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Videbeck Ch20
Mental health Ch20
| Term | Definition |
|---|---|
| Stereotypic movement disorder (often accompanies mental retardation) | repetitive motor behavior that is nonfunctional and either interferes with normal activities or results in self-injury requiring medical treatment |
| stereotypic movements | waving, rocking, twirling objects, biting fingernails, banging the head, biting or hitting oneself, picking at skin or body orifices |
| Meds for stereotypic movement | Haldol, Thorazine |
| Reactive detachment disorder - caused by parental neglect, abuse, or failure to meet child's basic physical or emotional needs | inhibited type-failure to initiate or respond to social interaction. disinhibited type- indiscriminate sociability or lack of selectivity in choice of attachment figures |
| Selective mutism - are excessively shy, socially withdrawn or isolated and clinging, may have temper tamtrums. | persistent failure to speak in situations where speaking is expected such as school |
| Separation anxiety disorder- often accompanied by nightmares and multiple physical complaints such as nausea, headaches, vomiting and dizziness. | anxiety exceeding that expected for developmental level related to separation from the home or those to whom the child is attached |
| Encopresis | repeated passage of feces into inappropriate places such as clothing or the floor by child at least 4 yrs old chronologically or developmentally |
| Enuresis | repeated voiding of urine during the day or at night into clothing or bed by child at least 5 yrs old chronologically or developmentally. |
| med for enuresis | Tofranil-imipramine |
| Transient tic disorder | < or = 12 months single or multiple vocal or motor tics |
| Tourette's | multiple motor tics and one or more vocal tics, many times a day, more than one year. |
| Tic | sudden, rapid, recurrent, nonrhythmic, stereotyped motor movement or vocalization. |
| Simple motor tics | blinking, jerking neck, shrugging, grimacing, coughing. |
| Simple vocal tics | clearing the throat, grunting, sniffing, snorting, barking. |
| Complex vocal tics | coprolalia, palilalia, echolalia, repeating words or phrases out of context. |
| Complex motor tics | facial gestures, jumping, smelling an object. |
| Tic cause | dopamine |
| Tic meds | Risperdal, Zyprexa |
| coprolalia | use of socially unacceptable words, frequently obscene |
| palilalia | repeating one's own sounds or words |
| echolalia | repeating the last-heard sound, word, or phrase. |
| Feeding disorder - infancy or early childhood | persistent failure to eat adequately, which results in significant weight loss or failure to gain weight. |
| Rumination disorder - infancy early childhood | repeated regurgitation and rechewing of food. Results in malnutrition, weight loss, even death. |
| Pica - in mental retardation, pregnancy. | persistent ingestion of nonnutritive substances such as paint, hair, cloth, leaves, sand, clay, soil. Usually remits. |
| Oppositional defiant disorder - more frequent and intense than in unaffected peers, causes dysfunction in social, academic, or work situations. | enduring pattern of uncooperative defiant, and hostile behavior toward authority figures without major antisocial violations. |
| Time-out | retreat to neutral place so clients can regain self-control. |
| Limit setting | 1. Inform clients of rule or limit. 2. Explain consequences if clients exceed limit. 3. State expected behavior. |
| Conduct disorder | persistent antisocial behavior in children and adolescents that significantly impairs their ability to function in social, academic, or occupational areas. |
| conduct disorder symptoms | 1. aggression to people and animals. 2. destruction of property. 3. deceitfulness and theft. 4. serious violation of rules. |
| Conduct disorder severity | Mild:lying, truancy, staying out late. Moderate: vandalism, theft. Severe: forced sex, cruelty to animals, use of weapon, burglary, robbery. |
| Pervasive developmental disorders | autistic disorder, Rett's disorder, childhood disintegrative disorder, Asperger's disorder. |
| Autistic disorder- more in boys, identified from 18 mo to 3 yesrs old. | little eye contact, few facial expressions, limited gestures to communicate. lack spontaneous enjoyment, express no moods or emotional affect, cannot engage in play of make-believe. little intelligible speech. Stereotyped motor behaviors. |
| Stereotyped motor behaviors of autism | hand flapping, body twisting, head banging. |
| meds for autism | Haldol, Risperdal for temper tantrums, aggressiveness, self-injury, hyperactivity, stereotyped behaviors. |
| Rett's disorder- exclusively in girls, rare, life-long. Treat like autism. | development of multiple deficits after a period of normal functioning. bet birth and five months, loses motor skills and shows stereotyped movements. Lost interest in social environment, severe impairment of expressive and receptive language. |
| Childhood disintegrative disorder - onset 3-4 years. similar to autism. | marked regression in multiple areas of functioning after at least 2 years of apparently normal growth and development. |
| Asperger's disorder-boys, lifelong. | Similar to autism but no language or cognitive delays. |
| Learning disorder | reading, writing, mathematics below expected for age, formal education, intelligence. |
Created by:
rowaggerm
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