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COMMON DISORDERS DIAGNOSED IN INFANCY, CHILDHOOD, AND ADOLESCENCE

CHILD PSYCHIATRI disorders


Mental Retardation

Pervasive Developmental Disorders Autistic Disorder Retts Disorder Childhood Disintegrative Disorder Aspergers Disorder PDD Not Otherwise Specified
AD/HD (Attention Deficit & Hyperactivity Disorder) Learning Disorder Conduct Disorder Eating Disorders Antisocial Behavior

MENTAL RETARDATION
General Intellectual Functioning is defined by Intellegence Question (IQ) Predisposing Factors Biological - How about the behavior ? Psychosocial . No clear etiology for the MR Degrees of Severity of MR, IQ : 50 55 to 70 : Mild MR, educable 35 49 to 50-55 : Moderate MR, trainable 20 25 to 35 40 : Severe MR, can be train self care skills 20 25 : Profound MR, have neurological condition.

PDD PERVASIVE DEVELOPMENTAL DISORDERS


Characterized by :

Pervasive impairment in severe areas of development : - Social interaction skills - Communication skills - Stereotyped behavior, interest, and activities

AUTISTIC DISORDER
be marked impairment in :

Non verbal behavior e.g. : eye to eye gaze, facial expression, body posture & gesture. Interaction and communication be failure to develop (delay or total lack of development of spoken, language).
Stereotyped behavior, interest & activities.

ALWAYS LOOKING FOR :

Associated Laboratory finding Physical Examination and general medical condition Specific Age and gender Prevalence Course Deferential Diagnosis Diagnostic Criteria

RETTS DISORDER
Apparently normal prenatal and natal development. < 5 months : normal psychomotor

> 5 48 month : - Head growth, deceleration


- Hand skills, loss of previously acquired - Social interaction, loss of engagement

CHILDHOOD DISINTEGRATIVE DISORDER ( CDD )


Normal development < 2 years > 2 - 3 years, decrease : - Expressive & language social skills - Adaptive behavior - Play - Motor skills - Bowel or bladder control

ASPERGERS DISORDER
No clinically significant general delay in : Language Cognitive development Adaptive behavior ......... On < 2 3 years Qualitative impairment on : Social interaction Facial expression Lack of spontaneous ; e.g. showing, bringing.

ADHD
( Attention- Deficit / Hyperactivity Disorder) The impairment must have present > 5-7 years Inattentive symptoms ? Hyperactive symptoms ? Impulsive symptoms ?

Diagnostic criteria for AD/HD


A. Either (1) or (2) (1) Symptoms of inattention, persisted for at least 6 months Inattention Often fails to give close attention to details careless mistakes in schoolwork, work, or other activities. Often has difficulty sustaining attention in talks or play activities Often dont follow instruction from the teachers Often difficulty organizing talks Often loses things (toys, pencils) Often forgetful in daily activities

(2) Hyperactivity - impulsivity Hyperactivity


- Often fidgets with hands or feet or squirms in seat - Often leaves seat in classroom - Often runs or climbs excessively in situation which in

approriate - Often on the go or often acts as if driven by a motor - Often talks excessively

Impulsivity
- Often blurts out answers before questions

have been completed - Often has difficulty a waiting turn - Often interrupts or intrudes on others

SUBTYPE OF ADHD

Combined type Predominantly Inattentive Type Predominantly Hyperactive Impulsive Type

Always Look For, on ADHD :


Ass Lab , Specific culture, age, gender
Prevalence, course, Familial Pattern Differential Diagnosis Diagnostic criteria

LEARNING DISORDER
(Forms of Academic Skills Disorders)
Reading Disorder
Mathematics Disorder Disorder of Written Expression Learning Disorder Not Otherwise

Specified

SEPARATION ANXIETY DISORDER


Separation from home or whom the

person is attached.
For period of at least 4 weeks.
Usually begin before 6 years old. In School Phobia usually with somatic

symptoms.

CONDUCT DISORDER
Childhood Onset Type : one criterion at

least on 10 years old. Adolescent Onset Type : any criterion on 10 years old. Diagnostic Criteria: aggression to people and animal, destruction of property, deceitfulness or theft, serious violations rules. Specify severity : mild, moderate, severe.

CONDUCT DISORDER
is repetitive and persistent pattern of behavior 1. Aggessive conduct : threatens physical harm to other people or animals 2. Non agresive conduct that causes property loss or damage 3. Deceitfulness of theft 4. Serious violations of rules Must have been during 12 months

Please looking for (completely)


Oppositional defiant disorder Feeding and Eating Disorders of

infancy or early childhood (Pica, Rumination) Tic disorders Tourettes disorder - DSM-IV TR
TM, 4 ed.

Pages 39-135 - PPDGJ - III

Thats All

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