definition
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Term
| impairment sx should be present in how many settings? |
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Definition
Some impairment from the symptoms is present in two or more settings (e.g. at school [or work] and at home)
+
There must be clear evidence of clinically significant impairment in social, academic, or
occupational functioning. |
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Term
if both DSM IV criteria for ADHD --- A1 and A2 meets it is consider ADHD combined type. what it A1 is met but not A2 for past 6 months?
what if A2 is met but not A1 for 6 for past 6 months? |
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Definition
ADHD, Predominantly Inattentive Type:
Criterion A1 is met, but Criterion A2 is not met for the past 6 months.
ADHD, Predominantly Hyperactive-Impulsive Type:
Criterion A2 is met, but Criterion A1 is not met for the past 6 months. |
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Term
| ADHD not otherwise specified is what type of pts? |
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Definition
| There are permanent symptoms of inattention or hyperactivity-impulsivity |
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Term
this child Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities but lack sx like Often talks excessively - give specific adhd type
Often fidgets with hands or feet or squirms in seat |
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Definition
| ADHD predominantly inattentive: example |
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Term
| Damon often blurts out answers before questions have been completed and has difficulty awaiting turn. he is been like this for last 8 months. he is able to pay close attention to teacher though. |
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Definition
| ADHD predominantly hyperactive-impulsive |
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Term
| when do you consider pt to be ADHD combined type? |
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Definition
6 or more symptoms of inattention
and
6 or more symptoms of hyperactivity-impulsivity are present for at least 6 months |
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Term
| this is the only disease where sx come and go? |
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Definition
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Term
in ADHD, where is the problem that causes conflicts to arise from brain processing conflicts
between “Directed Attention” vs. “Fascination “. |
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Definition
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Term
| what are 6 fundamental concepts of Abnormal Response Inhibition for ADHD? |
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Definition
response inhibition
Distractibility: failure to screen out ongoing stimuli of variable impt
impulsivity - failure to filter competing demands to act
hyperactivity: failure to inhibit ongoing motor activity
prefrontal deficits
boredom |
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Term
| this pts are are more likely not to graduate from high school. Failure to perform academically is the single most common reason for referral of children and adolescents. what type of impairment is this? |
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Definition
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Term
| this adult pt has never had a GF before and have only 1 friend. he scores very low on self-esteem assessment test. he lacks intuitive understanding.: what type of impairment does he have? |
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Definition
| Impairment - Self-Esteem and Social Functioning |
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Term
| Long-term study reports that persons with ADHD more likely to be .... |
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Definition
rested more than once (23% vs 8%)
Jailed (9% vs 1%)
Arrested (39% vs 20%)
Convicted (28% vs 11%) |
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Term
| are ADHD kids more sexually promiscuous or substance abusers ? |
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Definition
yes both..ADHD impairment- sexual behavior
they self medicate to improve functioning by smoking or other stimulant tx. |
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Term
| what are some testing methods for ADHD? |
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Definition
none:
fill out the behavioral rating scales by family, friend, and teacher. psychiatrist should also interview them if needed to understand situation. |
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Term
| what must you do before dx pt with ADHD? |
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Definition
| In order for a patient to be diagnosed with ADHD, the patient must fit all five of the diagnostic features that are listed in the DSM-IV |
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Term
| on MRI of ADHD pt what would stand out? |
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Definition
| Decrease in posterior Vermis region; inferior posterior lobule |
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Term
| adult female pt has gotten STDs 6 times in past 8 months. she is a significant user of tobacco and alcohol. she has gotten in to accident today and present with 1 month pregnancy and injury. what could this pt have? |
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Definition
| ADHD. Adolescent Behavioral Symptoms untreated |
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Term
| A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated |
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Definition
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Term
| what is the guidelines for criteria to dx conduct disorder. |
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Definition
| Three or more or the following criteria in the past 12 months with at least one criterion present in the past 6 months: |
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Term
| pt behavior includes bullying, physical aggression, and cruel behavior toward peers. kid is hostile, verbally abusive and defiant. involves in stealing and physical violence. |
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Definition
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Term
| what are four types of conduct D/o? |
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Definition
Aggression to people and animals
Destruction of property
Deceitfulness or theft
serious violations of rules |
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Term
| 8 yo has broken 2 keyboards at his school and set fire in the bathroom. what kind of conduct disorder? |
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Definition
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Term
| 9 yo has learned how to break in to car to steal personal items. he is arrested for breaking into his neighbors house today. what do you think he has? |
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Definition
| conduct d/o: deceitfulness or theft |
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Term
| this kid is 11 yo and has ran away from home twice. he likes to stay out to his friends house late at night. he is absent in school most of the time. what kind of conduct d/o? |
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Definition
Serious violation of rules
has to be before age 13 |
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Term
| if absence of any criteria prior to age 10 for conduct d/o what do you code this d/o as? |
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Definition
Conduct Disorder, Childhood Onset Type
(one criterion prior to age 10)
Conduct Disorder, Adolescent Onset Type
(absence of any criteria prior to age 10)
Conduct Disorder, Unspecified Onset
(age at onset is not known) |
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Term
| in past 6 months this kid has lost temper and has argued with adults for more than 4 times. he deliberately annoys people and blames other for his mistakes or behavior..what do you think he has |
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Definition
Oppositional Defiant Disorder
Often loses temper
Often argues with adults
Often actively defies or refuses to comply with adults’ requests or rules
Often deliberately annoys people
Often blames others for his/her mistakes or behavior
Often touchy or easily annoyed by others
Often angry and resentful
Often spiteful and vindictive |
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Term
| note for Oppositional Defiant Disorder ..just read |
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Definition
| Criteria are not met for Conduct Disorder and, if the individual is 18 years old or older, criteria are not met for Antisocial Personality Disorder |
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