Term
|
Definition
|
|
Term
|
Definition
| Excessive sesnitivity, hostility, and moodiness |
|
|
Term
|
Definition
a distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting for AT LEAST ONE WEEK, or any duration if hospitilization is necessary
During the period of mood disturbance THREE+ of the following symptoms must have persisted (FOUR symptoms needed if mood is only irritable) and have been present to a significant degree:
*Inflated self-esteem or grandiosity
*Decreased need for sleep
EX feeling rested after only three hours or no hours at all
*Being more talkative than usual, or experiencing pressure to keep talking
*Flight of ideas or subjective experience that thoughts are racing
* Incredible distractibility
IE attention is easily drawn to unimportant or irrelevant external stimuli
* Increase in goal-directed activity
IE either social, at work or school or sexually
EX I'm going to write the sequel to War and Peace today!
* Psychomotor agitation
*Excessive involvement in pleasurable activities, that also have high potential for painful consequences
EX Excessive sexual behavior, shopping , gambling |
|
|
Term
|
Definition
A less severe manic episode/ same criteria as a manic episode except it lasts at least 4 days, with no marked deterioration in function
IE They're still able to go to work and get on with their life, whereas someone in a full-blown manic episode cannot function properly at school or work |
|
|
Term
|
Definition
A manic episode lasting 7days
Typically, they'll also show depressive episodes, but that's not necessary
The classic presentation is a discrete period of mania that resolves itself, after which the person goes back to their normal functioning, and they they have a discrete period of depression that also resolves
Specify if: with mixed features
person is experiencing episodes that include symptoms of both mani a n depression |
|
|
Term
|
Definition
Major depressive episodes and hypomanic episodes
MAY NOT have had a full manic episode
Depressive episode here is a requirement
Specify if: with mixed features |
|
|
Term
|
Definition
Period lasting at least 1 year when there are numerous hypomanic and depressive symptoms that do not meet full criteria for either a hypomanic, manic, or major depressive episode
We see numerous symptoms of hypomania, depression, but never quite enough to make criteria for a full diagnosis
Analogous to dysthymia |
|
|
Term
| How do we diagnose children with Bipolar? Narrow Phenotype |
|
Definition
The classic adult symptoms like mania and grandiosity
Some children and adolescents do meet this criteria |
|
|
Term
| How do we diagnose children with Bipolar? Broad Phenotype |
|
Definition
Symptoms like irritability and mood lability, where mood is all over the place and changes constantly
People are very touchy and easy to set off; the smallest thing can go wrong and all of a sudden they'll burst into tears
People the interact with feel as though they are constantly walking on eggshells
For kids, irritability is much more common than mania
*** careful though, irritability is present in many other forms of psychopathology |
|
|
Term
| How do we diagnose children with Bipolar? Current recommendation |
|
Definition
| Use adult criteria for children and adolescents |
|
|
Term
| Disruptive Mood Dysregulation Disorder (DMMD) |
|
Definition
Created in response to mounting concern that pediatric bipolar was being over diagnosed. Controversial, with little evidence
Prevelance: 1%
DSM 5 Criteria:
Sever recurrent tempre outbursts manifested verbally and or behaviorally physical aggression toward people or property that are gross out of proportion in intensity or duration to the situation or provocation
The temper outburst are inconstant with developmental level
The temper outbursts occur, on average, three or more times per week
The mood between temper outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by others
Symptoms are present for 12+ months
Not diagnosed before age 6 or after age 18
Age at onset of the outbursts and irritable mood is before age 10
Child has never met criteria for a manic episode
It is not diagnosed concurrently with ODD
IE While symptoms are similar, DMDD is more severe |
|
|
Term
|
Definition
|
|
Term
|
Definition
Homotypic continuity
Many many children with bipolar also have ADHD (60-90% children, 30% adolescents)
20% meet criteria for CD |
|
|
Term
|
Definition
| People know what they are being administered, rather than being blinded like in many RCTs that use placebos |
|
|
Term
| Current practice recommendations for using medication to treat bipolar |
|
Definition
| Start with MONOTHERAPY, or one drug only, with either a mood stabilizer or an atypical antipsychotic. For patients who do not fully respond, a second mood stabilizer or atypical antipsychotic will be added, AUGMENTATION. ETc. |
|
|
Term
| Biploar: Treatment, RAINBOW |
|
Definition
Routine: Establish a predictable routine i the family that will reduce tantrums, negativity and conflict, sometimes also focuses on taking medication
Affect regulation: Parents taught behavior management techniques using positive reinforcement, etc Teach parents to monitor and recognize their own moods
I can do it! Increase children and parents beliefs that they can manage bipolar symptoms
No Negative thoughts- the same kind of cognitive retraining that is used for people with unipolar depression
Be a good friend and Balanced lifestyle - taught skills necessary to be a good friend, and child is also given opportunities to practice. Help parents learn to develop a balanced lifestyle, rather than making everything about the child's disorder
Oh, how can we solve this problem? Hellp parents and children learn to problem solve together
Ways to get support- help parents learn how to seek help, as well as advocate for their child at school |
|
|
Term
|
Definition
Deficits in intellectual functioning including reasoning, pattern solving, planning, abstract thinking, judgement as confirmed by both clinical assessment and individualized standardized intelligence testing
IQ BELOW 70
The judgment is made using both standardized intelligence testing as well as clinical testing where a clinician interacts with child
Deficits in adaptive functioning that results in failure to meet developmental and sociocultural standards for personal independence and social responsibility; functioning is limited in activities of daily life such as communication, social participation and independent living, across multiple environments
Onset must be during developmental period, below 18
Usually occurs at a very young age
MILD ID = IQ of 55-70
Applies to 85% of people with ID
Typically not identified until elementary school years when there is more of an intellectual press
MODERAT ID - IQ = 40-54
Applies to 10% of people with ID
Usually identified during preschool
SEVERE - IQ of 20-39
Applies to 3-4% of people with ID
Associated with clear organic cause (i.e. prenatal injury or lack of oxygen during delivery fetal alcohol syndrome etc |
|
|
Term
|
Definition
| used to assess developmental level compared to normal children |
|
|
Term
| Autism Diagnostic obeservation schedule |
|
Definition
| is used next to measure social skills and communication |
|
|
Term
|
Definition
| the ability to understand spoken word |
|
|
Term
|
Definition
| Repeating certain words or phrases over and over again |
|
|
