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7. Child Psychiatry
lecture 7
17
Medical
Graduate
05/30/2011

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Term
Symptoms of Autism in the DSM
Which ones for autism.
Which ones for aspergers?
Which ones for Pervasive Developmental Disorder, Not Otherwise Specified (PDD- NOS)
Definition
1. Socialization Impairments
2. Communication Impairments
3. Restricted Interests; Need for Sameness; Perseverative & Stereotypical Behaviors
Autism = all 3
Asperger’s = 1 & 3
PDD-NOS = 1 + 2 and/or 3
Term
Aspergers:
Impairment in _____(1)____communication
__(2)___ & one-sided communication
Lack of (3) despite interest in others
All-absorbing, circumscribed interests that interfere with (4) and socialization
Intellectualization of (5)
Motor clumsiness & poor body (6)
Onset: (7)
Usually normal (8)
Definition
1) non verbal
2) Verbosity
3) friends
4) learning
5)affect
6) awareness
7) not usually recognized before age 3
8) intelligence
Term
_________is the most common mental disorder in childhood
Definition
ADHD
Term
_____% of children with ADHD continue to have impairing symptoms into adulthood
Definition
60
Term
DSMIV criteria for ADHD
Definition
Must occur before age 7 years
Present for at least 6 months
Causes impairment in at least 2 settings (school, home and/or office)
Term
3 subtypes of ADHD:

which one describes children with ADHD better?
which one describes adults with ADHD better>
Definition
Inattentive - adults
Hyperactive/impulsive -children
Combined
Term
What might this describe in a child?
"Schoolwork poorly organized, careless errors, often incomplete"
Definition
ADHD
Term
______Often Complicates the Diagnosis and Treatment of ADHD
Definition
comorbidity
Term
gold standard for adhd treatment?
Definition
Combined Treatment (Medication + Behavioral)
Term
ADHD
Stimulant Drugs:
Non stimulant Drug:
Definition
Stimulants
Methylphenidate (ritalin) - first line!
Amphetamine compounds
Dextroamphetamine
Non-stimulant
Atomoxetine
Term
stimulant side effects:
Definition
Insomnia
Headache

Weight loss
Diversion/Abuse
Arrhythmias/Sudden Death?
Tics?
Term
adhd is thought to be due to depressed levels of _____
Definition
dopamine
Term
Name the Childhood-Onset Neuropsychiatric Disorder and describe its course.
males or females?
onset?
symptom duration?
if symptoms last less than this, whats it callled?
Definition
Tourette’s Syndrome
Waxing-and-waning course
M>F
before the age of 8
at least one year to be called tourettes
if symptoms last less than this, its called transient motor tics.
Term
when are tics the worst?
Definition
pre puberity (ages 1-12)
Term
tic direction
Definition
rostral -->caudal
starts with eyes and facial grimacing then eventually goes on to tapping.
Term
name four Exacerbators of Tics:
Definition
Stress
Fatigue
Temperature
Strep Infection (GABHS)?
Term
ABout of the kids with tics also have _____, but the onset of tics is later.
About 1/2 of the kids with tics will go on to develop ______.
Definition
ADHD
OCD
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