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/
|