Alterations in Mental Health and Cognition on Test 1!  What is mental health -Coping mechanisms: They get through experiences, exposure, the learn what is considered normal behaviors via parents, important authoritative people in lives, peers, trial-and-error. -Meeting milestones:  What are some child or adolescent mental health issues we see in the media ADHD, Autism, depression and suicidal.  Changes in sleep, changes in school performance….. Autism Spectrum Disorder (just know the typical autism and Asperger’s syndrome) -What are some typical S/S of autism and Asperger’s -Verbalizations maybe repetitive, repetitive behavior, sensory input overstimulation, routine oriented, milestones are not met appropriately, -Early Signs: not smiling, not making eye contact, eventually not meeting milestones -Late Signs: -Asperger’s have high intellect but poor social skills. -What causes autism: -We don’t know, advanced paternal age does have an influence, higher incidence in boys vs. girls. Increased incidence with: Down syndrome ….  Genetic  Immune response  Abnormal neurotransmitters  Increased incidence with  Down syndrome  Congenital rubella  Fragile X syndrome  Phenylketonuria -Prevalence:  Care for the hospitalized child with autism: How do we ta