Neurodevelopmental Disorders Overview

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Questions and Answers

Which of the following is NOT a characteristic of Speech Sound Disorder (SSD)?

  • Difficulties that are consistent with the child's age or developmental stage. (correct)
  • Difficulties not better explained by intellectual developmental disorder.
  • Difficulties not attributable to hearing or other sensory impairment.
  • Difficulties with speech sound production that interfere with intelligibility.

What are the two primary components involved in speech sound production?

  • Phonological knowledge and motor coordination. (correct)
  • Hearing ability and cognitive function.
  • Environmental factors and genetic predisposition.
  • Emotional regulation and social awareness.

Which of the following is an example of a phonological knowledge deficit in a child with SSD?

  • Saying 'wabbit' instead of 'rabbit'. (correct)
  • Struggling to coordinate the movements of the lips for lip-rounding.
  • Having trouble breathing while speaking.
  • Difficulty with tongue placement for producing the 'r' sound.

How can motor coordination challenges affect speech sound production?

<p>They can cause imprecise articulation or difficulty with specific sounds. (B)</p> Signup and view all the answers

What is a potential impact of persistent difficulty with speech sound production on social interaction?

<p>It can cause social isolation and limited friendships. (D)</p> Signup and view all the answers

Which of the following is NOT a possible limitation associated with SSD in academic settings?

<p>Inability to comprehend complex sentence structures. (D)</p> Signup and view all the answers

In what developmental period do symptoms of SSD typically begin?

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

Which of the following is NOT a condition that can cause speech difficulties and may be mistaken for SSD?

<p>Autism Spectrum Disorder. (C)</p> Signup and view all the answers

What do neurodevelopmental disorders specifically affect in children?

<p>Their brain development (B)</p> Signup and view all the answers

Which of the following is NOT a domain affected by intellectual developmental disorder?

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

What is indicated by the severity levels in neurodevelopmental disorders?

<p>The level of support required (A)</p> Signup and view all the answers

Which factor can be associated with autism spectrum disorder?

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

Which of the following describes a challenge associated with neurodevelopmental disorders?

<p>Trouble with social skills (D)</p> Signup and view all the answers

What is a key requirement for diagnosing intellectual developmental disorder?

<p>Standardized testing of intellectual functions (A)</p> Signup and view all the answers

How do current symptoms factor into the assessment of disorders like ADHD?

<p>They track the present presentation of the disorder (A)</p> Signup and view all the answers

What aspect of functioning does adaptive functioning relate to?

<p>Everyday life skills (A)</p> Signup and view all the answers

What characterizes a communication disorder?

<p>Difficulties in speech, language, or communication that impair interaction. (D)</p> Signup and view all the answers

Which of the following is NOT an aspect of speech in communication disorders?

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

What defines a language disorder within communication disorders?

<p>Persistent difficulties in vocabulary, grammar, and sentence structure. (C)</p> Signup and view all the answers

Which of the following is an example of an expressive language difficulty?

<p>Struggling to recall the right word in conversation. (C)</p> Signup and view all the answers

How do communication disorders often manifest in social contexts?

<p>Challenges in recognizing emotional cues in conversations. (B)</p> Signup and view all the answers

Reduced vocabulary in individuals with language disorders leads to which of the following?

<p>Difficulty expressing thoughts during conversations. (A)</p> Signup and view all the answers

What is a common characteristic of language disorders regarding age expectations?

<p>Language abilities are significantly below expectations for age. (B)</p> Signup and view all the answers

Where does the onset of symptoms for language disorders typically occur?

<p>In the early developmental period. (B)</p> Signup and view all the answers

Which of the following best describes the support needs of individuals with a moderate level of intellectual disability?

<p>Needs reminders and guidance for basic personal care. (C)</p> Signup and view all the answers

What distinguishes children with Global Developmental Delay (GDD) from those with other diagnoses?

<p>They are under 5 years old and not meeting several developmental milestones. (D)</p> Signup and view all the answers

Why might an individual be diagnosed with Unspecified Intellectual Developmental Disorder (F79)?

<p>There are multiple barriers affecting their assessment. (D)</p> Signup and view all the answers

What characterizes individuals with profound intellectual disability?

<p>They require complete caregiver support for all personal care. (B)</p> Signup and view all the answers

What is the role of reassessment in diagnosing Global Developmental Delay?

<p>It determines if a more specific diagnosis is appropriate. (D)</p> Signup and view all the answers

What might complicate the assessment of individuals with Unspecified Intellectual Developmental Disorder?

<p>Presence of severe physical and sensory impairments. (C)</p> Signup and view all the answers

Why is GDD not considered a permanent diagnosis?

<p>It can later be classified under a different diagnosis. (A)</p> Signup and view all the answers

In which scenario would you likely use the Unspecified Intellectual Developmental Disorder diagnosis?

<p>The individual has sensory impairments that complicate testing. (B)</p> Signup and view all the answers

What is a characteristic of individuals with mild adaptive functioning deficits in the social domain?

<p>They can form meaningful relationships but may be easily manipulated. (D)</p> Signup and view all the answers

In which domain do individuals with profound adaptive functioning deficits show an understanding of basic physical interactions?

<p>Practical domain. (A)</p> Signup and view all the answers

What level of academic skills is typically expected for individuals with moderate adaptive functioning deficits?

<p>Elementary school level proficiency. (C)</p> Signup and view all the answers

Which of the following is true about the practical abilities of individuals with severe adaptive functioning deficits?

<p>They require extensive caregiver support for even basic tasks. (A)</p> Signup and view all the answers

What is a common issue faced by individuals with mild deficits in the conceptual domain?

<p>Handling tasks requiring complex conceptual thinking. (A)</p> Signup and view all the answers

How do individuals with severe adaptive functioning deficits typically communicate?

<p>Relying primarily on single words or simple phrases. (B)</p> Signup and view all the answers

What is necessary for the intellectual and adaptive deficits to be classified under the described conditions?

<p>They must start during childhood or adolescence. (B)</p> Signup and view all the answers

Which of the following best describes the social functioning of individuals with profound deficits?

<p>They exhibit nonsymbolic communication and rely on close emotional ties. (A)</p> Signup and view all the answers

What is a characteristic symptom of Childhood-Onset Fluency Disorder?

<p>Repeating sounds or syllables (D)</p> Signup and view all the answers

How does Speech Sound Disorder (SSD) differ from Childhood-Onset Fluency Disorder (stuttering)?

<p>SSD primarily impacts speech clarity, while stuttering affects the flow of speech. (A)</p> Signup and view all the answers

What is NOT a characteristic of Childhood-Onset Fluency Disorder?

<p>Stuttering is typically caused by traumatic brain injuries. (A)</p> Signup and view all the answers

Which of the following is a potential consequence of Childhood-Onset Fluency Disorder?

<p>Difficulties in initiating conversations (D)</p> Signup and view all the answers

Which of these is NOT a key characteristic that distinguishes Childhood-Onset Fluency Disorder?

<p>Difficulties with grammar. (C)</p> Signup and view all the answers

What is a common symptom associated with Childhood-Onset Fluency Disorder?

<p>Repeating whole words (C)</p> Signup and view all the answers

What is a key consideration in determining the presence of Speech Sound Disorder (SSD)?

<p>Symptoms must emerge early in life and not be due to other medical causes. (B)</p> Signup and view all the answers

How is Adult-Onset Fluency Disorder different from Childhood-Onset Fluency Disorder?

<p>Adult-Onset Fluency Disorder is a new onset of stuttering that occurs in adulthood, while Childhood-Onset Fluency Disorder is a developmental disorder. (A)</p> Signup and view all the answers

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Flashcards

Neurodevelopmental Disorders

Conditions that develop during childhood, usually before school age. They occur due to differences in how the brain develops, leading to challenges in personal, social, academic, and occupational functioning.

Severity Specifiers

Describes the extent to which symptoms affect daily life and how much support is needed.

Current Symptoms Specifiers

Used for disorders like ADHD, specific learning disorder, and tic disorders. They describe the current symptoms the individual is experiencing, helping track how the disorder presents at the moment.

Associated Medical or Environmental Factors Specifiers

Used for autism spectrum disorder and stereotypic movement disorder. They indicate if the disorder is associated with a genetic condition, medical issue, or environmental factors, like brain injury or prenatal exposure to toxins.

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Intellectual Developmental Disorder

A disorder characterized by difficulties in intellectual skills, like reasoning and problem-solving, and adaptive functioning, such as communication, independence, and social participation.

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Intellectual Skills

Involves skills like reasoning, problem-solving, and learning. These are affected in individuals with Intellectual Developmental Disorder.

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Adaptive Functioning

Includes everyday life skills such as communication, independence, and social participation. These are also impacted in individuals with Intellectual Developmental Disorder.

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Conceptual, Social, and Practical Domains

Domains of functioning that are impacted in Intellectual Developmental Disorder. These include conceptual skills (understanding concepts and using reasoning), social skills (interacting with others and understanding social cues), and practical skills (managing daily life tasks).

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Communication Disorder

A condition affecting speech, language, or communication, causing significant problems with expressing, understanding, or interacting effectively.

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Speech Disorder

Problems with how sounds are made, including articulation, fluency, and voice.

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Articulation

The clarity of sounds.

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Fluency

The smoothness of speech with no stuttering or hesitating.

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Voice and Resonance

The quality and tone of voice.

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Language Disorder

Deficits in understanding or using a system of symbols (spoken or written language).

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Deficits in Comprehension and Production

Difficulties understanding spoken or written language (receptive language) and expressing oneself clearly (expressive language).

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Communication

Challenges in using verbal or nonverbal behaviors to influence or interact with others in social situations.

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Global Developmental Delay (GDD)

A condition where a child under 5 years old shows delays in multiple developmental areas like learning, problem-solving, communication, or physical skills.

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Why is GDD used?

Used when a child is too young or has medical conditions that prevent them from taking formal IQ tests.

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What happens after GDD diagnosis?

GDD is not a permanent diagnosis. Children are reevaluated as they get older to see if they meet criteria for a specific diagnosis.

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Unspecified Intellectual Developmental Disorder (F79)

This diagnosis is applied to individuals over 5 years old who have intellectual delays but their level of difficulty can't be accurately assessed.

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Why is F79 difficult to assess?

This occurs when factors like sensory impairments, physical disabilities, or behavioral problems hinder accurate testing.

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Why is F79 used?

F79 is a temporary diagnosis used when professionals need more time or better tools to assess the individual's condition.

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What happens after F79 diagnosis?

Like GDD, the individual's condition is reevaluated later once barriers to assessment are addressed.

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Why are these diagnoses important?

This helps professionals understand the individual's current level of development and determine the appropriate support.

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Mild Intellectual Disability: Adaptive Functioning

Individuals with mild intellectual disability have some difficulties with communication, social participation, and independent living, but they can achieve academic skills up to roughly a 6th-grade level.

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Moderate Intellectual Disability: Adaptive Functioning

Individuals with moderate intellectual disability have significant challenges with communication, social participation, and independent living, needing daily assistance with tasks requiring conceptual thinking and often needing others to handle responsibilities like finances or making plans.

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Severe Intellectual Disability: Adaptive Functioning

Individuals with severe intellectual disability have extremely limited understanding of academic or symbolic concepts, requiring extensive caregiver support for basic tasks. They may not be able to communicate verbally.

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Profound Intellectual Disability: Adaptive Functioning

Individuals with profound intellectual disability have extremely limited understanding of the world and rely on basic physical interactions. They cannot understand abstract concepts or engage in activities involving symbolic thinking like reading or writing.

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Mild Intellectual Disability: Social Domain

Individuals with mild intellectual disability may be immature compared to their peers and struggle to understand social cues. They can form friendships but are at risk of being taken advantage of.

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Moderate Intellectual Disability: Social Domain

Individuals with moderate intellectual disability have less complex communication and may rely on simple language. They can form friendships but struggle with social judgment and decision-making. They need help with these areas.

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Severe Intellectual Disability: Social Domain

Individuals with severe intellectual disability have limited language, often using single words, simple phrases, or gestures. Their social interactions are limited to familiar caregivers and family. They rely on emotional or gestural communication.

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Profound Intellectual Disability: Social Domain

Individuals with profound intellectual disability communicate non-symbolically, relying on gestures, emotional cues, or basic physical expressions. Their relationships are limited to close family or caregivers for emotional connection and care.

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Speech Sound Disorder (SSD)

Difficulties with speech sound production that interfere with the ability to be understood, not related to hearing issues, physical limitations, or intellectual disability.

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Speech Sound Production

The clear pronunciation of individual speech sounds to form words.

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Phonological Knowledge

Understanding the sounds of a language and how they work together.

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Phonological Knowledge Deficits

Trouble recognizing, learning, or using the correct sounds in a language.

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Motor Coordination Challenges

Challenges with coordinating the movements of the mouth, tongue, and other speech organs.

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Persistent Difficulty with Speech Sound Production

Consistent difficulty with producing speech sounds that impacts the clarity and understanding of speech.

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Impacts on Communication and Daily Life

Problems with social interaction, learning, and work due to unclear speech.

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Congenital Conditions

Conditions such as cleft palate or cerebral palsy that can cause speech issues.

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Childhood-Onset Fluency Disorder (Stuttering)

A fluency disorder characterized by disruptions in the flow of speech, often involving repetitions, prolongations, and blocks. It includes physical tension and avoidance behaviors. It leads to significant distress and impacts communication.

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Repetitions (stuttering)

Repeating sounds or syllables, like "b-b-b-ball".

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Prolongations (stuttering)

Stretching out sounds, like "ssssnake".

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Broken words (stuttering)

Pauses or interruptions within words, causing speech to break.

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Blocking (stuttering)

Pausing before speaking, often with a sound like "uh..." or silently.

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Circumlocutions (stuttering)

Avoiding certain words by using others.

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Physical Tension (stuttering)

Speaking with visible effort or strain, involving facial and body tension.

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Study Notes

Neurodevelopmental Disorders

  • Conditions beginning in childhood (before school), impacting personal, social, academic, and occupational functioning.
  • Often due to differences in brain development.
  • May involve specific challenges (like focusing difficulties) or broader challenges (like social skills).

Specifiers for Diagnosis

  • Severity: Some disorders (intellectual developmental disorder, autism spectrum disorder, ADHD, specific learning disorder, and stereotypic movement disorder) have severity levels, indicating symptom impact and support needs.
  • Current Symptoms: For disorders like ADHD, specific learning disorder, and persistent motor or vocal tic disorder, specifiers describe current experiencing symptoms to track how they evolve over time.
  • Associated Medical/Environmental Factors: Autism spectrum disorder and stereotypic movement disorder might have specifiers noting genetic conditions, medical issues, or environmental factors like toxin exposure, to understand potential causes and their impact on the disorder and/or treatment.

Intellectual Developmental Disorder (intellectual disability)

  • Onset during development, involving intellectual skills (reasoning, problem-solving, learning) and adaptive functioning (everyday skills like communication, independence, and social participation).
  • Diagnosis relies on clinical assessment and standardized testing of intellectual functions and adaptive functioning skills
    • Deficits in conceptual, social, and practical domains.
  • Three Criteria are needed for diagnosis:
  • Deficit in intellectual functioning: Difficulty with reasoning, problem-solving, planning, judgment, and learning in school/everyday life.
  • Problems with Adaptive Functioning: Difficulty with independence in communication, social responsibilities, communication, managing finances, self-care, in various settings.
  • Onset during developmental period: Intellectual and adaptive deficits must begin during childhood/adolescence, not later in life.
  • Severity levels (mild, moderate, severe, profound) categorize the nature and degree of disability by conceptual, social, and practical domains.

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