Intellectual Disability
- Deficits in intellectual f(x) confirmed w/assessments
- Deficits in adaptive f(x) resulting in failure to meet societal and community standards of insurance across multiple realms
- Onset during dev period
Intellectual disability specifier
Severity: mild, mod, severe, profound
Intellectual disability assessments
Vineland adaptive behavior scale and the adaptive behavior assessment system
Communication disorder
aka childhood onset fluency disorder (stuttering)
- begins 2-7 months, worse under pressure
Autism spectrum disorder
- persistent deficits in social communication across multiple contexts
- restricted, reprice bc, interests, activities as manifested in 2
*motor movement, use of objects, speech, routine sameness, fixated interests, hypo/hyper sensory input - symptoms in early dev period
- impairment in social, job, or other areas due to symptoms
Autism assessments
- child autism rating scale
- autism behavior checklist
-autism diagnostic interview - autism diagnostic observation scale
ADHD
- pattern of inattention/hyperactivity for 6 months, onset prior to 12yo, present in 2 settings, and interferes with f(x)
- at least 6 symptoms:
*inattention: attn to detail, sustained attn in tasks, doesn’t listen when spoken to, school work incompletion, distracted by extra stimuli, forgetful in ADL
* hyper-impulsive; fidgets, leaves seat, run/climb, talks excessively, difficulty waiting, interrupts
Adhd specifiers
Predominantly inattentive: 6+ in that category and less in the other
Predominantly hyperactive/impulsive
Combined: 6 or more in both
Adhd assessments
Broad:
- bx assessment system for children
- child bx checklist
- Conner’s 3rd edition
Focused:
- adhd rating scale
- AD disorder Eval scales
- Stroop color-word association
Specific learning disability
- difficulties in academic realm even w/ interventions that last 6 mo and longer (ex: word reading, meaning of words, spelling)
- academic skills substantially lower than age
- interferes w/ academic/ occupational/ ADL
- began during school age
Specific learning disability specifiers
Impairment in reading
Impairment in written expression
Impairment in mathematics
Tic
Sudden, rapid, recurrent, non-rhythmic motor/vocal
Echokinesis, echolalia, coprolalia
Symptoms of some motor disorders
- copying bx
- copying sound
- socially inappropriate words
Tourette’s
- at least 1 vocal and multiple motor tics that can appear simultaneously or separately
- wax and wane, but must have persisted for 1 year
- onset before 18
Persistent (chronic) motor or vocal tic disorder
- single of multiple motor or vocal tics
- 1 year
- onset before 18
Schizophrenia spectrum and other psychotic common symptoms
- delusions
- hallucinations
- disorganized thinking
- grossly disorganized or abnormal motor bx
- negative symptoms
Delusions
False beliefs even in light of evidence
- persecutory
- referential (passage in books, movies are meant for them)
- bizarre
Hallucinations
Perceptions without stimuli
Often pejorative auditory
Disorganized thinking
Inferred by loose association
Not answering questions
Switching from one topic to the next
Incoherence
Grossly disorganized or abnormal motor bx
Unpredictable agitation
Markedly disheveled
Clearly inappropriate sex bx
Catatonia
Negative symptoms
Restrictions of emotions
Anhedonia
A socialite
Alogia (decrease in speech output)
Avolition (restriction initiation of goal directed bx)
Delusional disorder
Presence of 1 or more delusions for at least a month
Delusional disorder subtypes
Erotomaniac (someone is in love with you)
Grandiose
Jealous
Persecutory
Somatic (has abnormal body fx or sensation)
Mixed
Unspecified
Schizophrenia
- 2 or more symptoms (one must be delusions, hallucinations, or disorganized speech)
- continuous symptoms for at least 6 months
- symptoms cause significant impairment
- onset is usually late teens to early 30s
