Eppy-Abnormal Psych 2
Terms
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- Childhood Disintegrative Disorder
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developmental regression in at least 2 areas of functioning-motor skills, play, social skills, language
following 2 yrs of apparent normal development - Asperger's Disorder
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Severe impairment in social interactions.
Re;strictive repertoire of behahiors, interests, and activities.
no delay in language, self help skills or cognitive dev.
normal intelligence - ADHD
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hyperactivity-impulsivity
on-set prior to 7
six months
2 settings - Inattention
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sustaining attention
no listening
failing to finish work
interrupts
6 or > symptoms - Hyperactivity-Impulsivity
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fidgeting
leaves seat
interrups
6 or > symptoms - Associated features
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MRI/CT brain abnormalities
motor disturbances
disinhibited behaior
sleep, anxiety-mood disturbances > suicidal ideations - Prognosis
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Observed by parents -diag in school
symptoms stable-adolescence
adolescents conduct disorder
60% problems as adult
> rates of life difficulties
poor prognosis for dual diag. - Etiology
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Alzheimers, Picks, Parkinsons Huntington Disease head trauma brain tumor, HIV syphilis
Substance dementia - tx
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Family tx
Patterson-Parenting Mgmt training
Multisystemtic TX - Conduct Disorder
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Childhood onset Prior to 10
> Aggression
> risk of ASPD
Adolescent-10 or > - Associate Features
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co-d-ADHD
ODD precursor
> Males - Oppositional Defiant Disorder
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defiant behavior
lose temper argue defies rules annoys others blames others angry and resentful. - Feeding and eating Disorders
- Pica- eating nonnutrative substance onset 12-24 mos.
- Tic Disorders
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recurrent motor mvmts or vocalization
eye blinking facial grimacing
echokinesis-imitatingothers movements - Tourettes
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one vocaltic and multiple motor tics
high rates of school problems
ocd
> dopamine - Elimination Disorders
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Enuresis
Encopresis
TX Night alarm &
Imipramine-stps 85% - Separation Anxiety
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Must last at least 4 wks
onset before 18 mos
3 behaviors - excessive distress-fear-physical complaints - Reactive Attachment Disorder
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Inhibited Type failure to initiate respond to social interactions
Disinhibited type indiscriminate sociabililty - Mental disorder dure to General Medical Conditions
- Hx, physical exam lab not explained by substance abuse
- Delerium
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Reduced awareness of env
loss of mem
illusions-hallucinations etc - Dementia
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Mem Impairment
Aphasia difficulty naming people.
Agnosia can't recognize objects or people
progressive/irreversible
unaware of cognitive defdicits
pseudodementia-major depressive disorder
anterograde amnesia can't aquire new info
retrograde anmesia can't recall previously learned material