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Childhood Disorders

• Attention-Deficit Hyperactivity Disorder

Symptoms of ADHD are divided into categories: Inattention and Hyperactivity/Impulsivity. A diagnosis of ADHD is based on the number, persistence, and history of ADHD behaviors, and the degree to which they impede a child's performance in more than one setting (school, home and/or social activities).

A child may be exhibiting symptoms of

Inattention if he or she often:* Ignores details; makes careless mistakes.* Has trouble sustaining attention in work or play.* Does not seem to listen when directly addressed.* Does not follow through on instructions; fails to finish.* Has difficulty organizing tasks and activities.* Avoids activities that require a sustained mental effort.* Loses things he or she needs.* Is forgetful in daily activities.* Is easily distracted.

Hyperactivity : A child may be exhibiting symptoms of Hyperactivity if he or she often:* Fidgets or squirms.* Leaves seat when remaining seated is expected.* Runs or climbs when he or she shouldn't.* Has difficulty with quiet leisure activities.* Is on the go, as if driven by a motor.* Talks excessively.

Impulsivity : A child may be exhibiting symptoms of Impulsivity if he or she often:* Blurts out answers before questions have been completed.* Has difficulty waiting his or her turn.* Interrupts or intrudes on others.Because all children behave in these ways at times, only a professional can diagnose a child with ADHD.

http://www.adhd.com/


• Asperger's Disorder

Asperger's Disorder is a milder variant of Autistic Disorder. Both Asperger's Disorder and Autistic Disorder are in fact subgroups of a larger diagnostic category. This larger category is called either Autistic Spectrum Disorders, mostly in European countries, or Pervasive Developmental Disorders ("PDD"), in the United States. In Asperger's Disorder, affected individuals are characterized by social isolation and eccentric behavior in childhood. There are impairments in two-sided social interaction and non-verbal communication. Though grammatical, their speech is peculiar due to abnormalities of inflection and a repetitive pattern. Clumsiness is prominent both in their articulation and gross motor behavior. They usually have a circumscribed area of interest which usually leaves no space for more age appropriate, common interests. Some examples are cars, trains, French Literature, door knobs, hinges, cappucino, meteorology, astronomy or history. The name "Asperger" comes from Hans Asperger, an Austrian physician who first described the syndrome in 1944.

http://www.aspergers.com/index.htm


• Autistic Disorder

What is autistic disorder?
Autistic disorder (also called autism; more recently described as "mindblindedness") is a neurological and developmental disorder that usually appears during the first three years of life. A child with autism appears to live in his/her own world, showing little interest in others, and a lack of social awareness. The focus of an autistic child is a consistent routine and includes an interest in repeating odd and peculiar behaviors. Autistic children often have problems in communication, avoid eye contact, and show limited attachment to others.

One or two people per 1,000 in the US have been diagnosed with some form of autism. Autism can prevent a child from forming relationships with others (in part, due to an inability to interpret facial expressions or emotions). A child with autism may resist cuddling, play alone, be resistant to change, and/or have delayed speech development. Persons with autism tend to exhibit repeated body movements (such as flapping hands or rocking) and have unusual attachments to objects. However, many persons with autism excel consistently on certain mental tasks (i.e., counting, measuring, art, music, memory).

What causes autism?

The cause of autism is not known. Research suggests that autism is a genetic condition. It is believed that several genes are involved in the development of autism. Research studies in autism have found a variety of abnormalities in the brain structure and chemicals in the brain, however, there have been no consistent findings. One theory is the possibility that autistic disorder is a behavioral syndrome that includes several distinct conditions. However, parenting behaviors are not the cause or a contributing factor to the cause or causes of autism.

Who is affected by autism?

Approximately 15 out of every 10,000 children born are diagnosed with autism. Autism is more prevalent in boys than girls, with four times as many boys affected than girls.
What are the symptoms of autism?
The following are the most common symptoms of autism. However, each child may experience symptoms differently. Symptoms may include:

* does not socially interact well with others, including parents

o shows a lack of interest in, or rejection of physical contact. Parents describe autistic infants as "unaffectionate." Autistic infants and children are not comforted by physical contact.

o avoids making eye contact with others, including parents

o fails to develop friends or interact with other children

* does not communicate well with others

o is delayed or does not develop language

o once language is developed, does not use language to communicate with others

o has echolalia (repeats words or phrases repeatedly, like an echo)

* demonstrates repetitive behaviors

o has repetitive motor movements (such as rocking and hand or finger flapping)

* is preoccupied, usually with lights, moving objects, or parts of objects

* does not like noise

* has rituals

* requires routines

The symptoms of autism may resemble other conditions or medical problems. Always consult your child's physician for a diagnosis.

How is autism diagnosed?

For the first time, standard guidelines have been developed to help identify autism in children before the age of 24 months. In the past, diagnosis of autism was often not made until late preschool-age or later. The new guidelines can help identify children with autism early, which means earlier, more effective treatment for the disorder.

The standardized guidelines were developed with assistance from 11 different organizations and were published in Neurology, a journal of the American Academy of Neurology. According to the guidelines, all children before the age of 24 months should routinely be screened for autism and other developmental delays at their well-child check-ups. Children that show developmental delays and other behavior disorders should be further tested for autism. According to the guidelines, less than 30 percent of children undergo age-appropriate screening at their well-child check-ups.

By screening children early for autism, those diagnosed with the disorder can be treated immediately and aggressively.

What are the guidelines?

The standardized guidelines developed for the diagnosis of autism actually involve two levels of screening for autism. Level one screening, which should be performed for all children coming to a physician for well-child check-ups during their first two years of life, should check for the following developmental deficits:

* no babbling, pointing, or gesturing by age 12 months

* no single words spoken by age 18 months

* no two-word spontaneous (non-echolalic, or not merely repeating the sounds of others) expressions by age 24 months

* loss of any language or social skills at any age

The second level of screening should be performed if a child is identified in the first level of screening as developmentally delayed. The second level of screening is a more in-depth diagnosis and evaluation that can differentiate autism from other developmental disorders. The second level of screening may include more formal diagnostic procedures by clinicians skilled in diagnosing autism, including medical history, neurological evaluation, genetic testing, metabolic testing, electrophysiologic testing (i.e., CT scan, MRI, PET scan), psychological testing, among others.

Genetic testing involves an evaluation by a medical geneticist (a physician who has specialized training and certification in clinical genetics), particularly as there are several genetic syndromes which may cause autism, including Fragile-X, untreated phenylketonuria (PKU), neurofibromatosis, tuberous sclerosis, Rett syndrome, as well as a variety of chromosome abnormalities. A geneticist can determine whether the autism is caused due to a genetic disorder, or has no known genetic cause. If a genetic disorder is diagnosed, there may be other health problems involved. The chance for autism to occur in a future pregnancy would depend on the syndrome found. For example, PKU is an autosomal recessive disorder with a reoccurrence risk of one in four, or 25 percent, chance, while tuberous sclerosis is an autosomal dominant disorder, with a reoccurrence risk of 50 percent.

In cases where no genetic cause for the autism is identified, there is still a slightly increased chance for a couple to have another child with autism, with ranges averaging from 3 to 7 percent. The reason for this increase over the general population is thought to be because autism may result from several genes inherited from both parents acting in combination, in addition to unknown environmental factors. There is no action/inaction known that parents could have done, or did not do, to cause autism to occur in a child.

Always consult your child's physician for a diagnosis and for more information.

Treatment for autism:
Specialized behavioral and educational programs are designed to treat autism. Behavioral therapy is used to teach social skills, motor skills and cognitive (thinking) skills. Behavior modification is also useful in reducing or eliminating maladaptive behaviors. Individualized treatment planning for behavioral therapy is important as autistic children vary greatly in their behavioral needs. Intensive behavior therapy during early childhood and home-based approaches training and involving parents are considered to produce the best results.

Special education programs that are highly structured focus on developing social skills, speech, language, self-care, and job skills. Medication is also helpful in treating some symptoms of autism in some children. Mental health professionals provide parent counseling, social skills training, and individual therapy. They also help families identify and participate in treatment programs based on an individual child's treatment needs. Specific treatment will be determined by your child's physician based on:

* your child's age, overall health, and medical history
* extent of the disorder
* your child's symptoms
* your child's tolerance for specific medications or therapies
* expectations for the course of the disorder
* your opinion or preference

Prevention of autism:
Preventive measures to reduce the incidence or severity of autistic disorders are not known at this time.


• Conduct Disorder

"Conduct disorder" refers to a group of behavioral and emotional problems in youngsters. Children and adolescents with this disorder have great difficulty following rules and behaving in a socially acceptable way. They are often viewed by other children, adults and social agencies as "bad" or delinquent, rather than mentally ill. Many factors may contribute to a child developing conduct disorder, including brain damage, child abuse, genetic vulnerability, school failure, and traumatic life experiences.

Children or adolescents with conduct disorder may exhibit some of the following behaviors:

Aggression to people and animals

* bullies, threatens or intimidates others
* often initiates physical fights
* has used a weapon that could cause serious physical harm to others (e.g. a bat, brick, broken bottle, knife or gun)
* is physically cruel to people or animals
* steals from a victim while confronting them (e.g. assault)
* forces someone into sexual activity

Destruction of Property

* deliberately engaged in fire setting with the intention to cause damage
* deliberately destroys other's property

Deceitfulness, lying, or stealing

* has broken into someone else's building, house, or car
* lies to obtain goods, or favors or to avoid obligations
* steals items without confronting a victim (e.g. shoplifting, but without breaking and entering)

http://www.aacap.org/

• Oppositional Defiant Disorder

All children are oppositional from time to time, particularly when tired, hungry, stressed or upset. They may argue, talk back, disobey, and defy parents, teachers, and other adults. Oppositional behavior is often a normal part of development for two to three year olds and early adolescents. However, openly uncooperative and hostile behavior becomes a serious concern when it is so frequent and consistent that it stands out when compared with other children of the same age and developmental level and when it affects the child's social, family, and academic life.

In children with Oppositional Defiant Disorder (ODD), there is an ongoing pattern of uncooperative, defiant, and hostile behavior toward authority figures that seriously interferes with the youngster's day to day functioning. Symptoms of ODD may include:

* frequent temper tantrums
* excessive arguing with adults
* active defiance and refusal to comply with adult requests and rules
* deliberate attempts to annoy or upset people
* blaming others for his or her mistakes or misbehavior
* often being touchy or easily annoyed by others
* frequent anger and resentment
* mean and hateful talking when upset
* seeking revenge

The symptoms are usually seen in multiple settings, but may be more noticeable at home or at school. Five to fifteen percent of all school-age children have ODD. The causes of ODD are unknown, but many parents report that their child with ODD was more rigid and demanding than the child's siblings from an early age. Biological and environmental factors may have a role.

http://aacap.org/


• Separation Anxiety Disorder

Separation anxiety is a normal developmental stage experienced by a child when separated from the primary caregiver. It typically manifests itself as crying and distress when a child is away from a parent or from home.

As time goes by and a child learns to feel safe in a new environment and secure that a parent or caregiver will return after an absence, anxiety over separation should fade.

The typical sequence of child development and parent/child attachment is as follows:

* 0-18 months – child can usually be calmed by a loving person, regardless of relationship, except for a normal period of "stranger anxiety" from about 7-14 months (see note about attachment theory).
* 18 months-3 years – child feels anxious when the parent leaves, but can be calmed or distracted by activities.
* Daycare or preschool – crying is common, and usually stops after the parent is gone and the child gets involved in activities.
* 4-5 years and thereafter – most children are secure enough to leave their parents with no distress.

When feeling anxious about separation, young children exhibit many different behaviors, including:

* Crying or whining
* Clinginess or insistence on physical contact with parent (holding hand or leg, wanting to be held, hiding behind parent)
* Shyness
* Silence (instead of constant talking or babble)
* Unwillingness to interact with others, even if they are familiar (other parent, grandparent, friend)

It is typical for children of preschool and kindergarten age to show signs of distress when separating from the primary caregiver, but they usually calm down once they are engaged in play or an activity with another person or child. Most children grow out of these anxious feelings as they become more secure in the relationship and learn to trust in the person’s return and consistent presence.

Separation anxiety disorder is separation anxiety that does not go away with age (is not age-appropriate). After about 5 years of age, a child should feel relatively comfortable separating from parents or caregivers. Normal temporary distress during sleepovers or extended stays with a babysitter is normal, but if the anxiety persists and the child is inconsolable, the problem may represent more significant developmental or attachment problems.

About 4% of children are extremely anxious about leaving their parents. Symptoms may develop at any time during childhood, but often arise following an event that, for the child, is traumatic:

* a scare (such as an earthquake or news of a child abduction)
* a serious separation (such as hospitalization or parent absence)
* stress in the family (such as a pending divorce or serious illness of a family member)
* a significant change (such as change in primary caregiver, birth or a new sibling, starting a new school or grade)
* an illness (major or minor)

The child often fears for the safety of the parent, cries, withdraws from activities, and seems inconsolable. Although these symptoms may abate on their own, professional assistance is needed sometimes to prevent Separation Anxiety Disorder from evolving into agoraphobia or other anxiety disorders in adulthood.

What are symptoms of separation anxiety disorder?

Separation anxiety manifests itself in a variety of physical and behavioral ways, including:

* Physical anxiety symptoms (such as headaches, stomachaches, diarrhea, nausea, or vomiting), particularly when they persistently occur in anticipation of separation from parents
* Persistent crying, anger, worry, withdrawal that occurs with the following behaviors:
o Not wanting parents to be out of sight - following them around the house, refusing to sleep alone, wanting to be in the parents' bed at night
o Nightmares about parents being gone or leaving them
o Resistance to school (also known as School Phobia), camp, or other activities
o Unwillingness to stay overnight at anyone's house, whether a friend or relative
o Resistance to babysitters
o Worrying about safety of parents

http://www.helpguide.org/mental/


• Tourette's Disorder

Tourette Syndrome was considered rare and exotic at one time (however now,) Tourette's syndrome is a relatively common childhood-onset disorder defined by persistent motor and vocal tics and frequently associated with obsessions, compulsions, and attentional difficulties."
- James F. Leckman, Donald J. Cohen of the Yale Child Study Center.

TourSymptoms are the subjective evidence of disease or physical disturbance observed by the patient that indicates the presence of a disorder.

The general symptoms of Tourette Syndrome can be divided into motor, vocal, and behavioral manifestations. Though the behavioral manifestations are not essentially listed in the DSM as diagnostic criteria, there are those that believe behaviors like ADHD and OCD are common enough to be considered a co-morbid condition to Tourette Syndrome. The DSM does make note of this.

ette Syndrome is also referred to as Tourette’s Disorder, Tourette’s, TS and sometimes Tourette Spectrum Disorder.Tourette Syndrome is best defined in the archives and pages of neurological conditions, syndromes, and disorders. Initially Tourette Syndrome was seen as extremely rare and an individual was viewed as having violent muscle contortions (motor tics) and vocal disruptions (vocal tics) combined with outburst of swearing and obscenities. (Tourette history) However Dr. David E. Comings writes in Tourette Syndrome and Human Behaviour, "...Tourette Syndrome is one of the most common genetic conditions affecting humanity and many more carry the trait."


The goals of treating Tourette Syndrome should not be to completely eliminate all the tics and other symptoms that a patient has, but to relieve tic-related discomfort or embarrassment and to achieve a control of Tourette Syndrome symptoms that allows the patient to function as normally as possible.

http://www.tourettes-disorder.com/




 
 

 

 

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