8- Psychiatric Disorders in Children.pdf - Child Psychiatry...

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Child Psychiatry Done by: Baraa ’ Al -Shwayyat
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Child Psychiatry 1. Mental Retardation 2. Learning disorders 3. Disruptive behavioral disorder Conduct disorder ODD 4. ADHD 5. Pervasive Developmental Disorder Autism Rett disorder Asperger Syndrome Childhood disintegrative disorder 6. Tourett disorder 7. Elimination disorder Enuresis Encopresis 8. Other .. Selective Mutism Separation Anxiety disorder Child Abuse
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1) Mental Retardation Definition (by DSM-IV) IQ 70 or below Deficits in adaptive skill appropriate for age group Onset : Must be before age of 18 years Epidemiology 1-3% of population 85% -- mild cases Males 1.5x Subclassification Profound, Severe, Moderate, Mild Causes --50% of cases no identifiable cause 1. Genetic Down Syndrome, Fragile X Syndrome 2. Prenatal TORCH infection 3. Perinatal ( anorexia, prematurity, birth trauma.. ) 4. Postnatal ( hypothyroidism, malnutrition,….)
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2) Learning Disorders Definition (by DSM-IV) Achievement in reading, math and written expression significantly lower than expected for chronological age , level of education & level of intelligence. Types & Epidemiology (..disorder) Reading “most common” 4-10%, Boys 3-4x ! Math 1%, M:F more equal Written expression 6%, M:F Unknown ratio Etiology Maybe due to genetics, abnormal development, perinatal injury, and neurological or medical conditions Treatment Remedial education tailored to the child’s specific needs
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3) Disruptive Behavior Disorders Disruptive behavior Disorders include symptoms that results in impairment in social and/ or academic functions. Include: A. Oppositional Defiant Disorder. B. Conduct disorder.
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A. Oppositional Defiant Disorder Dx & Definition (by DSM-IV) At least 6 months of negativistic, hostile & defiant behavior , during which at least 4 of the following have been present : 1. Frequent loss of temper. 2. Arguments with adults. 3. Defying adult’s rules. 4. Deliberately annoying people. 5. Easily annoyed. 6. Anger and resentment. 7. Spitefulness. 8. Blaming others for mistakes or misbehavior. Epidemiology 2-16%, 16-22% children > 6 years old, usually begin at age 3 years and observed by age 8 years. Onset before puberty ( boys ), after puberty ( equal ). ↑ incidence comorbid mood disorders, substance abuse & ADHD. Remits in 25% of children, in persistent cases may progress conduct disorder.
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