AUTISM
What are the two main categories necessary for diagnosis ASD in the DSM V
1. Persistent deficits in social communication and social interaction across multiple contexts
2. Restricted, repetitive patterns of behavior, interests, or activities
Symptoms must be present before what age to make the diagnosis of ADHD in DSM V vs DSM IV?
DSM V -- 12 years
DSM IV -- 7 years
Time to recovery often takes how long? (a range)
1 to 6 months (usually)
Echolalia can be considered what type of tic?
Complex Vocal Tic
Who has the ability to call CPS?
ANYONE! who suspects abuse
What two medications have been FDA approved for aggression in ASD?
Risperidone and Aripiprazole
What is the most commonly co morbid disorder with ADHD?
ODD
Name two core features of ASD that can look like psychotic symptoms?
non verbal communication --> social withdrawal
lack of social/emotional reciprocity --> affective flattening
restricted interests/preoccupations --> delusions
sterotype language (eg echolalia) --> disorganized speech
stereptype movements --> catatonia/disorganized behavior
What is the current consensus on stimulants to treat ADHD and tics?
Stimulants to treat ADHD are NOT contraindicated if there is a co morbid tic disorders. Some evidence shows stimulants can help tics
How long does a school have to respond to a written referral for a student to get an evaluation?
Within 10 calendar days of receiving the referral
What medical diagnosis is co morbid in 30% of those with ASD, and has a bi modal distribution?
Seizure Disorders
Which symptoms of ADHD is typically the last to remit as kids progress into adult hood?
•Destructibility and executive functioning deficits (eg planning, organizing)
What are the 4 phases in the course of illness of a psychotic disorder?
•1. The Prodrome
•2. The Active phase
•3. The Recovery phase
•4. The Residual Phase
To diagnose Tics, the duration must be at least how long, and onset be before what age?
Duration of at least 1 year (never a tic-free period of more than 3 consecutive months) with onset prior to age 18 years
In the state of Michigan, how long do you have to complete the 3200 form from the time of suspicion of abuse?
•Must call immediately and complete 3200 within 72 hours
What are the two most commonly used diagnostic instruments for diagnosing ASD?
1. ADOS 2
2. ADI - R
AGE 5:
For children younger than 5 years, the behavior should occur on most days for a period of at least 6 months
For individuals 5 years or older, the behavior should occur at least once per week for at least 6 months
Up to 40% of patients with a severe psychotic disorder develop frank symptoms within what period of time?
12 months of symptom onset
What was the major outcome from the POTS study?
In the treatment of OCD:
Placebo < Sertraline = CBT < Combination
Educations is “FAPE” under the IDEA act. What does FAPE stand for?
Free
Appropriate
Public
Education
What are the two main predictors of outcome/prognosis for those with Autism?
1.Language skills
2. IQ
What percentage of those with Conduct Disorder in Adolescent go on to develop Antisocial Personality Disorder?
40% go on to develop antisocial personality disorder
Name two screening tools useful for psychosis
ANY OF:
- Brief Psychiatric Report for Children (BPRS – C)
- Behavior Assessment System for Children (BASC)
- Early Screening Test for Schizophrenia and Psychosis
- Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children (K-SADS-PL)
Which medication to treat anxiety disorders has the best safety data in children and adolescents?
Zoloft
What are some core differences between a 504 plan vs an IEP
IEP requires funding, 504 plan does not have modifications