COMMON DISORDERS

DIAGNOSED IN INFANCY,
CHILDHOOD,
AND ADOLESCENCE

Dr. Titi
 HISTORY OF child PSYCHIATRIST
Mental Retardation

Pervasive Developmental Disorders

Autistic Disorder
Retts Disorder
Childhood Disintegrative Disorder
Aspergers Disorder
PDD Not Otherwise Specified

AD/HD (Attention Deficit & Hyperactivity Disorder)

Learning Disorder
Conduct Disorder
Eating Disorders
Antisocial Behavior
 MENTAL RETARDATION

General Intellectual Functioning is defined by

Intellegence Question (IQ)
Predisposing Factors
Biological
Psychosocial
. No clear etiology for the MR
Degrees of Severity of MR, IQ :
50 55 to 70 : Mild MR, educable
35 49 to 50-55 : Moderate MR, trainable
20 25 to 35 40 : Severe MR, can be train self
care skills
20 25 : Profound MR, have
neurological condition.
PDD
PERVASIVE DEVELOPMENTAL DISORDERS

Characterized by :

Severe

Pervasive impairment in severe areas of

development :
- Social interaction skills
- Communication skills
- Stereotyped behavior, interest, and
activities
AUTISTIC DISORDER
be marked impairment in :

Non verbal behavior e.g. : eye to eye gaze,

facial expression, body posture & gesture.

Interaction and communication be failure to

develop (delay or total lack of development of
spoken, language).

Stereotyped behavior, interest & activities.

ALWAYS LOOKING FOR :

Associated Laboratory finding

Physical Examination and general medical
condition
Specific Age and gender
Prevalence
Course
Deferential Diagnosis
Diagnostic Criteria
RETTS DISORDER
Apparently normal prenatal and natal
development.

< 5 months : normal psychomotor

> 5 48 month : - Head growth, deceleration

- Hand skills, loss of

previously acquired

- Social interaction, loss of

engagement
CHILDHOOD DISINTEGRATIVE DISORDER
( CDD )

Normal development < 2 years

> 10 years / > 3 years, decrease :

- Expressive & language social skills
- Adaptive behavior
- Play
- Motor skills
- Bowel or bladder control
ASPERGERS DISORDER

No clinically significant general delay in :

Language
Cognitive development
Adaptive behavior
......... On < 2 3 years

Qualitative impairment on :
Social interaction
Facial expression
Lack of spontaneous ; e.g. showing, bringing.
ADHD
( Attention- Deficit / Hyperactivity Disorder)

The impairment must have present > 7 years

Inattentive symptoms ?

Hyperactive symptoms ?

Impulsive symptoms ?
SUBTYPE OF ADHD

Combined type

Predominantly Inattentive Type

Predominantly Hyperactive Impulsive Type

Always Look For, on ADHD :

Ass Lab , Specific culture, age, gender

Prevalence, course, Familial Pattern

Differential Diagnosis

Diagnostic criteria
LEARNING DISORDER
(Forms of Academic Skills Disorders)

Reading Disorder

Mathematics Disorder

Disorder of Written Expression

Learning Disorder Not Otherwise Specified

SEPARATION ANXIETY DISORDER

Separation from home or whom the person

is attached.

For period of at least 4 weeks.

Begin before 6 years.

In School Phobia usually with somatic

symptoms.
CONDUCT DISORDER

Childhood Onset Type : one criterion at

least on 10 years.
Adolescent Onset Type : any criterion on
10 years.
Diagnostic Criteria: aggression to people
and animal, destruction of property,
deceitfulness or theft, serious violations
rules.
Specify severity : mild, moderate, severe.
Thats All

Selamat Belajar