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AUTISM SPECTRUM DISORDERS ++ DR RUKSANA AHMED - BSC(HONS),CPSYCHOL,AFBPSS CONSULTANT CLINICAL PSYCHOLOGIST 19TH JUNE 2013 DR RUKSANA AHMED - BSC(HONS),CPSYCHOL,AFBPSS CONSULTANT CLINICAL PSYCHOLOGIST 19TH JUNE 2013
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DR RUKSANA AHMED - 19.06.132 AIMS OF PRESENTATION TYPES OF DIFFICULTIES & DISORDERS THAT CAN ARISE PREVALANCE OF ASSOCIATED DIFFICULTIES & DISORDERS CHALLENGES TO CONSIDERING ASD ++ CONCLUSIONS & REFLECTIONS TYPES OF DIFFICULTIES & DISORDERS THAT CAN ARISE PREVALANCE OF ASSOCIATED DIFFICULTIES & DISORDERS CHALLENGES TO CONSIDERING ASD ++ CONCLUSIONS & REFLECTIONS
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DR RUKSANA AHMED - 19.06.133 TYPES OF DIFFICULTIES & DISORDERS THAT CAN ARISE MEDICAL ISSUES INC SLEEP DISORDERS, GI, GENETIC DISORDERS NEUROLOGICAL DISORDERS LEARNING DISABILTIES & SPECIFIC LEARNING DIFFICULTIES PSYCHIATRIC DISORDERS - INTERNALISING DISORDERS PSYCHIATRIC DISORDERS - EXTERNALISING DISORDERS MEDICAL ISSUES INC SLEEP DISORDERS, GI, GENETIC DISORDERS NEUROLOGICAL DISORDERS LEARNING DISABILTIES & SPECIFIC LEARNING DIFFICULTIES PSYCHIATRIC DISORDERS - INTERNALISING DISORDERS PSYCHIATRIC DISORDERS - EXTERNALISING DISORDERS
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DR RUKSANA AHMED - 19.06.134 LEARNING DISABILITIES & SPECIFIC LEARNING DIFFICULTIES STUDIES SUGGEST THAT APPROXIMATELY 20-70% OF INDIVIDUALS WITH ASD WILL HAVE INTELLECTUAL IMPAIRMENTS STUDIES SUGGEST 70% IQ LOWER THAN 70 SPECIFIC PROFILES HAVE BEEN SUGGESTED IN THE CASE OF CHILDREN & ADOLESCENTS WITH IQ BELOW 70 PROFILE SUGGESTED IS ONE OF BETTER PERCEPTUAL SKILLS OVER VERBAL SKILLS STUDIES SUGGEST THAT APPROXIMATELY 20-70% OF INDIVIDUALS WITH ASD WILL HAVE INTELLECTUAL IMPAIRMENTS STUDIES SUGGEST 70% IQ LOWER THAN 70 SPECIFIC PROFILES HAVE BEEN SUGGESTED IN THE CASE OF CHILDREN & ADOLESCENTS WITH IQ BELOW 70 PROFILE SUGGESTED IS ONE OF BETTER PERCEPTUAL SKILLS OVER VERBAL SKILLS
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DR RUKSANA AHMED - 19.06.135 LEARNING DISABILITIES & SPECIFIC LEARNING DIFFICULTIES (CONTD) IN THE CASE OF CHILDREN AND ADOLESCENTS WITH IQ HIGHER THAN 70 STUDIES HAVE SUGGESTED INDIVIDUALS HAVE BETTER VERBAL SKILLS THAN PERCEPTUAL SKILLS, HOWEVER THIS IS NOT ALWAYS THE CASE EQUALLY AN UNEVEN PROFILE IS OFTEN SEEN BUT AGAIN THIS IS NOT ALWAYS THE CASE CHILDREN AND ADOLESCENTS MAY HAVE AN IQ ABOVE 70 HOWEVER PRESENT WITH SIGNIFICANTLY IMPAIRED ADAPTIVE SKILLS, DYSEXECUTIVE SYNDROME ETC THEREFORE NEED TO CONSIDER THE BENEFITS OF COMPLETING NEUROPSYCHOLOGICAL ASSESSMENTS TO PRODUCE INDIVIDUALISED PROFILES IN THE CASE OF CHILDREN AND ADOLESCENTS WITH IQ HIGHER THAN 70 STUDIES HAVE SUGGESTED INDIVIDUALS HAVE BETTER VERBAL SKILLS THAN PERCEPTUAL SKILLS, HOWEVER THIS IS NOT ALWAYS THE CASE EQUALLY AN UNEVEN PROFILE IS OFTEN SEEN BUT AGAIN THIS IS NOT ALWAYS THE CASE CHILDREN AND ADOLESCENTS MAY HAVE AN IQ ABOVE 70 HOWEVER PRESENT WITH SIGNIFICANTLY IMPAIRED ADAPTIVE SKILLS, DYSEXECUTIVE SYNDROME ETC THEREFORE NEED TO CONSIDER THE BENEFITS OF COMPLETING NEUROPSYCHOLOGICAL ASSESSMENTS TO PRODUCE INDIVIDUALISED PROFILES
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DR RUKSANA AHMED - 19.06.136 CO-MORBID PSYCHIATRIC DISORDERS SOME GENERAL FINDINGS STUDIES SHOW THAT 70% OF CHILDREN AND ADOLESCENTS WITH ASD WILL HAVE ONE OTHER PSYCHIATRIC DISORDER (ANY DISORDER) AND 41% WILL HAVE TWO OR MORE DISORDERS 31% WILL HAVE THREE OR MORE DISORDERS THESE CAN INCLUDE INTERNALISING AND EXTERNALISING DISORDERS IT APPEARS THAT THE TYPE ASD DOES NOT AFFECT PREVALENCE ALTHOUGH SOME SPECIFIC RECENT FINDINGS HAVE CHALLENGED THIS STUDIES SHOW THAT 70% OF CHILDREN AND ADOLESCENTS WITH ASD WILL HAVE ONE OTHER PSYCHIATRIC DISORDER (ANY DISORDER) AND 41% WILL HAVE TWO OR MORE DISORDERS 31% WILL HAVE THREE OR MORE DISORDERS THESE CAN INCLUDE INTERNALISING AND EXTERNALISING DISORDERS IT APPEARS THAT THE TYPE ASD DOES NOT AFFECT PREVALENCE ALTHOUGH SOME SPECIFIC RECENT FINDINGS HAVE CHALLENGED THIS
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DR RUKSANA AHMED - 19.06.137 CO-MORBID DISORDERS - INTERNALISING DISORDERS DEPRESSION - SOME STUDIES HAVE SHOWN VARIABLE RATES OF MAJOR DEPRESSIVE DISORDER ONE STUDY APPEARED TO SHOW LOW RATE OF OCCURRENCE OF 3%, BUT 10% HAD SIGNIFICANT EPISODE OF DEPRESSION NOT MEETING CRITERIA MORE RECENT STUDIES WITH CHILDREN WITH AS/HFA HAVE FOUND THAT 70% HAD EXPERIENCED ONE EPISODE OF MAJOR DEPRESSION 50% REPORTED RECURRENT EPISODES OF MAJOR DEPRESSION LINK BETWEEN DEPRESSION AND PSYCHOTIC SYMPTOMS DEPRESSION - SOME STUDIES HAVE SHOWN VARIABLE RATES OF MAJOR DEPRESSIVE DISORDER ONE STUDY APPEARED TO SHOW LOW RATE OF OCCURRENCE OF 3%, BUT 10% HAD SIGNIFICANT EPISODE OF DEPRESSION NOT MEETING CRITERIA MORE RECENT STUDIES WITH CHILDREN WITH AS/HFA HAVE FOUND THAT 70% HAD EXPERIENCED ONE EPISODE OF MAJOR DEPRESSION 50% REPORTED RECURRENT EPISODES OF MAJOR DEPRESSION LINK BETWEEN DEPRESSION AND PSYCHOTIC SYMPTOMS
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DR RUKSANA AHMED - 19.06.138 CO-MORBID DISORDERS - INTERNALISING DISORDERS (CONTD) ANXIETY DISORDERS ARE ONE OF MOST COMMON CO-MORBID DISORDERS IN CHILDREN AND ADOLESCENTS WITH ASD, BUT THESE CAN INCLUDE A RANGE OF ANXIETY DISORDERS SOCIAL ANXIETY CAN BE PRESENT IN 29% GENERALISED ANXIETY DISORDER 13% OCD HAS BEEN REPORTED AT LOW RATE OF OCCURRENCE BUT MORE RECENTLY IN CHILDREN AND ADOLESCENTS WITH AS/HFA HAS BEEN SEEN TO BE PRESENT IN 25% ANXIETY DISORDERS ARE ONE OF MOST COMMON CO-MORBID DISORDERS IN CHILDREN AND ADOLESCENTS WITH ASD, BUT THESE CAN INCLUDE A RANGE OF ANXIETY DISORDERS SOCIAL ANXIETY CAN BE PRESENT IN 29% GENERALISED ANXIETY DISORDER 13% OCD HAS BEEN REPORTED AT LOW RATE OF OCCURRENCE BUT MORE RECENTLY IN CHILDREN AND ADOLESCENTS WITH AS/HFA HAS BEEN SEEN TO BE PRESENT IN 25%
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DR RUKSANA AHMED - 19.06.139 CO-MORBID DISORDERS - INTERNALISING DISORDERS (CONTD) SPECIFIC PHOBIAS PANIC DISORDER 10% SEPARATION ANXIETY BIPOLAR DISORDER SEEMS TO EXIST AT AN INCREASED RATE IN CHILDREN AND ADOLESCENTS WITH AS/HFA PTSD ENURESIS 10% SPECIFIC PHOBIAS PANIC DISORDER 10% SEPARATION ANXIETY BIPOLAR DISORDER SEEMS TO EXIST AT AN INCREASED RATE IN CHILDREN AND ADOLESCENTS WITH AS/HFA PTSD ENURESIS 10%
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DR RUKSANA AHMED - 19.06.1310 CO-MORBID DISORDERS - EXTERNALISING DISORDERS THERE ALSO APPEARS TO BE A HIGHER PREVALANCE OF CO-MORBID EXTERNALISING DISORDERS 29% OF CHILDREN WITH ASD HAVE BEEN REPORTED TO PRESENT WITH ADHD CONTROVERSIAL DUE TO DIAGNOSTIC SYSTEMS 28% OF CHILDREN WITH ASD HAVE BEEN REPORTED TO PRESENT WITH OPPOSITIONAL DEFIANT DISORDER THERE ALSO APPEARS TO BE A HIGHER PREVALANCE OF CO-MORBID EXTERNALISING DISORDERS 29% OF CHILDREN WITH ASD HAVE BEEN REPORTED TO PRESENT WITH ADHD CONTROVERSIAL DUE TO DIAGNOSTIC SYSTEMS 28% OF CHILDREN WITH ASD HAVE BEEN REPORTED TO PRESENT WITH OPPOSITIONAL DEFIANT DISORDER
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DR RUKSANA AHMED - 19.06.1311 CO-MORBID DISORDERS - EXTERNALISING DISORDERS (CONTD) LOWER RATES OF CONDUCT DISORDER 20% OF CHILDREN WITH ASD HAVE BEEN REPORTED TO PRESENT WITH TOURETTE SYNDROME CHRONIC TIC DISORDERS ARE ALSO REPORTED AS PREVALENT LOWER RATES OF CONDUCT DISORDER 20% OF CHILDREN WITH ASD HAVE BEEN REPORTED TO PRESENT WITH TOURETTE SYNDROME CHRONIC TIC DISORDERS ARE ALSO REPORTED AS PREVALENT
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DR RUKSANA AHMED - 19.06.1312 CHALLENGES TO CONSIDERING ADDITIONAL DIFFICULTIES DIAGNOSTIC OVERSHADOWING LEARNING/INTELLECTUAL DISABILITY WHERE ALL SYMPTOMS WERE ATTRIBUTED TO MAIN DIAGNOSIS OF LEARNING DISABILITY THIS IS ALSO THE CASE IN ASD STANDARDISED TOOLS AND THEIR LACK OF APPROPRIATENESS FOR CHILDREN & ADOLESCENTS WITH ASD DIAGNOSTIC OVERSHADOWING LEARNING/INTELLECTUAL DISABILITY WHERE ALL SYMPTOMS WERE ATTRIBUTED TO MAIN DIAGNOSIS OF LEARNING DISABILITY THIS IS ALSO THE CASE IN ASD STANDARDISED TOOLS AND THEIR LACK OF APPROPRIATENESS FOR CHILDREN & ADOLESCENTS WITH ASD
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DR RUKSANA AHMED - 19.06.1313 CHALLENGES TO CONSIDERING ADDITIONAL DIFFICULTIES (CONTD) VERBAL COMMUNICATION DEFICITS IMPACT ON ABILITY TO ASSESS AND DIAGNOSE CO-MORIBID DISORDERS DISSONANCE BETWEEN FACIAL EXPRESSIONS AND AFFECT SYMPTOMS CAN BE ENVIRONMENT SPECIFIC DIAGNOSTIC CLASSIFICATION SYSTEMS COMORBID SYMPTOMS AND COMORBID DISORDERS CULTURAL SHIFT REQUIRED THAT ALLOWS A WILLINGNESS TO CONSIDER OTHER DIFFICULTIES IN A SENSITIVE AND HELPFUL MANNER VERBAL COMMUNICATION DEFICITS IMPACT ON ABILITY TO ASSESS AND DIAGNOSE CO-MORIBID DISORDERS DISSONANCE BETWEEN FACIAL EXPRESSIONS AND AFFECT SYMPTOMS CAN BE ENVIRONMENT SPECIFIC DIAGNOSTIC CLASSIFICATION SYSTEMS COMORBID SYMPTOMS AND COMORBID DISORDERS CULTURAL SHIFT REQUIRED THAT ALLOWS A WILLINGNESS TO CONSIDER OTHER DIFFICULTIES IN A SENSITIVE AND HELPFUL MANNER
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DR RUKSANA AHMED - 19.06.1314 CONCLUSIONS & REFLECTIONS BENEFITS AND STRENGTHS TO CONSIDERING ADDITIONAL DIFFICULTIES MORE HOLISTIC ACCURATE REFLECTION OF OUR CHILDREN AND ADOLESCENTS WITH ASD CAN LEAD TO REDUCTION IN ADDITIONAL DISTRESSING, NEGATIVE SYMPTOMS POSSIBLE REASON BEHIND TREATMENT RESISTANCE CAN LEAD TO MORE OPTIMUM OUTCOMES FOR OUR CHILDREN AND YOUNG PEOPLE WITH ASD AND IMPROVEMENTS IN THEIR’S AND THEIR FAMILYS’ QUALITY OF LIFE BENEFITS AND STRENGTHS TO CONSIDERING ADDITIONAL DIFFICULTIES MORE HOLISTIC ACCURATE REFLECTION OF OUR CHILDREN AND ADOLESCENTS WITH ASD CAN LEAD TO REDUCTION IN ADDITIONAL DISTRESSING, NEGATIVE SYMPTOMS POSSIBLE REASON BEHIND TREATMENT RESISTANCE CAN LEAD TO MORE OPTIMUM OUTCOMES FOR OUR CHILDREN AND YOUNG PEOPLE WITH ASD AND IMPROVEMENTS IN THEIR’S AND THEIR FAMILYS’ QUALITY OF LIFE
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DR RUKSANA AHMED - 19.06.1315 STRATEGIES & INTERVENTIONS TO HELP CHILDREN & ADOLESCENTS WITH ASD WHO ARE ALSO EXPERIENCING ADDITIONAL DIFFICULTIES STRATEGIES & INTERVENTIONS TO HELP CHILDREN & ADOLESCENTS WITH ASD WHO ARE ALSO EXPERIENCING ADDITIONAL DIFFICULTIES
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DR RUKSANA AHMED - 19.06.1316 AIMS OF THE PRESENTATION TO BRIEFLY REVIEW EVIDENCE BASED INTERVENTIONS TO PROVIDE FURTHER RECOMMENDATIONS ON SPECIFIC STRATEGIES AND INTERVENTIONS FOR CHILDREN AND ADOLESCENTS WITH ASD & LD & CO- MORBID DISORDERS TO DISCUSS SPECIFIC STRATEGIES AND INTERVENTIONS FOR CHILDREN & ADOLESCENTS WITH ASD & CO-MORBID DISORDERS TO BRIEFLY REVIEW EVIDENCE BASED INTERVENTIONS TO PROVIDE FURTHER RECOMMENDATIONS ON SPECIFIC STRATEGIES AND INTERVENTIONS FOR CHILDREN AND ADOLESCENTS WITH ASD & LD & CO- MORBID DISORDERS TO DISCUSS SPECIFIC STRATEGIES AND INTERVENTIONS FOR CHILDREN & ADOLESCENTS WITH ASD & CO-MORBID DISORDERS
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DR RUKSANA AHMED - 19.06.1317 INTERVENTIONS FOR CHILDREN & ADOLESCENTS WITH ASD PARENT MEDIATED EARLY INTERVENTION MODIFIED PARENT TRAINING COMMUNICATION INTERVENTIONS BEHAVIOURAL INTERVENTIONS - INTENSIVE AND SPECIFIC MODIFIED COGNITIVE BEHAVIOURAL THERAPY WORKING WITH SYSTEMS PARENT MEDIATED EARLY INTERVENTION MODIFIED PARENT TRAINING COMMUNICATION INTERVENTIONS BEHAVIOURAL INTERVENTIONS - INTENSIVE AND SPECIFIC MODIFIED COGNITIVE BEHAVIOURAL THERAPY WORKING WITH SYSTEMS
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DR RUKSANA AHMED - 19.06.1318 SPECIFIC BEHAVIOURAL INTERVENTIONS CHILDREN AND ADOLESCENTS WITH ASD WHO HAVE LEARNING DISABILITIES WILL OFTEN PRESENT ASSOCIATED DIFFICULTIES THROUGH THEIR BEHAVIOUR OFTEN ANXIETY, DEPRESSION & MOOD LABILITY CAN PRESENT AS CHALLENGING BEHAVIOUR THEREFORE NEED TO ASSESS BEHAVIOUR TO TAKE INTO ACCOUNT THE FOLLOWING FACTORS CHILDREN AND ADOLESCENTS WITH ASD WHO HAVE LEARNING DISABILITIES WILL OFTEN PRESENT ASSOCIATED DIFFICULTIES THROUGH THEIR BEHAVIOUR OFTEN ANXIETY, DEPRESSION & MOOD LABILITY CAN PRESENT AS CHALLENGING BEHAVIOUR THEREFORE NEED TO ASSESS BEHAVIOUR TO TAKE INTO ACCOUNT THE FOLLOWING FACTORS
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DR RUKSANA AHMED - 19.06.1319 FACTORS TO CONSIDER WHEN ASSESSING BEHAVIOUR CO-MORBID MENTAL HEALTH DIFFICULTIES COMMUNICATION ENVIRONMENTAL FACTORS ANXIETY BEING UNAWARE OF CONSEQUENCES DIFFICULTIES UNDERSTANDING OTHERS’ INTENTIONS REACTIONS TO OTHERS LACK OF SELF-AWARENESS BIOLOGICAL FACTORS CO-MORBID MENTAL HEALTH DIFFICULTIES COMMUNICATION ENVIRONMENTAL FACTORS ANXIETY BEING UNAWARE OF CONSEQUENCES DIFFICULTIES UNDERSTANDING OTHERS’ INTENTIONS REACTIONS TO OTHERS LACK OF SELF-AWARENESS BIOLOGICAL FACTORS
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DR RUKSANA AHMED - 19.06.1320 TYPES OF BEHAVIOURS THAT MAY BE OBSERVED RUNNING ANXIETY & PANIC INDISCRIMINATE AROUSAL REDUCED MOTIVATION & WITHDRAWAL INCREASE IN RITUALISTIC BEHAVIOURS AGGRESSION SELF-INJURIOUS BEHAVIOUR RUNNING ANXIETY & PANIC INDISCRIMINATE AROUSAL REDUCED MOTIVATION & WITHDRAWAL INCREASE IN RITUALISTIC BEHAVIOURS AGGRESSION SELF-INJURIOUS BEHAVIOUR
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DR RUKSANA AHMED - 19.06.1321 PRIORITISING BEHAVIOURAL INTERVENTIONS ONCE CO-MORBID DIFFICULTIES HAVE BEEN IDENTIFIED CAN THEN PRIORITISE SPECIFIC BEHAVIOURS AS PART OF MULTI-MODAL INTERVENTION BEHAVIOUR IS DANGEROUS EFFECT ON OTHERS INTERFERENCE & RESTRICTION SOCIALLY INAPPROPRIATE BEHAVIOUR ONCE CO-MORBID DIFFICULTIES HAVE BEEN IDENTIFIED CAN THEN PRIORITISE SPECIFIC BEHAVIOURS AS PART OF MULTI-MODAL INTERVENTION BEHAVIOUR IS DANGEROUS EFFECT ON OTHERS INTERFERENCE & RESTRICTION SOCIALLY INAPPROPRIATE BEHAVIOUR
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DR RUKSANA AHMED - 19.06.1322 ANALYSIS OF BEHAVIOUR BASIC ANALYSIS DEFINING THE BEHAVIOUR TOPOGRAPHY CYCLE COURSE STRENGTH BASIC ANALYSIS DEFINING THE BEHAVIOUR TOPOGRAPHY CYCLE COURSE STRENGTH
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DR RUKSANA AHMED - 19.06.1323 FUNCTIONAL ANALYSIS SYSTEMATIC TECHNIQUE OF COLLECTING INFORMATION FROM WHICH HYPOTHESES & STRATEGIES CAN BE DERIVED ABC CHARTS- ANTECEDENTS, BEHAVIOUR, CONSEQUENCES STAR MODEL SYSTEMATIC TECHNIQUE OF COLLECTING INFORMATION FROM WHICH HYPOTHESES & STRATEGIES CAN BE DERIVED ABC CHARTS- ANTECEDENTS, BEHAVIOUR, CONSEQUENCES STAR MODEL
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DR RUKSANA AHMED - 19.06.1324 PROACTIVE MANAGEMENT STRATEGIES CONTEXTUAL & ENVIRONMENTAL FACTORS STRUCTURE & ROUTINE STRUCTURED TIME UNSTRUCTURED TIME USE OF VISUAL AIDS CONTEXTUAL & ENVIRONMENTAL FACTORS STRUCTURE & ROUTINE STRUCTURED TIME UNSTRUCTURED TIME USE OF VISUAL AIDS
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DR RUKSANA AHMED - 19.06.1325 PROACTIVE MANAGEMENT STRATEGIES (CONTD ) COMMUNICATION SYSTEMS POSITIVE REINFORCEMENT REWARD SYSTEMS ANXIETY & STRESS REDUCTION STRATEGIES SKILLS REPLACEMENT SYSTEMS APPROACH COMMUNICATION SYSTEMS POSITIVE REINFORCEMENT REWARD SYSTEMS ANXIETY & STRESS REDUCTION STRATEGIES SKILLS REPLACEMENT SYSTEMS APPROACH
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DR RUKSANA AHMED - 19.06.1326 REACTIVE MANAGEMENT STRATEGIES MODEL OF PHASES OF BEHAVIOUR STRATEGIES DEPENDENT UPON PHASE OF BEHAVIOUR TRIGGER PHASE BUILD-UP PHASE EXPLOSION PHASE RECOVERY PHASE MODEL OF PHASES OF BEHAVIOUR STRATEGIES DEPENDENT UPON PHASE OF BEHAVIOUR TRIGGER PHASE BUILD-UP PHASE EXPLOSION PHASE RECOVERY PHASE
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DR RUKSANA AHMED - 19.06.1327 TRIGGER PHASE STRATEGIES WHERE APPROPRIATE REMOVAL OF TRIGGER DISTRACTION STRATEGIES ANXIETY MANAGEMENT STRATEGIES COMMUNICATION WHERE APPROPRIATE REMOVAL OF TRIGGER DISTRACTION STRATEGIES ANXIETY MANAGEMENT STRATEGIES COMMUNICATION
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DR RUKSANA AHMED - 19.06.1328 BUILD-UP PHASE STRATEGIES PROMPTING REMINDERS SIDE-STEPPING STRATEGIES CALMING DOWN & ANXIETY REDUCTION TECHNIQUES CHANGING DEMAND PROMPTING REMINDERS SIDE-STEPPING STRATEGIES CALMING DOWN & ANXIETY REDUCTION TECHNIQUES CHANGING DEMAND
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DR RUKSANA AHMED - 19.06.1329 EXPLOSION PHASE STRATEGIES RISK ASSESSMENT ‘CLEARING THE DECKS’ GETTING SUPPORT & HELP USE OF SAFE SPACE ‘LOW KEY’ VERBAL RESPONSES RISK ASSESSMENT ‘CLEARING THE DECKS’ GETTING SUPPORT & HELP USE OF SAFE SPACE ‘LOW KEY’ VERBAL RESPONSES
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DR RUKSANA AHMED - 19.06.1330 RECOVERY PHASE STRATEGIES TIME LIMITED INTERACTIONS/ EXPLANATIONS NEUTRAL INTERACTION IF NECESSARY AT APPROPRIATE TIME GETTING BACK TO ROUTINE TIME LIMITED INTERACTIONS/ EXPLANATIONS NEUTRAL INTERACTION IF NECESSARY AT APPROPRIATE TIME GETTING BACK TO ROUTINE
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DR RUKSANA AHMED - 19.06.1331 ADDITIONAL ISSUES RELEVANT TO BEHAVIOURAL MANAGEMENT OF ADDITIONAL DIFFICULTIES RETURN TO & MAINTAIN PROACTIVE STRATEGIES REGULAR MONITORING & REVIEW COMBINED USE OF PHARMACOLOGICAL & NON- PHARMACOLOGICAL INTERVENTIONS FAMILY SUPPORT RETURN TO & MAINTAIN PROACTIVE STRATEGIES REGULAR MONITORING & REVIEW COMBINED USE OF PHARMACOLOGICAL & NON- PHARMACOLOGICAL INTERVENTIONS FAMILY SUPPORT
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DR RUKSANA AHMED - 19.06.1332 CBT FOR CHILDREN WITH AS/ASD & ADDITIONAL DIFFICULTIES BENEFIT OF CBT FOR CHILDREN WITH PSYCHOLOGICAL DIFFICULTIES IS WELL ESTABLISHED CHILDREN WITH ASD HAVE A RANGE OF COGNITIVE, SOCIAL & EMOTIONAL ABILITIES AND CBT NEEDS TO BE MODIFIED TO TAKE THIS INTO ACCOUNT MODIFIED CBT FOR CHILDREN & ADOLESCENTS WITH ASD & ANGER, ANXIETY AND DEPRESSION HAS BEEN DEVELOPING OVER THE LAST FEW YEARS BENEFIT OF CBT FOR CHILDREN WITH PSYCHOLOGICAL DIFFICULTIES IS WELL ESTABLISHED CHILDREN WITH ASD HAVE A RANGE OF COGNITIVE, SOCIAL & EMOTIONAL ABILITIES AND CBT NEEDS TO BE MODIFIED TO TAKE THIS INTO ACCOUNT MODIFIED CBT FOR CHILDREN & ADOLESCENTS WITH ASD & ANGER, ANXIETY AND DEPRESSION HAS BEEN DEVELOPING OVER THE LAST FEW YEARS
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DR RUKSANA AHMED - 19.06.1333 MODIFICATIONS THAT NEED TO BE CONSIDERED AFFECTIVE EDUCATION MEANINGFUL & CONCRETE MEASURES OF EMOTIONS COGNITIVE RESTRUCTING TECHNIQUES GENERALISATION ISSUES AFFECTIVE EDUCATION MEANINGFUL & CONCRETE MEASURES OF EMOTIONS COGNITIVE RESTRUCTING TECHNIQUES GENERALISATION ISSUES
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DR RUKSANA AHMED - 19.06.1334 AFFECTIVE EDUCATION GOAL IS TO INFORM CHILDREN & ADOLESCENTS ABOUT EMOTIONS, WHAT THESE LOOK LIKE, HOW THEY ARE EXPRESSED & UTILISED RANGE OF TECHNIQUES CAN BE USED TO DO THIS INCLUDING SCRAP BOOK WITH PICTURES ETC LEVEL OF EMOTIONAL AWARENESS & UNDERSTANDING & DISCREPANCIES BETWEEN ASSUMPTIONS CAN BE IDENTIFIED AT THIS STAGE THIS STAGE OF THERAPY CAN TAKE PLACE OVER SEVERAL SESSIONS GOAL IS TO INFORM CHILDREN & ADOLESCENTS ABOUT EMOTIONS, WHAT THESE LOOK LIKE, HOW THEY ARE EXPRESSED & UTILISED RANGE OF TECHNIQUES CAN BE USED TO DO THIS INCLUDING SCRAP BOOK WITH PICTURES ETC LEVEL OF EMOTIONAL AWARENESS & UNDERSTANDING & DISCREPANCIES BETWEEN ASSUMPTIONS CAN BE IDENTIFIED AT THIS STAGE THIS STAGE OF THERAPY CAN TAKE PLACE OVER SEVERAL SESSIONS
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DR RUKSANA AHMED - 19.06.1335 COGNITIVE RESTRUCTURING & THE EMOTIONAL TOOLBOX COGNITIVE RESTRUCTURING REFERS TO THE CHALLENGING & REFORMULATION OF COGNTIVE DISTORTIONS & DYSFUNCTIONAL BELIEFS THAT CAN ARISE IN MOOD DISORDERS THE EMOTIONAL TOOLBOX HAS BEEN DEVELOPED AS A SPECIFIC TECHNIQUE FOR COGNITIVE RESTRUCTURING WITH CHILDREN & ADOLESCENTS WITH AS COGNITIVE RESTRUCTURING REFERS TO THE CHALLENGING & REFORMULATION OF COGNTIVE DISTORTIONS & DYSFUNCTIONAL BELIEFS THAT CAN ARISE IN MOOD DISORDERS THE EMOTIONAL TOOLBOX HAS BEEN DEVELOPED AS A SPECIFIC TECHNIQUE FOR COGNITIVE RESTRUCTURING WITH CHILDREN & ADOLESCENTS WITH AS
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DR RUKSANA AHMED - 19.06.1336 THE EMOTIONAL TOOLBOX DIFFERENT TYPES OF TOOLS IN THE TOOLBOX PHYSICAL TOOLS RELAXATION TOOLS DIFFERENT TYPES OF TOOLS IN THE TOOLBOX PHYSICAL TOOLS RELAXATION TOOLS
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DR RUKSANA AHMED - 19.06.1337 THE EMOTIONAL TOOLBOX (CONTD) SOCIAL TOOLS PETS HELPING OTHERS SPECIAL INTEREST TOOLS PROVIDES AN EXPERIENCE OF ENJOYMENT, SECURITY, COMFORT & RELAXATION & ALLOWS FACILITATION/AVOIDANCE OF SOCIAL INTERACTIONS SOCIAL TOOLS PETS HELPING OTHERS SPECIAL INTEREST TOOLS PROVIDES AN EXPERIENCE OF ENJOYMENT, SECURITY, COMFORT & RELAXATION & ALLOWS FACILITATION/AVOIDANCE OF SOCIAL INTERACTIONS
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DR RUKSANA AHMED - 19.06.1338 THE EMOTIONAL TOOLBOX (CONTD) OTHER TOOLS MEDICATION – SUPPORTS CHILD’S UNDERSTANDING & COMPLIANCE WITH PHARMACOLGICAL INTERVENTION ENVIRONMENTAL TOOLS REINFORCERS & MOTIVATORS INAPPROPRIATE TOOLS VIOLENCE, RETALIATION, SELF-INJURY, SUICIDAL THOUGHTS FANTASY WORLDS – BOUNDARY ISSUES ADOLESCENTS – USE OF DRUGS & ALCOHOL OTHER TOOLS MEDICATION – SUPPORTS CHILD’S UNDERSTANDING & COMPLIANCE WITH PHARMACOLGICAL INTERVENTION ENVIRONMENTAL TOOLS REINFORCERS & MOTIVATORS INAPPROPRIATE TOOLS VIOLENCE, RETALIATION, SELF-INJURY, SUICIDAL THOUGHTS FANTASY WORLDS – BOUNDARY ISSUES ADOLESCENTS – USE OF DRUGS & ALCOHOL
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DR RUKSANA AHMED - 19.06.1339 FURTHER SUGGESTIONS FOR MODIFICATIONS TO CBT (CONTD) USE OF TECHNOLOGY INCREASE IN RESEARCH SUGGESTING THE BENEFITS OF USING TECHNOLOGY GENERALISATION OF SKILLS CHILDREN WITH ASD HAVE ONGOING DIFFICULTIES OF GENERALISING SKILLS ACROSS CONTEXTS PARENTAL INVOLVEMENT PARENTS AS CO-THERAPISTS SYSTEMIC ISSUES & INTERVENTIONS USE OF TECHNOLOGY INCREASE IN RESEARCH SUGGESTING THE BENEFITS OF USING TECHNOLOGY GENERALISATION OF SKILLS CHILDREN WITH ASD HAVE ONGOING DIFFICULTIES OF GENERALISING SKILLS ACROSS CONTEXTS PARENTAL INVOLVEMENT PARENTS AS CO-THERAPISTS SYSTEMIC ISSUES & INTERVENTIONS
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DR RUKSANA AHMED - 19.06.1340 CONCLUSIONS MODIFIED BEHAVIOURAL INTERVENTIONS CAN CONTRIBUTE TO HELPING CHILDREN WITH ASD & ASSOCIATED DIFFICULTIES MODIFIED CBT IS CLINICALLY VALUABLE AS INTERVENTION FOR CHILDREN & ADOLESCENTS WITH ASD & ASSOCIATED DIFFICULTIES HOWEVER ONGOING CHALLENGES REMAIN; DEVELOPMENT OF APPROPRIATE MEASURES, SYSTEMATIC EVALUATION & RESEARCH NEEDED AND RESOURCE IMPLICATIONS MODIFIED BEHAVIOURAL INTERVENTIONS CAN CONTRIBUTE TO HELPING CHILDREN WITH ASD & ASSOCIATED DIFFICULTIES MODIFIED CBT IS CLINICALLY VALUABLE AS INTERVENTION FOR CHILDREN & ADOLESCENTS WITH ASD & ASSOCIATED DIFFICULTIES HOWEVER ONGOING CHALLENGES REMAIN; DEVELOPMENT OF APPROPRIATE MEASURES, SYSTEMATIC EVALUATION & RESEARCH NEEDED AND RESOURCE IMPLICATIONS
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DR RUKSANA AHMED - 19.06.1341 SHARED CHALLENGES & MOVING FORWARD TOGETHER
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DR RUKSANA AHMED - 19.06.1342 DIAGNOSTIC CLASSIFICATION SYSTEMS RESOURCE ISSUES STIGMA & DISCRIMINATION SERVICE MODELS RESEARCH TRAINING DIAGNOSTIC CLASSIFICATION SYSTEMS RESOURCE ISSUES STIGMA & DISCRIMINATION SERVICE MODELS RESEARCH TRAINING
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DR RUKSANA AHMED - 19.06.1343 REFERENCES Attwood T. "Frameworks for behavioral interventions." Child Adolesc Psychiatr Clin N Am. 2003 Jan;12(1):65-86. Caron C, Rutter M. Comorbidity in child psychopathology: concepts, issues and research strategies. J Child Psychol Psychiatry. 1991;32: 1063-1081.2005;186:115-120. Ghaziuddin M, Tsai L, Ghaziuddin N. Comorbidity of autistic disorder in children and adolescents. Eur Child Adolesc Psychiatry. 1992;1: 209-213. Lainhart JE, Folstein SE. Affective disorders in people with autism: a review of published cases. J Autism Dev Disord. 1994;24:587-601. Santosh P, Mijovic A. Social impairment in hyperkinetic disorder: relationship to psychopathology and environmental stressors. Eur Child Adolesc Psychiatry. 2004;13:141-150. Simonoff E, Pickles A, Wood N, Gringras P, Chadwick O. ADHD symptoms in children with mild intellectual disability. J Am Acad Child Adolesc Psychiatry. 2007;46:591-600. Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T. & Baird, G. Psychiatric Disorders in Children with Autism Spectrum Disorders: Prevalance, Comoribity, and Asssociated Factors in a Population-Derived Sample.. J. Am. Acam. Child Adolesc. Psychiatry, 2008; 47: 8, Sofronoff K, Attwood T, Hinton S, Levin I. "A Randomized Controlled Trial of a Cognitive Behavioural Intervention for Anger Management in Children Diagnosed with Asperger Syndrome." Autism Dev Disord. 2006 Nov 3. Sofronoff K, Attwood T, Hinton S. "A randomised controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. J Child Psychol Psychiatry. 2005 Nov;46(11):1152-60. Attwood T. "Frameworks for behavioral interventions." Child Adolesc Psychiatr Clin N Am. 2003 Jan;12(1):65-86. Caron C, Rutter M. Comorbidity in child psychopathology: concepts, issues and research strategies. J Child Psychol Psychiatry. 1991;32: 1063-1081.2005;186:115-120. Ghaziuddin M, Tsai L, Ghaziuddin N. Comorbidity of autistic disorder in children and adolescents. Eur Child Adolesc Psychiatry. 1992;1: 209-213. Lainhart JE, Folstein SE. Affective disorders in people with autism: a review of published cases. J Autism Dev Disord. 1994;24:587-601. Santosh P, Mijovic A. Social impairment in hyperkinetic disorder: relationship to psychopathology and environmental stressors. Eur Child Adolesc Psychiatry. 2004;13:141-150. Simonoff E, Pickles A, Wood N, Gringras P, Chadwick O. ADHD symptoms in children with mild intellectual disability. J Am Acad Child Adolesc Psychiatry. 2007;46:591-600. Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T. & Baird, G. Psychiatric Disorders in Children with Autism Spectrum Disorders: Prevalance, Comoribity, and Asssociated Factors in a Population-Derived Sample.. J. Am. Acam. Child Adolesc. Psychiatry, 2008; 47: 8, Sofronoff K, Attwood T, Hinton S, Levin I. "A Randomized Controlled Trial of a Cognitive Behavioural Intervention for Anger Management in Children Diagnosed with Asperger Syndrome." Autism Dev Disord. 2006 Nov 3. Sofronoff K, Attwood T, Hinton S. "A randomised controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. J Child Psychol Psychiatry. 2005 Nov;46(11):1152-60.
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DR RUKSANA AHMED - 19.06.1344 THANK YOU!! drruksanaahmed@gmail.com THANK YOU!! drruksanaahmed@gmail.com
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DR RUKSANA AHMED - 19.06.1345
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DR RUKSANA AHMED - 19.06.1346
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