1. Childhood Disorders Lori Ridgeway PSYC 3560

2. Overview Internalizing Externalizing Developmental/learning Feeding/eating Elimination

3. Internalizing Disorders Separation Anxiety School Phobia Selective Mutism Reactive Attachment “___________” Disorders –PTSD –Depression –GAD

4. Separation Anxiety Disorder Anxiety about separating from home/family –Distress –Worry –Avoidance –_______________ –Physical complaints 4 weeks Before 18 years

5. Issues with SAD Comorbidity - other anxiety disorders Cultural values of _______________ Prevalence = 4% Late onset uncommon Biology –First degree relatives –Parents with panic disorder

6. School Phobia

7. Selective Mutism Failure to ___________ At least 1 month Exclusions: –Language –Communication disorders

8. Issues with Selective Mutism Related features –Social anxiety –Oppositional behavior Prevalence = <1% More common in ___________ Typical onset before 5 Chronic anxiety

9. Reactive Attachment Disorder Disturbed social relatedness Before ___________ Pathological care Inhibited vs. disinhibited types

10. Issues with RAD ___________ and institutional care Comorbidity –Developmental delays –Feeding disorders Physical complications Very uncommon Prolonged neglect

11. Treatment for Internalizing Disorders Behavioral & cognitive behavioral –___________ & ___________ –Gradual exposure –Relaxation –Reinforcement –Parent training/parent management –Cognitive approaches with older children

12. “___________” Disorders Symptom presentation PTSD ODD Mood disorders Phobias and panic

13. Developmental & Learning Disorders Autistic Disorder ___________ LD Mental Retardation Tic Disorders Communication & Motor Disorders

14. Autism Impaired __________________ Impaired communication Repetitive/stereotyped patterns Onset prior to age 3

15. Related Features with Autism Mental retardation Weaker ___________ skills Hyperlexia / “prodigies” Behavioral difficulties Self-injurious behavior (SIB) Sensory abnormalities Affective abnormalities Feeding disorders

16. Issues with Autism Prevalence = 5 in 10,000 3-4 times higher in ___________ Females  more severe MR Continuous course Differences in Sx’s over time Best predictors  language & IQ

17. Biology and Autism Increased risk in siblings (5%) ____________________ twins  36%-91% Risk for developmental problems Consistent prevalence across cultures Specific genetic disorders Pre- and perinatal complications Brain abnormalities

18. Asperger’s ___________ spectrum disorder Impaired social interaction Repetitive/stereotyped patterns Normal language and cognitive development Continuous course Increased risk in family members

19. Treatment for Autistic Spectrum Disorders Behavioral model –Intensive ___________ training –Manding –Social skills training Controversial treatments –Diet –Sensory therapies –Communication boards

20. Learning Disabilities Significant disparity between ___________ and ___________ IQ higher than achievement Reading Mathematics Written expression

21. Issues with LD Prevalence = 2-10% 40% ___________ school Comorbidity  externalizing and internalizing disorders Problem  cutoff for significance Problem  cultural sensitivity

22. Mental Retardation Significantly ___________ Significant impairment in adaptive functioning Onset prior to age 18

23. Severity of MR Mild = IQ of 50-55 to 70 –_____% of those with MR Moderate = IQ of 35-40 to 50-55 –10% of those with MR Severe = IQ of 20-25 to 35-40 –3-4% of those with MR Profound = IQ below 20-25 –1-2% of those with MR

24. Etiology of MR 30-40% no clear cause Heredity and genetic disorders Environmental ___________ Developmental disorders Pre- and perinatal complications Medical complications

25. Issues with MR Prevalence = 1% Cultural sensitivity in testing Slightly more common in males SES factors

26. Tic Disorders ___________ disorder Chronic motor tic disorder Chronic vocal tic disorder

27. Feeding & Eating Disorders ___________ Rumination Anorexia Bulimia

28. Elimination Disorders Enuresis Encopresis