Autism and ADHD Overview Quiz

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Questions and Answers

What does autism not classify as?

  • A developmental condition
  • An illness (correct)
  • A cognitive disorder
  • A neurological disease

Who first described the features of autism in children?

  • Lorna Wing
  • David Daniel Nicholas Beath
  • Uta Frith
  • Dr Leo Kanner (correct)

In which year was the term 'Asperger's Syndrome' coined?

  • 1944
  • 1981 (correct)
  • 1991
  • 2000

What is a common misconception about autism spectrum disorder (ASD)?

<p>It requires cure (D)</p> Signup and view all the answers

What did Dr Hans Asperger focus on in his research?

<p>The emotional disturbances in children with autism (C)</p> Signup and view all the answers

What is a common outcome for adults diagnosed with certain conditions discussed?

<p>Most require daily support (D)</p> Signup and view all the answers

What method is primarily used for diagnosing the discussed conditions?

<p>Structured interviews with parents (B)</p> Signup and view all the answers

Which of the following best describes emotional dysregulation as mentioned?

<p>Extreme and intense emotional reactions (D)</p> Signup and view all the answers

What percentage of adults considered 'able' do not live independently?

<p>75% (A)</p> Signup and view all the answers

What sensory sensitivity is noted in the document?

<p>Difficulties tuning out background noises (B)</p> Signup and view all the answers

Which century saw the first official definition of ADHD being recognized?

<p>Late 20th Century (D)</p> Signup and view all the answers

Who is credited with the earliest description of ADHD-like behaviors?

<p>Melchior Adam (D)</p> Signup and view all the answers

What amendment transformed 'Abnormal psychical conditions' in children to a more recognized term?

<p>Attention-Deficit Hyperactivity Disorder (A)</p> Signup and view all the answers

Which individual's work in the Royal Society of Physicians contributed to the understanding of ADHD?

<p>Sir George Still (A)</p> Signup and view all the answers

In which time period were ADHD symptoms in adults notably harder to define?

<p>20th Century (C)</p> Signup and view all the answers

What redefinition includes both the term ADD and ADHD?

<p>Attention-Deficit Hyperactivity Disorder (B)</p> Signup and view all the answers

Which psychological condition was referenced in the 18th century work by Melchior Adam?

<p>ADHD-like behaviors (B)</p> Signup and view all the answers

What term was used before ADHD was officially defined in the late 20th century?

<p>Hyperkinetic Reaction of Childhood (A)</p> Signup and view all the answers

Which medication is considered the first-line drug treatment for adults with ADHD?

<p>Methylphenidate (C)</p> Signup and view all the answers

In what situations is drug treatment not indicated as the first-line option for school-age children with ADHD?

<p>Slight symptoms with no impairment (C)</p> Signup and view all the answers

What should be done for adults with ADHD who also have drug or alcohol addiction disorders?

<p>Close liaison with an addiction specialist (C)</p> Signup and view all the answers

What is the recommended action if methylphenidate proves ineffective for an adult with ADHD?

<p>Try atomoxetine or dexamfetamine (B)</p> Signup and view all the answers

Which approach is NOT recommended for treating ADHD in adults?

<p>Psychological interventions only (C)</p> Signup and view all the answers

What is considered when reserving drug treatment for school-age children and young people with ADHD?

<p>Severe symptoms and impairments (B)</p> Signup and view all the answers

Which of the following is a psychological intervention that may be considered for adults with moderate impairment?

<p>Social skills training (D)</p> Signup and view all the answers

Which of the following pharmacological treatments is NOT typically considered for ADHD in adults?

<p>Antipsychotics (A)</p> Signup and view all the answers

What is a characteristic of attention deficit disorder (ADD) in comparison to ADHD?

<p>Symptoms may not always be obvious. (B)</p> Signup and view all the answers

Which of the following circuits is NOT associated with global cognitive effect?

<p>Occipital circuits (D)</p> Signup and view all the answers

What is a primary method for diagnosing ADHD?

<p>Assessment through parent and teacher reports. (D)</p> Signup and view all the answers

What type of treatment is used for managing ADHD symptoms?

<p>Stimulant drugs and cognitive-behavioral therapy. (B)</p> Signup and view all the answers

Which of the following statements is true regarding the symptoms of ADHD?

<p>Many individuals with ADHD have issues with both inattention and hyperactivity. (A)</p> Signup and view all the answers

Which of the following is NOT a core symptom tested in ADHD diagnosis?

<p>Aggression (A)</p> Signup and view all the answers

What is one reason girls may be underdiagnosed for ADHD?

<p>Their symptoms are often less disruptive. (D)</p> Signup and view all the answers

What is essential for maintaining attention in children with ADHD when using stimulant drugs?

<p>Increased stimulation to the brain. (B)</p> Signup and view all the answers

Which treatment approach is recommended for complex cases of autism?

<p>Antipsychotics may be used (D)</p> Signup and view all the answers

What is the primary goal of Level 1 intervention in autism treatment?

<p>Boost communication skills through therapy (C)</p> Signup and view all the answers

What type of therapy is emphasized for children and young individuals with autism?

<p>Psychosocial interventions focusing on play-based strategies (A)</p> Signup and view all the answers

Which intervention at Level 3 focuses on ensuring a person's basic needs are met?

<p>Routine care (C)</p> Signup and view all the answers

What is one of the recommendations for supporting individuals with autism in school or work environments?

<p>Developing living skills to build confidence (A)</p> Signup and view all the answers

What might be included in an intervention for independent living skills at Level 3?

<p>Support for basic needs (A)</p> Signup and view all the answers

What type of devices are used with alternative communication strategies?

<p>Augmentative and alternative communication devices (C)</p> Signup and view all the answers

Which intervention aims to assist with verbal communication in children with autism?

<p>Speech therapy (D)</p> Signup and view all the answers

Flashcards

Attention Deficit Hyperactivity Disorder (ADHD)

A condition characterized by difficulty focusing, controlling impulsive behaviors, and/or excessive activity.

Formal Recognition of ADHD

The first formal acknowledgement of ADHD as a distinct condition occured in the early 20th century.

Crichton's Description of ADHD

Sir Alexander Crichton's book in the late 18th century described behaviors resembling ADHD symptoms.

Weikard's Description of ADHD

Melchior Adam Weikard published a book in the 18th century that described a condition similar to ADHD.

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Early Term for ADHD

The term "Hyperkineti Reaction of Childhood" was initially used to describe ADHD in the late 20th century.

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ADD as a Term for ADHD

In the late 20th century, the term "Attention-Deficit Disorder" (ADD) was used to describe ADHD.

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Current Term for ADHD

The current term "Attention-Deficit/Hyperactivity Disorder" (ADHD) emerged in the late 20th century.

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ADHD in Adults

Identifying and defining ADHD symptoms in adults can be more challenging, compared to children.

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Frontoparietal Circuits

A collection of brain regions involved in planning, decision-making, and attention. It is essential for regulating behavior and controlling impulses.

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Mesocorticolimbic Circuits

A crucial brain network that connects the prefrontal cortex (executive functions) with reward and motivation centers in the brain.

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Inhibition

A cognitive process involving the suppression of unwanted thoughts, actions, or impulses. It helps us to stay focused and avoid distractions.

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Attention Deficit Disorder (ADD)

A type of ADHD where individuals struggle primarily with inattention and difficulty focusing. They may not show significant hyperactivity or impulsivity.

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ADHD Diagnosis

The process of evaluating information from various sources like parents, teachers, and the individual themselves to determine if a person has ADHD.

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ADHD Treatment

Treatment approaches for ADHD often involve a combination of support, therapy, and medication, focusing on managing symptoms and improving coping mechanisms.

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Stimulant Medications

A type of medication used to manage ADHD symptoms. They help improve focus and attention by increasing dopamine and norepinephrine levels in the brain.

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Cognitive Behavioral Therapy (CBT)

A type of therapy that focuses on challenging unhelpful thought patterns and developing coping skills for managing ADHD symptoms.

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Who first described autism?

Dr. Leo Kanner, a child psychiatrist, described autism in a group of children in 1943. He called it 'autistic disturbances of affective contact'.

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Who described 'Asperger's syndrome'?

Hans Asperger, an Austrian pediatrician, described autism in 1944. His work was largely unknown until the early 1980s.

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What is 'spectrum' in autism spectrum disorder (ASD)?

Autism is a spectrum disorder, meaning everyone with autism experiences it differently. It affects communication, social interaction, and behavior.

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How is the brain different in people with autism?

People with autism have brains that work differently, leading to unique strengths and challenges.

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What is autism?

Autism is not an illness or disease, it's a neurological developmental difference. There is no cure, but people with autism can learn skills and strategies to navigate the world.

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Sensory Sensitivities in Autism

Individuals with autism may experience sensory sensitivities, such as finding lights too bright or struggling with background noises, which can be perceived as physically painful.

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Emotional Dysregulation in Autism

People with autism often experience intense emotions and struggle to manage them effectively, leading to significant challenges in regulating their emotional responses.

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Motor Mannerisms in Autism

Motor mannerisms are repetitive movements or gestures often observed in individuals with autism, which can include hand flapping, rocking, or spinning objects.

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How is Autism Diagnosed?

Diagnosing autism requires a comprehensive assessment based on information from parents, educators, and observations of the individual, as there is no medical test to confirm the diagnosis.

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Challenges Faced by Adults with Autism

Adults with autism often experience difficulties with independence, employment, and social interaction, highlighting the continued need for support throughout life.

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What are common medications for ADHD in adults?

Methylphenidate (Ritalin), Dexamfetamine (Dexedrine), Lisdexamfetamine, Guanfacine, Atomoxetine (Strattera) are all medications used to treat ADHD in adults.

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When is Atomoxetine (Strattera) considered the first-line treatment for ADHD?

Atomoxetine (Strattera) is often considered the first-line drug treatment for ADHD in adults when there are concerns about drug misuse or diversion.

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How should ADHD treatment be managed for adults with substance abuse issues?

In adults with ADHD who also have drug or alcohol addiction disorders, close collaboration between the treating professional and an addiction specialist is essential.

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Are antipsychotics used to treat ADHD in adults?

Antipsychotic medications are not recommended for treating ADHD in adults.

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What is the first-line treatment for adults with ADHD?

Drug treatment is the first-line option for adults with ADHD showing either moderate or severe impairment.

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What is the first-line medication for adults with ADHD?

Methylphenidate is the first choice medication for adults with ADHD.

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What happens if Methylphenidate doesn't work for an adult with ADHD?

If methylphenidate isn't effective or tolerated, other options like Atomoxetine or Dexamfetamine can be tried.

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When might CBT be considered for adults with ADHD?

CBT may be considered for adults with ADHD when drug treatment alone doesn't fully address the impairment or if there is no response to medication treatment.

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Social-Communication Intervention for Autism

A play-based intervention focused on improving social communication skills in children and young people with autism. This approach aims to enhance joint attention, engagement, and reciprocal communication.

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Augmentative and Alternative Communication (AAC)

A set of tools and techniques, including specialized devices, that support individuals with severe communication difficulties. These tools can provide alternative ways to express thoughts and needs.

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RAADS (Ritvo Autism Asperger Diagnostic Scale)

A comprehensive assessment used to evaluate autism spectrum disorder in adults. It considers various aspects such as social interaction, communication, and repetitive behaviours.

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AQ-10 (Autism Quotient)

A questionnaire designed to assess autistic traits in adults. It focuses on behaviors and patterns associated with autism.

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Level 1 Intervention for Autism

A psychosocial intervention that provides support to navigate daily challenges and build confidence. This intervention aims to enhance skills for independent living, communication, and social interaction.

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Level 2 Intervention for Autism

A psychosocial intervention offering more intensive supports for individuals with greater communication and behavioral challenges. This level focuses on promoting flexibility, managing stimming behaviors, and supporting independent living skills.

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Level 3 Intervention for Autism

A highly specialized intervention for individuals with significant communication and functional challenges. This level includes alternative communication strategies, routine care, and advocacy to ensure their well-being.

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Treatment for Autism Spectrum Disorder

Strategies and therapies used to manage autism spectrum disorder, often involving a combination of support, therapy, and medication.

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Study Notes

ADHD (Attention Deficit Hyperactivity Disorder)

  • ADHD is a neurodevelopmental disorder characterized by persistent patterns of inattention and/or hyperactivity-impulsivity
  • Symptoms present in early childhood and are more frequent than is typical in individuals of a comparable level of development
  • Affects behaviour, leading to restlessness and trouble concentrating
  • Starts in early childhood, usually before age 7

History of ADHD

  • 18th Century: Melchior Adam Weikard (German) described ADHD-like behaviours in a book
  • Early 20th Century: Formal recognition of ADHD as 'abnormal psychical conditions in children' and linked to Sir George Still
  • Late 20th Century: First official definition of 'Hyperkinetic Reaction of Childhood' and subsequent amendments to Attention-Deficit Disorder (ADD) and then Attention-Deficit Hyperactivity Disorder (ADHD)

ADHD and Age

  • Adult symptoms of ADHD are often subtle, and the condition differs with changes in a person's maturity and the circumstances surrounding them
  • Hyperactivity tends to decrease with age, but inattention may persist, though attention span usually improves with time

Aetiology of ADHD

  • No single cause is known
  • Likely complex interplay of genetic, brain, and environmental/social factors
  • Genetic factors: ADHD can run in families, suggesting a genetic component
  • Brain function: Research indicates potential differences in brain structure and function, possibly including smaller brain areas, in people with ADHD
  • Environmental/Social factors: Exposure to toxins (e.g., lead), substance use during pregnancy, or other environmental factors might contribute

Pathophysiology

  • Involves global cognitive effects, and particular focus on frontoparietal, dorsal frontal parietal, and mesocorticolimbic circuits
  • Impact on inhibition, such as inability to inhibit prepotent responses, interrupting ongoing behaviours, and difficulty controlling interference

Symptoms and Diagnosis

  • Characterized by inattentive and hyperactive/impulsive symptoms
  • DSM-5 defines the criteria for diagnosis
  • Involves thorough assessment methods, including parent/teacher reports, observation, and questionnaires to determine the presence and severity of symptoms in specific situations

ADHD Subtypes

  • Primarily inattentive type
  • Primarily hyperactive-impulsive type
  • Combined type

Treatment

  • No cure exists
  • Management focuses on managing symptoms through various methods, including medication (often stimulants), therapies (e.g., CBT), and support strategies
  • Pharmacological treatment: Stimulant drugs (e.g., methylphenidate) and non-stimulant drugs (e.g., atomoxetine) are commonly used
  • Non-pharmacological approach: Psychological therapies, like cognitive behavioral therapy, can be effective
  • Intervention is a multi-disciplinary approach, considering various methods and tailoring the intervention to the needs of the patient and the specific circumstances

ASD (Autism Spectrum Disorder)

  • A neurodevelopmental condition affecting communication and social interaction
  • Present from early childhood, but not always diagnosed until later
  • Heterogeneous with variations in phenotypes, related factors, and developmental patterns

Background of ASD

  • Defined as a lifelong developmental disability
  • Impacts how a person experiences and interacts socially with the world
  • Co-occurring conditions like ADHD, epilepsy, dyslexia and mental health problems are common

ASD and Cognition

  • Autism is not an illness or disease; rather it involves a different way of functioning
  • Cognitive and intelligence levels are highly variable, ranging from intellectual disability to superior

Prevalence of ASD

  • Approximately 1 in 100 children have autism
  • High prevalence, but many adult cases remain undiagnosed
  • Ratio of males to females is approximately 4:1

Aetiology of ASD

  • Genetic factors have a significant role, with 75-93% heritability
  • Environmental factors like prenatal exposures to toxins (e.g. lead), maternal infections, and maternal use of particular medications may play a role

Symptoms of ASD

  • Difficulties with social communication (e.g., poor eye contact, difficulties understanding social cues)
  • Repetitive patterns of behaviour (e.g., rigid routines, obsessive interests)
  • Sensory sensitivities and interests
  • Possible emotional dysregulation and motor mannerisms
  • Symptoms can vary from mild to severe, which influences the need for support in daily life situations

Diagnosis of ASD

  • Diagnosis is not determined by a blood test or any one objective medical examination
  • Based on an assessment of developmental history, observations, and questionnaires
  • Professionals use various tools like the Autism Diagnostic Observation Schedule (ADOS)

Treatment of ASD

  • Treatment approaches focus on supporting social communication and behaviour patterns, plus any co-existing disorders
  • Non-pharmacological interventions are often considered first, including therapies to help adjust behaviours and understanding
  • Medication might be introduced in complex cases - this needs to be a tailored and holistic approach

Levels of ASD

  • ASD is categorized into distinct levels, each having different needs and degree of support in daily life
  • Levels 1, 2, and 3 vary in the level of support required for social interaction

Interventions of ASD

  • Interventions address the core features, focusing on communication, and social interaction, using methods like play-based strategies, and addressing developmental level needs
  • Supports individuals and those around them with techniques like speech therapy and behavioural therapies

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