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Mental Health Services & Policies for DD (prevalence (hospitalization,…

- - - - more psychotropic meds & seclusion
- - - - lack of awareness/knowledge of services/processes
      - waiting lists
      - $$$
      - transportation
      - training
      - poor quality of services
  - - - physical activity and socializing
- - - - normal levels keep us safe
      - problematic when excessively afraid about real/imagined situations and keeps from taking action to solve problems
      - type of anxiety develops with maturity
        
        7-9 mo infants = stranger anxiety
        
        12-18 mo toddlers = separation anxiety
        
        8 yo children = scared of specific things/events
        
        adolescents = friends/identity
      - ID anxiety surrounds issues same as mental age
      - anxiety disorders
        
        2-15% children
        
        signs are similar in kids and adults
        
        depression co-occurs 50-60%
        
        increased risk of suicidal thoughts
      - screening
        
        find out longevity of symptoms
        
        typical for age?
        
        connected to specific event?
    - - much higher risk--especially high functioning
      - signs
        
        typical cues unreliable
        
        typical: facial expressions, gestures, mannerisms
        
        ASD: silly behaviour, neutral/blank expression, hyper/underactivity, inattention
        
        problems already present: sleep, eating, physical symptoms
        
        internalizing behaviour may be absent or + externalized behaviour
        
        aggression, tantrums, rigidity
        
        avoidance or approach behaviours both likely
      - environmental conditions may maintain anxiety
        
        more negative experiences: failure, rejection, abuse
        
        more rational fears... social rejection
        
        more idle time to ruminate
        
        restricted interests--actively research fears, not disconfirming evidence
        
        dependent on caregiver
      - treatment
        
        characteristics that hinder treatment
        
        perceptual/cognitive strengths and challenges
        
        black and white thinking
        
        recall vivid memories of trauma
        
        low threshold for new events
        
        takes longer to recover after distress
        
        resistance to change
        
        factors that facilitate
        
        enjoy structure
        
        willing to follow rules
        
        CBT good match