Child Psychiatry

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Attention deficit hyperactivity disorder (ADHD)

Treatment for attention deficit hyperactivity disorder (ADHD) can help relieve the symptoms and make the condition much less of a problem in day-to-day life.

ADHD can be treated using medicine or therapy, but a combination of both is often best.

Treatment is usually arranged by a specialist, such as a paediatrician or psychiatrist, although the condition may be monitored by a GP.

Autism Spectrum Disorder:

No cure exists for autism spectrum disorder, and there is no one-size-fits-all treatment. The goal of treatment is to maximize your child’s ability to function by reducing autism spectrum disorder symptoms and supporting development and learning. Early intervention during the preschool years can help your child learn critical social, communication, functional and behavioral skills.

The range of home-based and school-based treatments and interventions for autism spectrum disorder can be overwhelming, and your child’s needs may change over time. Your health care provider can recommend options and help identify resources in your area.

If your child is diagnosed with autism spectrum disorder, talk to experts about creating a treatment strategy and build a team of professionals to meet your child’s needs.

Treatment options may include:

  • Behavior and communication therapies. Many programs address the range of social, language and behavioral difficulties associated with autism spectrum disorder. Some programs focus on reducing problem behaviors and teaching new skills. Other programs focus on teaching children how to act in social situations or communicate better with others. Applied behavior analysis (ABA) can help children learn new skills and generalize these skills to multiple situations through a reward-based motivation system.
  • Educational therapies. Children with autism spectrum disorder often respond well to highly structured educational programs. Successful programs typically include a team of specialists and a variety of activities to improve social skills, communication and behavior. Preschool children who receive intensive, individualized behavioral interventions often show good progress.
  • Family therapies. Parents and other family members can learn how to play and interact with their children in ways that promote social interaction skills, manage problem behaviors, and teach daily living skills and communication.
  • Other therapies. Depending on your child’s needs, speech therapy to improve communication skills, occupational therapy to teach activities of daily living, and physical therapy to improve movement and balance may be beneficial. A psychologist can recommend ways to address problem behavior.
  • Medications. No medication can improve the core signs of autism spectrum disorder, but specific medications can help control symptoms. For example, certain medications may be prescribed if your child is hyperactive; antipsychotic drugs are sometimes used to treat severe behavioral problems; and antidepressants may be prescribed for anxiety. Keep all health care providers updated on any medications or supplements your child is taking. Some medications and supplements can interact, causing dangerous side effects.

Learning Disorder & its types:

Learning Disability is a condition that is quite prevalent in today’s times. Children are facing difficulties and since many people are either not aware or do not understand the condition, they label the child as being mischievous, naughty, troublesome, and blame the child for not doing well academically, not trying enough, and not putting in enough efforts. Learning disability is a condition that has to be recognized, diagnosed, understood, treated, and managed like any other condition.

Types:

1. Dyslexia. 2. Dyspraxia. 3. Dyscalculia. 4. Dysgraphia. 5. Auditory Processing Disorder (APD). 6. Visual Processing Disorder (VPD). 7. Nonverbal Learning Disorder (NLD or NVLD). 8. Apraxia of Speech. 

Causes of Learning Disabilities 

1. Genetics. Genetics (a branch of biology concerned with the study of genes and heredity in organisms) can play a role when it comes to learning disabilities. Children/individuals are more likely to have a learning disorder if their first-degree relatives like a parent or a sibling also suffered from the same.

2. Psychological trauma. The risk of learning disability can be increased if one has experienced psychological trauma or abuse early in their childhood which may have a negative impact on the development of their brain.

3. Prenatal and Neonatal risks. Prenatal risks are a number of dangers that can pose a potential risk to the growing fetus (baby-to-be) during a pregnancy. Neonatal risks are those which can affect a newborn.

A complication during the prenatal or neonatal stage can increase the risk of learning disability. Exposure to substances like alcohol, drugs during pregnancy, premature birth, inadequate growth in the uterus, and low birth weight can increase the risk of learning disability in children.

Premature birth is a birth that occurs before the 37th week of pregnancy. Pregnancy usually lasts for about 40 weeks. Low birth weight is when a baby is born weighing less than 2500 grams. Low birth weight is known to increase the risk for major disabilities and contribute to minor difficulties in motor skills and in thinking, learning, and memory (cognitive abilities).

5. Physical trauma. Physical trauma is defined as a body wound produced by sudden physical injury from impact, violence, or accident. Physical trauma can also increase the possibility of learning disability.

6. Exposure to toxic environments. If a child has been exposed to high levels of toxins like lead (a toxic, heavy metal), then it may play a role in the development of a learning disability. 

Mental Retardation (MR):?

Intellectual Disability / Mental retardation refers to substantial limitations in present functioning. It is characterized by significantly sub average intellectual functioning, existing concurrently with related limitations in two or more of the following applicable adaptive skills areas: communication, self care, home living, social skills, community use, self direction, health and safety, functional academics, leisure, and work. Intellectual Disability manifests before the age of 18.

Characteristics / common features of ID / MR
There is many signs of Intellectual Disability / Mental Retardation.

  • Delayed in achieving sitting, crawling, and walking
  • Learn to talk later, or can have trouble in speaking
  • Poor memory-find it hard to remember things
  • Does not understand how to pay attention for things
  • Have trouble in understanding social rules
  • Have trouble solving problems,
  • Have trouble thinking logically, etc

Causes of Intellectual Disability / Mental Retardation
Most common causes are:

  • Genetic conditions
  • Problems during pregnancy
  • Problems at birth
  • Health problems

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