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What IQ level indicates mental retardation?
In order to be deemed mentally retarded what 3 conditions must be met?
- 1- IQ below 70-75
- 2- significant limitations in adaptive skills below 18 yo
- 3-limitations in adaptive skills needed to survive
If mental retardation is not diagnosed before 18, is it mental retardation?
NO it has to be before 18
Are IQ scores universal?
no they are normalized for age groups
What are the IQ scores for different severities of Mental retardation?
- Mild--- 70 -50-learn social and vocational skills 80%
- Moderate 35-50- learn SOME social and vocational sk
- Severe 20-35- may need 24 hr supervision prevocational
- Profound- 20 and below- NEED 24 hr supervision. may learn basic self care
Pts with what MR may have insight that something is wrong?
Mild- 50-70 IQ score
Large % of MR pts suffer from what?
comorbid conditions such as depression, psychotic disorders
Most common environmental cause of MR is?
Fetal alcohol syndrome
IQ below what have an identifiable cause?
IQ's above what do not have an identifiable cause and may be multifactorial?
WHat are genetic disease that cause MR?
- Down syndrome
- Fragile X
THe child has to miss what in order to diagnose mental retardation?
How is separation anxiety treated?
How is reactive attachment disorder treated?
- providing the absent care
Stereotypic movement disorder is commonly seen in what 2 conditions?
- Mental Retardation
- PDD-pervasive developmental disorder
DIfferential reinforcement of other behavior is a way to treat what disorder?
Stereotypic movement disorder
what is the treatment for Stereotypical movement disorder?
- behavioral therapy
- typical and atypical antipsychotics
- anti manics--valproic acid
What is the black box warning placed by FDA on SSRI in use for separation anxiety disorder?
that it causes suicide
What is the age of diagnosis for ADHD?
after 7 yo
What are the 3 types of ADHD?
In order to diagnose ADHD symptoms must be present where?
at school and at home otherwise it is not ADHD and it is most likely discriminative stimulus
ADHD is more prevalent in what gender?
What is the etiology of ADHD?
What are the genetic factors supporting the genetic cause of ADHD?
- twin studies
- pts suffer from other mood disorders
Prenatal exposure to winter infections during the first trimester is thought to contribute to what disorder?
Decreased frontal lobe volume and decreased utilization of glucose by the frontal lobes is seen in what disorder?
stimulant medication for ADHD affect the levels of what 2 neurotransmitters?
dopamine and norepinephrine
Children with ADHD are at higher risk for developing what disorders?
conduct disorder, antisocial personality, alcohol abuse
How is ADHD different from Bipolar disorder?
you dont see inattentiveness in Bipolar but you do in ADHD
ADHD may be confused with what 2 disorders?
- conduct disorder
- bipolar disorder
How long do the symptoms for ADHD have to be present for a diagnosis?
6 symptoms for 6 months
What are the 5 medications give for ADHD?
What medications are give for depression in ADHD?
Vulnerability to addictions relates to what?
hypo-dopaminergic dysfunctional state in the reward system
Drugs such as cocaine, amphetamine, nicotine all release what neurotransmitter?
Ketamine acting on NMDA receptors produces what ?
Is addiction and physical dependence the same?