Childhood disorders Psy 247
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Savannah Wagner Belk
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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