应激相关障得敏案 Subject Psychiatry Teacher SU Lin-yan Target Clinical Medicine Teaching place The second classroon Chapters:Chapter 8 Teaching hour 100 minutes Content Child and adolescent psychiatry Dat0;2004 【Purpose and requirement】 1.To understand concepts and classification of child and adolescent psychiatry. 2.To master main etiology,classify.clinical features,diagnoses and differential diagnoses of Mental Retardation. 3.To master clinical features,diagnoses and differential diagnoses,and treatment principles of Attention Deficit Hyperactivity Disorder. 【Key points of teaching】 1.Classification of child and adolescemt psychiatry. 2.Clinical features.diagnoses and differential diagnoses of Mental Retardation. 3.Clinical features,diagnoses and differential diagnoses of Attention Deficit Hyperactivity Disorder. 【Difficult points of teaching】 1.Differential diagnoses of Mental Retardation. 2 Clinical features of Attention Deficit Hyperactivity Disorder. 【Type of teaching】 Nex knowledge teaching. 【Teaching nethod】 B时linguistic teaching。.】ecture and heuristic method
应激相关障碍教案 Subject ： Psychiatry Teacher ： SU Lin-yan Target ： Clinical Medicine Teaching place ： The second classroom Chapters: Chapter 8 Teaching hour ： 100 minutes Content ： Child and adolescent psychiatry Date ： 2004 【Purpose and requirement】 1. To understand concepts and classification of child and adolescent psychiatry. 2. To master main etiology, classify, clinical features, diagnoses and differential diagnoses of Mental Retardation. 3. To master clinical features, diagnoses and differential diagnoses, and treatment principles of Attention Deficit Hyperactivity Disorder. 【Key points of teaching】 1. Classification of child and adolescent psychiatry. 2. Clinical features, diagnoses and differential diagnoses of Mental Retardation. 3. Clinical features, diagnoses and differential diagnoses of Attention Deficit Hyperactivity Disorder. 【Difficult points of teaching】 1. Differential diagnoses of Mental Retardation. 2. Clinical features of Attention Deficit Hyperactivity Disorder. 【Type of teaching】 New knowledge teaching. 【Teaching method】 Bilinguistic teaching, l ecture and heuristic method
【Teaching aid】 Nultimedia mix and lantern slide. 【Conteat and step of teaching?】 1.Introduction.(2min) 2.Epidemiology and classification of child and adolescent psychiatry.(18min) 3.Mental Retardation.(30min) 4.Attemtion Deficit Hyperactivity Disorder (40min) 5.Summary and discussion.(10min) CHAPTER 8 CHILD AND ADOLESCENT PSYCHIATRY 1.Introduction Child and Adolescents Psychiatry is a branch of psychiatry,which study the cause, pathogenic mechanisa, clinical manifestation,therapy,prevention and care in children and adolescents with enotional disorders.behavioral disorders and developeental disorders. 2.Epideniology and classification of child and adolescent psychiatry. 2.1 Epidemiology 20%6 of children and adolescents suffer fron a disabling nental illness. Preseat conditions of child mental health. 2.2 Classification (CCMD-3) 7 Mental retardation,and disorder of psychological developeental with onset usually occurring in childhood and adolescence 70 Mental retardation 71 Developmental disorders of speech and language 72 Specific developnental disorders of scholastic skills 73 Specific developmental disorders of motor skills 74 Mixed specified developmental disorders 75 Pervasive developoental disorders
【Teaching aid 】 Multimedia mix and lantern slide. 【Content and step of teaching】 1. Introduction. (2min) 2. Epidemiology and classification of child and adolescent psychiatry. (18min) 3. Mental Retardation. (30min) 4. Attention Deficit Hyperactivity Disorder (40min) 5. Summary and discussion. (10min) CHAPTER 8 CHILD AND ADOLESCENT PSYCHIATRY 1. Introduction Child and Adolescents Psychiatry is a branch of psychiatry, which study the cause, pathogenic mechanism, clinical manifestation, therapy, prevention and care in children and adolescents with emotional disorders, behavioral disorders and developmental disorders. 2. Epidemiology and classification of child and adolescent psychiatry. 2.1 Epidemiology 20% of children and adolescents suffer from a disabling mental illness. Present conditions of child mental health. 2.2 Classification (CCMD-3) 7 Mental retardation, and disorder of psychological developmental with onset usually occurring in childhood and adolescence 70 Mental retardation 71 Developmental disorders of speech and language 72 Specific developmental disorders of scholastic skills 73 Specific developmental disorders of motor skills 74 Mixed specified developmental disorders 75 Pervasive developmental disorders
8 Hyperkinetie.Conduct,and Emotional disorders with onset usually occurring in childhood and adolescence 80 Hyperkinetie disorders 81 Conduct disorders 82 Mixed disorders of conduet and emotions 83 Enotional disorders with onset specific to childhood 81 Disorders of social functioning with onset specific to childbood and adolescence 85 Tic disorders 85 Other behavioral disorders with onset usually occurring in childhood and adolescence 89 Other or unspeciffed childhood disorders of social functioning 3.Mental Retardation 3.I Introduction 3.2 Epidemiology 3.3 Clinical features Normal range of IQ is 100+15. An IQ of 70 or below is considered significantly sub-average. Clinical classify: MR grade IQ level Characteristics Mild 5069 Independence in self-care Commoeest special training Moderate 35-49 Unable independent living in adulthood Severe 2034
8 Hyperkinetic, Conduct, and Emotional disorders with onset usually occurring in childhood and adolescence 80 Hyperkinetic disorders 81 Conduct disorders 82 Mixed disorders of conduct and emotions 83 Emotional disorders with onset specific to childhood 84 Disorders of social functioning with onset specific to childhood and adolescence 85 Tic disorders 86 Other behavioral disorders with onset usually occurring in childhood and adolescence 89 Other or unspecified childhood disorders of social functioning 3. Mental Retardation 3.1 Introduction 3.2 Epidemiology 3.3 Clinical features Normal range of IQ is 100±15. An IQ of 70 or below is considered significantly sub-average. Clinical classify: MR grade IQ level Characteristics Mild 50 ～ 69 Independence in self-care ; Commonest special training . Moderate 35 ～ 49 Unable independent living in adulthood Severe 20 ～ 34
Significant adjustment deficit,comonly with other deformity Profound 20 Unable to he trained.need lifetine care 3.4 Etiology Genetic disorders: Chromosone abnormalities: Including:Down's syndroae,Turner's syndrome,Klinefelter's syndrome.et al. Hereditary metabolic disease: Including:Phenylketomria,Endemic cretinism Galactosemia.et al. Exposure factors: Maternal infection Teratocens Toxemia Others Postnatal Infections: Encephalitis Toxins:Lead poisoning Other postnatal causes Traumas Brain tunors Psychosocial problens: Poverty Education Unknown factors 3.5 Diagnoses and differential diagoses Diagnoses: The age of onset is before 18. Psychometric tests of Intelligence:IQ is below 70. Social Adaptive Ability Scale:Various degrees of social adjustnent difficulty
Significant adjustment deficit, commonly with other deformity Profound ≤20 Unable to be trained, need lifetime care 3.4 Etiology Genetic disorders: Chromosome abnormalities: Including: Down's syndrome, Turner's syndrome, Klinefelter's syndrome, et al. Hereditary metabolic disease: Including: Phenylketonuria, Endemic cretinism Galactosemia, et al. Exposure factors: Maternal infection Teratogens Toxemia Others Postnatal Infections: Encephalitis Toxins: Lead poisoning Other postnatal causes Traumas Brain tumors Psychosocial problems: Poverty Education Unknown factors 3.5 Diagnoses and differential diagnoses Diagnoses: The age of onset is before 18. Psychometric tests of Intelligence: IQ is below 70. Social Adaptive Ability Scale: Various degrees of social adjustment difficulty
Differential diagnoses:Autisn.Schixophrenia 3.6 Treatnent principles Training and rehabilitation Treatnent for cause of disease Treatment for syrptoms 4.Attemtion Deficit Hyperactivity Disorder 4.1 Definition 4.2 Epidemiology 4.3 Climical features Inattention Hyperactivity Impulsivity Comorbidity: Learning disorders.Conduct disorder (CD),Oppositional defiantdisorder (00D),et al. 4.4 Etiology Biochenistry Genetics Psychosocial factors 4.5 Diagnoses Early onset usually before age of 7. Three clinical features. Differential diagnoses:Mental Retardation.Autisn.Schizophrenia 4.6 Treatnent Medicat ion:Retalin Psychosocial intervention Fanily therapy Training of social skill Others 5.Surnry and discussion 【Reference material】 1.Sadock.B.J..Sadock,V.A.Kaplan Sadock's Comprebensive Textbook of Psychiatry.Tth edition.Lippincott Willians Wilkins,Philadelphia.2000. 2.Waldinger R.J.Psychiatry for Medical Students.(Third edition).American Psychiatrie Press.1997 3.Michael Gelder.Dennis Gath,Richard Mayou.te al.Oxford Texthook of Psychiatry.3th edition.Oxford Medical Publications.1996. 【Writing design】 See the lantern slide
Differential diagnoses: Autism, Schizophrenia 3.6 Treatment principles Training and rehabilitation Treatment for cause of disease Treatment for symptoms 4. Attention Deficit Hyperactivity Disorder 4.1 Definition 4.2 Epidemiology 4.3 Clinical features Inattention Hyperactivity Impulsivity Comorbidity: Learning disorders, Conduct disorder (CD), Oppositional defiantdisorder (ODD), et al. 4.4 Etiology Biochemistry Genetics Psychosocial factors 4.5 Diagnoses Early onset usually before age of 7. Three clinical features. Differential diagnoses: Mental Retardation, Autism, Schizophrenia 4.6 Treatment Medication: Retalin Psychosocial intervention Family therapy Training of social skill Others 5. Summary and discussion 【Reference material】 1. Sadock, B. J., Sadock, V. A.: Kaplan & Sadock's Comprehensive Textbook of Psychiatry. 7th edition.Lippincott Williams & Wilkins, Philadelphia, 2000. 2. Waldinger R.J. Psychiatry for Medical Students. (Third edition). American Psychiatric Press. 1997 3. Michael Gelder, Dennis Gath, Richard Mayou, te al. Oxford Textbook of Psychiatry.3th edition. Oxford Medical Publications.1996. 【Writing design 】 See the lantern slide
【Summary after class】 1.What are the clinical features of MR? 2.What are the main clinical features of ADHD?
【Summary after class】 1. What are the clinical features of MR? 2. What are the main clinical features of ADHD?