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3MB Psychiatry: Developmental Psychiatry

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This flashcard set defines ADHD, outlines its diagnostic triad of inattention, hyperactivity, and impulsivity, describes characteristic impulsive behaviours, and explains the criteria for combined-type ADHD, including developmental inappropriateness, pervasiveness, and functional impairment.

What does ADHD stand for?

Attention deficit hyperactivity disorder

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Key Terms

Term
Definition

What does ADHD stand for?

Attention deficit hyperactivity disorder

What is the diagnostic triad of ADHD?

Inattention
Hyperactivity
Impulsivity

How would you describe a person with ADHD’s actions?

Essentially act before they think - impulsive and often later regret

What further attributes does “combined-type ADHD” have?

Triad of ADHD

which are developmentally inappropriate,

impairing,

pervasive and

longstanding

What impacts can ADHD have at home?

Parents can’t cope
Raised family stress
Increased anger and upset
Increased risk of harm

What impacts can ADHD have at school?

Barrier to learning

Frequently in trouble

Disorganised

Forgetful

Lose things

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TermDefinition

What does ADHD stand for?

Attention deficit hyperactivity disorder

What is the diagnostic triad of ADHD?

Inattention
Hyperactivity
Impulsivity

How would you describe a person with ADHD’s actions?

Essentially act before they think - impulsive and often later regret

What further attributes does “combined-type ADHD” have?

Triad of ADHD

which are developmentally inappropriate,

impairing,

pervasive and

longstanding

What impacts can ADHD have at home?

Parents can’t cope
Raised family stress
Increased anger and upset
Increased risk of harm

What impacts can ADHD have at school?

Barrier to learning

Frequently in trouble

Disorganised

Forgetful

Lose things

List some comorbid difficulties that can occur with ADHD

Social difficulty

Learning disability

Mood and anxiety problems

Behavioural disorder

Substance use + crime

Is ADHD more common in males or females?

Males

List methods of diagnosing ADHD

Parent + school report
Questionnaires (Conners Rating, SDQ…)
Family history (genes)
Cognitive assessment

Working memory in children with untreated ADHD resembles that of the memory of elderly with Alzheimer’s. True/False?

True

Children can grow out of ADHD. True/False?

True

Some will as part of brain’s natural developmental process

List some psychological therapies for ADHD

Parent training
Behavioural management
Social skills training
Sleep + diet review

List 1st line drugs for ADHD

“stimulants”
Methylphenidate (Ritalin)
Dexamfetamine

List 2nd line drug for ADHD

Atomoxetine

List 3rd line drug classes for ADHD

Antidepressants
Antihypertensives
Antipsychotics

What is the aim/purpose of using stimulant drugs in ADHD?

Improve dopaminergic neurotransmission in networks involved in higher executive functioning

What does ASD stand for?

Autism spectrum disorder

List the triad of impairments in autism


Social interaction
Language
Thought + behaviour disorder
Sensory difficulty

Is autism more common in boys or girls?

Boys

List some social interaction difficulties in autism

Difficulty establishing relationships
Lack of motivation for social approval
No interest in others’ needs
Little awareness of feelings of others

List some language impairment in autism

Lack of speech

Difficulty using pronouns

Stress, pitch, rhythm may be odd

Difficulty interpreting non-verbal comm

Difficulty with imagery

Unresponsive/lack of feedback

List some thought impairment in autism

Restricted, repetitive behaviour
Lack of imagination
Inflexible thoughts
Resistance to change

List some comorbid conditions that may be found with autism

Learning disability

Mood and anxiety disorder

OCD

ADHD

Dyspraxia

List methods of diagnosing autism

Screening scales
Interviews (3di)
ADOS assessment

What is the DSM criteria for diagnosing autism?

6 symptoms in total

2 symptoms of social interaction

1 symptoms of communication

1 symptom of behaviour

Early onset

Longstanding

List non-pharmacological management of autism

Family and school support

Behaviour analysis

SLT

List pharmacological management of autism

Risperidone short-term

Methylphenidate (ADHD)

Melatonin (sleep)