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St. Paul Catholic Schools Free resources for teachers and parents available at www.drstevekahn.com Diagnoses • Attention Deficit Disorder • Asperger’s Syndrome • Obsessive Compulsive Disorder • Major Depression • Narcissistic Personality Disorder • Oppositional Defiant Disorder Attention Deficit Disorder • Inattentive, difficulty sustaining attention, careless mistakes, organization problems • Does not listen when spoken to directly, follow through problems, task completion • Loses things, distracted, forgetful, difficulty engaging in leisure activities quietly • Hyperactive-impulsivity type, runs or climbs excessively, fidgets, squirms • On the go as if driven by a motor, talks excessively Asperger’s Syndrome • Impairment in nonverbal behaviors such as eye contact, facial expressions • Failure to develop age-appropriate peer relationships • Lack of spontaneous seeking to share enjoyment or interests • Lack of social or emotional reciprocity • Restricted repetitive stereotyped patterns of behavior, interests, activities • Encompassing preoccupation with one or more area of interest • Inflexible adherence to specific non-functional routines or rituals • Stereotyped and repetitive motor mannerisms. Obsessive Compulsive Disorder • Preoccupied with details, rules, lists, order, organization, schedules, perfectionism • Excessively devoted to work and productivity to detriment of social life • Over-conscientious, scrupulous, inflexible about ethics, morals, etc. • Hoarding, unable to throw things out • Reluctant to delegate, doesn’t do group work well Obsessive Compulsive Disorder – Involves the senseless, intrusive, continuous, anxiety producing thoughts and impulses (obsessions), which children attempt to ward off rigidly patterned, irrational behaviors (compulsions) – Affects boys more than girls – Symptoms can start as early as ages three or four, but peak onset is age ten Obsessions • Fear of contamination, dread of germs • Fixation of lucky/unlucky numbers • Fear of catastrophic danger to self or others • Need for symmetry and exactness (objects placed just right) • Excessive doubts • Forbidden, aggressive or perverse sexual thoughts and impulses Compulsions – Ritual hand washing, showering, grooming, cleaning – Repetitive counting, touching, getting up and down, going in and out, writing/erasing/rewriting – Continuous checking and questioning; arguing, hoarding or collecting Major Depression • Depressed mood, irritable, feels sad or empty • Diminished interest or pleasure in daily activities • Decrease or increase in appetite, weight loss or gain • Fatigue, loss of energy, sleep disturbance, feelings of worthlessness or excessive guilt • Diminished ability to think or concentrate • Inability to get over routine events of childhood (friendship issues) Narcissistic Personality Disorder • Grandiose sense of self-importance • Expects to be recognized as superior without achievement • Believes he or she is special, requires excessive admiration • Sense of entitlement, lacks empathy, arrogant or haughty behavior, envious of others Oppositional Defiant Disorder • Temper control, anger management problems • Argumentative, defiant, refuses to comply with rules • Deliberately annoys people, angry or resentful, spiteful or vindictive • Blames others for their mistakes or misbehavior, touchy or easily annoyed Types of Anxiety – Generalized Anxiety Disorder – Social Phobia – Specific Phobia – Panic Disorder – Obsessive Compulsive Disorder – Posttraumatic Stress Disorder Generalized Anxiety Disorder • Extreme and unrealistic worries about everyday life activities including school, appearance, being on time, status with friends, appearance, etc… • Dread doing things wrong, perfectionistic, repeatedly re do work • Excessive seriousness, uptight unsure feelings, difficulty controlling worry • Restlessness, easily fatigued, irritability, muscle tension, sleep disturbance and/or mind goes blank • Hypersensitivity to criticism Generalized Anxiety Disorder • Palpitations, pounding heart, sweating, trembling, shaking • Shortness of breath, smothering feeling, dizzy, lightheaded, faint • Feeling of choking, chest pain or discomfort Social Phobia (Social Anxiety Disorder) • A marked and persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others • The person fears that they will embarrass or humiliate themselves. A fear of being singled out, evaluated, judged, or called out in the classroom • The situations are avoided or endured with intense anxiety. Anxiety may take the form of a panic attack. • The person recognizes the fear is excessive. • The anxiety interferes with normal routine, academic functioning or social activities or relationships. • They come across as acutely shy and having discomfort in social situations. Specific Phobia • Marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation • Examples of fears include crowds, public bathrooms, costumed characters, vomiting, choking, seeing blood or injury, contracting an illness • The situations are avoided or endured with intense anxiety. Anxiety may take the form of a panic attack • The person recognizes that the fear is excessive • The avoidance, anxious anticipation, or distress significantly with the persons normal routine, academic functioning, or social activities or relationships Panic Disorder (two types) • Panic disorder without agoraphobia – Recurrent unexpected panic attacks. Persistent concern about having additional attacks. Worry about the implications of the attack or its consequences (heart attack, losing control, “going crazy”) • Panic disorder with agoraphobia – Agoraphobia is anxiety about being in places or situations in which escape might be difficult or in which help may not be available in the event of an unexpected panic attack. Because of this, situations are avoided, or endured with marked anxiety What are panic attacks? – A discrete period of intense fear or discomfort in which the following symptoms may develop abruptly and reach a peak within 10 minutes • • • Pounding heart Chest pain Chills Sweating Nausea Dizziness Trembling Fear of dying Hot flashes • Breath shortness Fear of going crazy Posttraumatic Stress Disorder – Experience a traumatic event over and over through strong memories, flashbacks. Or similar troublesome thoughts – Events may include being a victim of or witnessing violence; or living through a disaster (e.g., sexual abuse, tornado, car accident, etc.) – As a result, they may try to avoid anything associated with the trauma, overreact when startled and/or have difficulty sleeping Available Resources - Free • • • • • • • • Fading the Prompt Allowing Temporary Victories Children and Their Pace of Change Untreated Conditions All Moments are Needed Wishing for (but not expecting) a Smooth Road Our Children’s Weak Moments What They Do (and What We Do Next)