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Childhood disorders

by: Savannah Wagner Belk

Childhood disorders Psy 247

Savannah Wagner Belk
GPA 4.0

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Hey guys! This week of notes is just from Monday and Wednesday's classes, including the information about childhood disorders. I was not in class today because I am sick. I am sorry I did not get t...
Abnormal Psychology
Dr. Clemens
Class Notes
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This 3 page Class Notes was uploaded by Savannah Wagner Belk on Friday November 13, 2015. The Class Notes belongs to Psy 247 at University of North Carolina - Wilmington taught by Dr. Clemens in Summer 2015. Since its upload, it has received 35 views. For similar materials see Abnormal Psychology in Psychlogy at University of North Carolina - Wilmington.

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Date Created: 11/13/15
Psychopathology Notes 11/9-11/11 Childhood disorders Disorders of Childhood  DSM-5 splits childhood disorders into 2 chapters 1. Neurodevelopmental disorders 2. Disruptive, impulsive, control, and conduct disorder Externalizing disorders  Characterized by outward-directed behaviors  Non compliance, aggressiveness, overacting  Includes ADHD & conduct disorder  More common in boys Internalizing disorders  Depression, anxiety, social withdrawal  Inward focused behaviors  More common in girls ADHD  Excessive levels of activity  Fidgeting, squirming, incessant talking  Distracted easily and difficulty concentrating especially for longer periods of time  Makes careless mistakes, cant follow instructions, forgetful, impulsive, hyperactive  ADD is now not a diagnosis in the DSM-5 because it is now classified under the same category as ADHD  Prevalent for 6 months (6 or more symptoms)  Present before age 12  Significant impairment  Criteria A & B  Medications include stimulants like Ritalin, Adderall, concerta which reduce destructive behaviors and improves concentration/social interactions  Medication is affective in 75% of children but has side effects like loss of appetite, weight, sleep problems  Psychological treatment and supportive classroom structure effective as well 3 different types: 1. Predominantly inattentive 2. Hyperactive 3. Combined (most common) Conduct Disorder  Aggressive behavior that looks like antisocial and if not treated, has a high risk of turning into anti social which is a lot harder to treat  Many kids with conduct disorder have anti social parents  Behaviors include lying, stealing, vandalism, issues with authority, often getting into physical fights, engaging in illegal behaviors  Lack of remorse, substance abuse common  Boys= 4-18%, girls-1.2-9%  Prevalence= 8-11% and 60% follows them into adult hood  Heritability= 70-80%  Dopamine affected (too little)  Frontal lobe function hindered  Prenatal factors: low birth weight, maternal tobacco and alcohol use  2 types:  1. over life course persistent pattern of anti social behavior  2. Adolescent limited (grows out of it)  neurobiological factors: poor verbal skills, low IQ, lower arousal levels  psychological factors: deficient moral development and lack of parental monitoring Treatment  family interventions-reward positive behavior  multi systematic therapy-involve intensive community based therapy by including everyone in their community, for example: the child’s teachers and neighbors Intermittent explosive disorder  verbal/physical outbursts that are out of proportion to circumstances Oppositional defiant disorder  bad temper, spiteful, hostile, blame others, argumentative Depression and Anxiety in children and Adolescents  comorbid with ADHD and conduct disorder  similar to adults diagnosis of depression and anxiety but it is harder for them to communicate at a younger age Depression  problems concentrating, suicide thoughts(higher rates of completion), feelings of guilt, fatigue  1% of preschoolers affected, 2-3% school aged, 6% of girls adolescent and 4% of boys  more likely to be depressed if parents are  treatment: SSRI (careful with younger children not all can take medication, causes a lot of side affects), cognitive behavioral therapy (not for everyone), interpersonal therapy Anxiety  severe and persistent worry that interferes with functioning  3-5% prevalence  types of anxiety: separation anxiety-worry about parental/personal safety when away from parents, social anxiety- (1%) extremely shy and quiet, introverted, trouble making friends PTSD  similar to adult diagnosis  resulted from chronic physical/sexual abuse, community violence, and natural disasters  flashbacks, nightmares


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