Neurodevelopmental Disorders Overview

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Questions and Answers

Which aspect of speech is related to the smoothness of conversation?

  • Voice
  • Fluency (correct)
  • Resonance
  • Articulation

What is the primary reason neurodevelopmental disorders manifest?

  • Abnormalities in muscle development.
  • Differences or delays in brain development. (correct)
  • Exposure to environmental toxins after birth.
  • Lack of parental guidance during early childhood.

Difficulties with vocal tone and quality fall under which category of communication disorders?

  • Voice and Resonance (correct)
  • Language
  • Fluency
  • Articulation

A child struggles to construct grammatically correct sentences. This issue primarily falls under which type of communication disorder?

<p>Language disorder related to sentence structure (C)</p> Signup and view all the answers

Which of the following are considered areas that can be impacted by neurodevelopmental disorders?

<p>Personal, social, academic, and occupational functioning. (A)</p> Signup and view all the answers

Which of the following is NOT typically associated with a language disorder?

<p>Difficulties in producing speech sounds (D)</p> Signup and view all the answers

Which of these factors are included in the diagnosis of intellectual developmental disorder?

<p>Both standardized testing of intellectual skills and adaptive functioning, along with clinical assessments. (A)</p> Signup and view all the answers

A person has trouble organizing their thoughts and explaining ideas. Which aspect of a language disorder is shown here?

<p>Impaired discourse (D)</p> Signup and view all the answers

What does a 'current symptoms' specifier describe in conditions like ADHD or tic disorders?

<p>The symptoms a person is experiencing at the moment of evaluation. (A)</p> Signup and view all the answers

What is the purpose of ‘severity’ specifiers in some neurodevelopmental disorders?

<p>To indicate how much the symptoms affect daily life and support needs. (D)</p> Signup and view all the answers

A persistent difficulty in understanding spoken language is referred to as a deficit in:

<p>Receptive language (B)</p> Signup and view all the answers

Difficulties with speech, language or communication would NOT include which of the following?

<p>Problems with physical movement (D)</p> Signup and view all the answers

What is the focus of the 'adaptive functioning' assessment in intellectual developmental disorder?

<p>Evaluating an individual’s ability to perform every day life skills. (C)</p> Signup and view all the answers

According to the DSM-5, when do symptoms of language disorders typically begin to manifest themselves?

<p>During early developmental period (C)</p> Signup and view all the answers

What is considered when using 'associated medical or environmental factors' as a specifier?

<p>Whether the disorder is linked to a genetic condition or other environmental factors like brain injury. (A)</p> Signup and view all the answers

Which of the following is an example of a deficit in 'intellectual functioning', according to the content?

<p>Difficulty with reasoning, problem-solving, and learning. (B)</p> Signup and view all the answers

Which level of intellectual disability requires the most support for basic personal care?

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

A child under the age of 5 is not meeting expected milestones in several areas of development. What diagnosis might they receive?

<p>Global Developmental Delay (A)</p> Signup and view all the answers

An individual over 5 years old is suspected to have an intellectual disability, but standard testing is not possible. What diagnosis would most likely be given?

<p>Unspecified Intellectual Developmental Disorder (B)</p> Signup and view all the answers

Which scenario would MOST likely lead to a diagnosis of Unspecified Intellectual Developmental Disorder?

<p>An adult with severe physical disabilities and limited communication abilities. (B)</p> Signup and view all the answers

Which of the following is a characteristic of moderate intellectual disability?

<p>Need for support with household tasks and employment. (D)</p> Signup and view all the answers

What is the PRIMARY reason a child might be diagnosed with Global Developmental Delay instead of a specific intellectual disability?

<p>The child isn't old enough to complete formal tests. (D)</p> Signup and view all the answers

What does 'reassessment' typically involve for someone initially diagnosed with GDD or Unspecified Intellectual Developmental Disorder?

<p>Determining if a more specific diagnosis, such as intellectual disability, fits. (C)</p> Signup and view all the answers

What does a 'severe' level of intellectual disability require?

<p>Full support for basic personal care, such as eating and hygiene. (B)</p> Signup and view all the answers

Difficulties with independence and social responsibilities, characteristic of intellectual disability, impact which of the following areas?

<p>Communication, social participation, and independent living (C)</p> Signup and view all the answers

When must the onset of intellectual and adaptive deficits occur to be classified as an intellectual disability?

<p>During childhood or adolescence (D)</p> Signup and view all the answers

Which of the following best describes the conceptual abilities of an individual with a mild intellectual disability?

<p>Able to achieve academic skills up to a 6th-grade level with some support in complex tasks (A)</p> Signup and view all the answers

An individual with a moderate intellectual disability would likely experience which of the following in the practical domain?

<p>Requires a high level of support for basic daily living and self-care (B)</p> Signup and view all the answers

Which statement best characterizes the social abilities of a person with a severe intellectual disability?

<p>Interactions are limited to familiar caregivers and rely on simplified or gestural communication (A)</p> Signup and view all the answers

Which description aligns with the communication style of an individual with a profound intellectual disability?

<p>Relies on gestures, emotional cues, or basic physical expressions instead of symbolic communication. (D)</p> Signup and view all the answers

A person with a moderate intellectual disability is most likely to struggle with:

<p>Managing finances and planning tasks (C)</p> Signup and view all the answers

In the context of intellectual disability, what does the 'conceptual domain' primarily encompass?

<p>The skills associated with thinking and learning abilities (B)</p> Signup and view all the answers

A child consistently says 'tat' instead of 'cat'. According to the provided information, this is most likely an example of which issue?

<p>Phonological knowledge deficits (A)</p> Signup and view all the answers

Which element is NOT directly required for speech sound production according to the text?

<p>Auditory processing speed (C)</p> Signup and view all the answers

A young child consistently struggles to pronounce words clearly, but has no diagnosed hearing or motor issues. When did these issues MOST likely begin?

<p>During infancy or early childhood (C)</p> Signup and view all the answers

Which of the following is NOT identified as a potential cause of speech sound difficulties?

<p>Phonological knowledge deficits (D)</p> Signup and view all the answers

A child says 'eephant' instead of 'elephant', what potential issue is this demonstrating?

<p>Omitting sounds (D)</p> Signup and view all the answers

Which statement best describes how SSD can impact an individual's daily life, according to the provided information?

<p>Can lead to limitations in social, academic, and occupational settings. (A)</p> Signup and view all the answers

What does the term 'speech sound production' specifically refer to?

<p>The clear articulation of phonemes to form spoken words (D)</p> Signup and view all the answers

Which characteristic is a core component of Childhood-Onset Fluency Disorder?

<p>Difficulties with the flow and timing of speech inappropriate for age (D)</p> Signup and view all the answers

A person has difficulty clearly producing the sounds in words such as the difference between 'p' and 'b', which aspects would MOST directly be impacted according to the text?

<p>Their ability to convey clear messages because of sound substitutions and distortions (B)</p> Signup and view all the answers

What is a distinctive feature of Speech Sound Disorder (SSD) as opposed to Childhood-Onset Fluency Disorder (stuttering)?

<p>Consistent difficulty in producing speech sounds correctly (B)</p> Signup and view all the answers

A child repeats the sound 'k' multiple times when trying to say 'cat' (e.g., 'k-k-k-cat'). According to the content, which disfluency is the child demonstrating?

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

If an individual has difficulty with the flow of speech after experiencing a stroke, how would this condition be categorized, according to the content?

<p>Adult-Onset Fluency Disorder (A)</p> Signup and view all the answers

A person who often substitutes words to avoid pronouncing certain sounds or words is demonstrating which of the following?

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

Which statement correctly differentiates between Speech Sound Disorder (SSD) and Childhood-Onset Fluency Disorder, according to the content?

<p>SSD is related to articulation clarity, whereas stuttering is related to the smoothness of speech (D)</p> Signup and view all the answers

What is a necessary criteria for the diagnosis of Childhood-Onset Fluency Disorder?

<p>Significant distress and functional impact due to speech issues (B)</p> Signup and view all the answers

A child demonstrates difficulty with speaking and shows visible strain, like facial tension. According to the material, how is that described?

<p>Physical tension while speaking (A)</p> Signup and view all the answers

Flashcards

Neurodevelopmental Disorders

Neurodevelopmental disorders are conditions that affect brain development early in life, often before a child starts school.

Impact of Neurodevelopmental Disorders

These disorders can affect a person's ability to function in everyday life, including social interactions, learning, personal care, and work.

Severity Specifiers

Classifications used to describe the severity of a disorder and its impact on daily life.

Current Symptoms Specifiers

Descriptions of how a person's symptoms are currently presenting, used to track changes over time.

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Associated Medical or Environmental Factors

Information about whether a disorder is linked to a genetic condition, medical issue, or environmental factor.

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Intellectual Developmental Disorder (IDD)

A neurodevelopmental disorder characterized by significant limitations in both intellectual functioning and adaptive behavior.

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Intellectual Functioning (IDD)

Skill domains assessed in IDD, including reasoning, problem-solving, and learning.

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Adaptive Functioning (IDD)

Skill domains assessed in IDD, including communication, independence, and social participation.

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Adaptive Functioning

Refers to a person's ability to handle everyday activities like money management, cooking, and taking care of themselves. These abilities are crucial for independent living and social success.

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Conceptual Domain

Describes the impact of intellectual disabilities on a person's ability to understand and interact with the world around them. It encompasses cognitive skills like reasoning, problem-solving, and learning.

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Mild Intellectual Disability (Conceptual Domain)

Individuals with mild intellectual disabilities may struggle with complex tasks like managing money or planning. However, they can often lead fairly independent lives with some support.

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Moderate Intellectual Disability (Conceptual Domain)

Individuals with moderate intellectual disabilities require significant assistance with daily tasks that require conceptual thinking, such as managing finances or planning. They may have difficulty with complex concepts and tasks.

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Severe Intellectual Disability (Conceptual Domain)

Individuals with severe intellectual disabilities have limited ability to understand complex concepts and may struggle with even basic academic skills. They require substantial support in their day-to-day lives.

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Profound Intellectual Disability (Conceptual Domain)

Individuals with profound intellectual disabilities have very limited understanding of the world and rely heavily on others for care and communication. They typically require specialized support in all areas of their lives.

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Social Domain

This domain examines how intellectual disabilities impact a person's social skills, their ability to understand social cues, and form meaningful relationships.

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Mild Intellectual Disability (Social Domain)

Individuals with mild intellectual disabilities may struggle to understand social cues and may be more susceptible to manipulation. They can form friendships but may need guidance in navigating social situations.

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Global Developmental Delay (GDD)

A classification used for children under 5 years old who haven't met important developmental milestones in multiple areas like learning, communication, or motor skills.

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Unspecified Intellectual Developmental Disorder (F79)

A temporary diagnosis used when people over 5 likely have intellectual developmental delays, but their level of difficulty is hard to assess.

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Why is GDD used?

Used when children are too young or unable to complete tests that measure intellectual abilities.

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Why is assessing Unspecified Intellectual Developmental Disorder difficult?

Challenges like sensory impairments, physical disabilities, or behavioral issues make testing difficult.

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What happens next after a GDD diagnosis?

Doctors will reassess the child as they grow older to see if they meet the criteria for a more specific diagnosis.

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What happens next after an Unspecified Intellectual Developmental Disorder diagnosis?

The individual's condition needs to be reassessed to confirm their abilities once the obstacles to testing are addressed.

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Moderate Intellectual Disability

Needs help with complex tasks like finances or organizing daily life. Can work in jobs that don't require advanced conceptual skills.

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Profound Intellectual Disability

Fully dependent on caregivers for all aspects of personal care and daily life. Participation in activities is passive (e.g., listening to music or being pushed on a walk). Severe physical or sensory impairments often co-occur, further limiting independence.

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Speech Sound Disorder (SSD)

A speech disorder affecting sound production, leading to unclear speech and communication difficulties. Diagnosed when symptoms start early and are not caused by other medical conditions.

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Childhood-Onset Fluency Disorder (Stuttering)

A condition characterized by persistent difficulties with the flow and timing of speech, causing disruptions like repetitions, prolongations, or blocks.

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Repetitions (Stuttering)

Repeating sounds or syllables, e.g., 'b-b-b-ball'.

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Prolongations (Stuttering)

Stretching out sounds, e.g., 'sssssnake'.

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Broken words (Stuttering)

Pauses or interruptions within a word, making it sound broken.

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Blocking (Stuttering)

Pausing before speaking, either with a sound (e.g., 'uh...I want that') or silently.

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Circumlocutions (Stuttering)

Avoiding certain words by using others, e.g., 'that thing' instead of 'book'.

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Physical Tension (Stuttering)

Visible effort or strain during speech.

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Speech Sound Production

The ability to articulate individual speech sounds clearly, forming words in a way that can be easily understood.

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Phonological Knowledge

The understanding and use of speech sounds in a particular language. This includes recognizing, remembering, and using the correct sounds.

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Phonological Knowledge Deficits

Difficulty recognizing, learning, or using the correct speech sounds in a language. This can lead to consistent mispronunciations.

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Motor Coordination Challenges

Problems coordinating the movements of the tongue, lips, jaw, and breath needed to make speech sounds accurately.

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Persistent Difficulty with Speech Sound Production

A persistent issue where a person struggles to pronounce speech sounds correctly, leading to unclear and difficult-to-understand speech.

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Not Attributable to Other Conditions

The difficulties with speech sound production in SSD are not caused by conditions such as cleft palate, cerebral palsy, or hearing loss.

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Early Developmental Onset

Speech sound disorders typically appear early in life, often during the time when children are learning to speak.

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What is a communication disorder?

A communication disorder is a condition that impacts a person's ability to communicate clearly and effectively. This can involve problems with speaking, understanding language, or interacting socially.

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What are speech disorders?

Speech disorders affect how sounds are produced. This includes clarity of sounds, fluency, and voice quality.

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What are language disorders?

Language disorders involve challenges in comprehending or using language. It impacts understanding spoken and written language, as well as expressing oneself clearly.

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What is Articulation?

Articulation refers to the clarity and precision of sounds produced during speech. It's about saying words correctly.

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What is Fluency?

Fluency refers to the smooth flow of speech. It's about speaking without interruptions or stutters.

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What are Voice and Resonance?

Voice and Resonance involve the quality and tone of a person's voice. It affects the way their voice sounds.

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What is Language Disorder?

Language Disorder is a neurodevelopmental condition affecting a person's ability to understand and use language effectively. It causes difficulties in vocabulary, grammar, and conversation.

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What is Communication?

Communication involves expressing oneself and interacting with others. It includes both verbal and nonverbal behaviors.

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Study Notes

Neurodevelopmental Disorders

  • Conditions that begin early in a child's life, usually before starting school
  • Result from differences or delays in brain development
  • Lead to challenges in personal, social, academic, and occupational functioning

Specifiers for Diagnosis

  • Severity: Levels are noted for some disorders (e.g., intellectual developmental disorder, autism spectrum disorder, ADHD) to indicate the impact on daily life and support needs
  • Current Symptoms: Specifiers for conditions like ADHD, specific learning disorder, and persistent motor or vocal tic disorder describe current symptoms to track how the disorder is presenting
  • Associated Medical or Environmental Factors: For some disorders, a specifier notes whether the disorder is linked to a genetic condition, medical issue, or environmental factor (e.g., brain injury, prenatal exposure to toxins)

Intellectual Developmental Disorder (Intellectual Disability)

  • Disorder with onset during the developmental period
  • Includes intellectual skills (reasoning, problem-solving, learning) and adaptive functioning (everyday life skills like communication, independence, and social participation)
  • Diagnosis is based on clinical assessment and standardized testing of intellectual and adaptive functioning
  • Three criteria must be met:
    • Deficit in intellectual functioning (difficulty with skills like reasoning, problem-solving, planning, and judgment)
    • Problems with adaptive functioning (struggling with independence, social responsibilities, communication, managing daily life)
    • Onset during the developmental period (childhood or adolescence)

Global Developmental Delay (GDD)

  • Applies to children under 5 who are not meeting developmental milestones in multiple areas (learning, problem-solving, communication, motor skills)
  • Used when a child is too young or unable to complete formal tests to measure their intellectual abilities

Unspecified Intellectual Developmental Disorder (F79)

  • For individuals older than 5 with intellectual developmental delays, but assessment is difficult due to other factors (sensory impairments, physical disabilities, severe problem behaviors, or mental health issues)
  • A temporary diagnosis, used when more time or better tools are needed to evaluate the individual's condition

Communication Disorder

  • Difficulties with speech, language, or communication that significantly impact the ability to express, understand, or interact effectively
  • Can involve issues with speech (articulation, fluency, voice), language (vocabulary, grammar, sentence structure), and communication (social or pragmatic skills)

Language Disorder

  • Persistent difficulty in understanding, acquiring, and using language effectively
  • Includes issues with vocabulary, grammar, sentence structure, and discourse
  • Interfering with academic, social, and occupational functioning

Speech Sound Disorder (SSD)

  • Difficulties with speech sound production that impact intelligibility
  • Characterized by consistent articulation errors that are incongruent with a child's age or developmental stage

Childhood-Onset Fluency Disorder (Stuttering)

  • Condition involving difficulty with the flow and timing of speech
  • Characterized by repetitions, prolongations, broken words, and/or circumlocutions
  • Symptoms must appear in early childhood (not adulthood) and not due to another condition (e.g., neurological damage)

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