Chapter 16 - Disorders of Childhood and Adolescence

Separation anxiety disorder

severe distress or worry about leaving home, being alone, or being separated from primary caregivers

Selective mutism

consistent failure to speak in certain social situations

Reactive attachment disorder (RAD)

appear to have little trust that the adults in their lives will attend to their needs

• don’t seek/respond to comfort, attention, or nurturing

Disinhibited social engagement disorder (DSED)

socialize effortlessly but indiscriminately and readily become superficially attached to strangers or friends

Disruptive mood dysregulation disorder (DMDD)

characterized by chronic irritability and severe mood dysregulation with irritable/angry mood between

• considered a depressive disorder

Pediatric bipolar disorder (PBD)

Distinct pods of abnormally elevated mood and intense irritability, depression, etc

• mirrors symptoms of adult BPD and is likely to evolve into it

Oppositional Defiant Disorder (ODD)

persistent pattern of angry, argumentative, or vindictive behavior that continues for at least 6 months

• causes distress to themselves or others

• mild, moderate, severe (one setting, 2, 3+)

Intermittent Explosive Disorder (IED)

recurrent outburst of extreme verbal/physical aggression (2x week for more 3 months) OR

3 outburst per year involving damage to people/animals/property

Conduct Disorder (CD)

persistent antisocial behavior, including serious violations of rules and social norms and disregard of others

treatment of externalizing disorders

• parent intervention

• psychosocial intervention

• early intervention

• medication

Tics

motor/vocal : feels like an urge, when not suppressed can feel relieving

Tourette’s

must have multiple motor tics and at least one vocal for at least one year

ADHD

neurodevelopmental disorder which is characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with functioning or development

Causes of ADHD

• genetic

• brain differences

• environmental (prenatal exposure)

Treatment for ADHD

• medications (stimulants like adderall/ritalin) (nonstimulatnts stratera)

• behavioral therapy

• best to use both

Autism spectrum disorder

spectrum of neurodevelopmental conditions affecting social interaction, communication, and behavior

DIFFICULTY:

• social-emotional reciprocity

• nonverbal communication

• developing/maintaining relationships

Causes of ASD

• genetic

• brain structure/function

• environmental

treatment of ASD

• early intervention (aba)

• social skills training

• medication for co-occuring issues

• family/school collaboration