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Disorder Mental Retardation        An IQ of approximately 70 or below Concurrent impairments in functioning in at least 2 of the areas: Communication Self-care Home

living Interpersonal skills Academic skills Leisure Health safety Onset before 18

Types/Subtypes/ Severity Mild Mental Retardation – “educable” constitutes the largest segment (about 85%) of those with the disorder Develop social and communication skills during preschool (0-5yrs.) Often not distinguishable from children without mental disorder In adult years, usually achieve social and vocational skills adequate for minimum self support except when under unusual circumstances Moderate Mental Retardation- “trainable” Constitutes about 10% of the population with MR Profit from vocational training w/moderate supervision & can attend to personal care Can attend to personal care Unlikely to progress beyond 2nd grade During adolescence, their difficulties in recognizing social conventions may interfere with peer relationship Severe Mental Retardation- 3%-4% of the total population of people with MR Acquire little or no communicative speech Limited extent of instruction such as the alphabet and other survival words May be able to perform simple tasks in closely supervised setting Profound Mental Retardation- 1%-2% of the people with MR Most of them have identified neurological condition that accounts for their MR Display considerable impairments in sensorimotor function Motor, self-care, and communication development may improve if appropriate training is given Mental Retardation, Severity Unspecified

Associated Features -passive - placid - dependent *Others may be: -aggressive -impulsive *have prevalence in comorbid mental disorders that is estimated to be 3 or 4x greater than in the general population

Specifiers - more common among males - onset is before the age 18 - more severe retardation tends to be recognized early -etiological factors may be biological, psychosocial, or both   Heredity Early alterations of embryonic development

Others

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Demoralization Low self esteem Deficits in social skills 10%-25% of people w/ conduct disorder, Attention deficit/hyperactivi ty, MDD and Dysthymic Disorder also have LD Evidence of developmental delays in language

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Prevalence is 2%-10% Approx. 5% of the students in public schools in the US

Differentiated from normal variations in academic attainment, impaired vision or hearing, mental retardation, pervasive developmental disorder, communication disorder, mathematics disorder

button the clothes.Disorder Reading Disorder Reading achievement is measured through a standardized test of reading and is substantially below expected given the person’s age Disturbance significantly interferes with academic achievement or any reading related activities If sensory deficit is present. poor handwriting) Significant impairment with academic achievements and daily activities Not due to GMC Types/Subtypes/ Severity Associated Features Specifiers 60%-80% of diagnosed individuals are males Often diagnosed before the end of kindergarten May persist into adult life -more prevalent among firstdegree biological relatives with same disorder Others -seldom diagnosed before the end of 1st grade Usually becomes apparent during the 2nd and 3rd grade -diagnosed before end of the 1 st grade . poor performance in sports. the math difficulties are in excess of those usually associated with it Disorder of Written Expression -ability is measured by a standard test and result is below expected given the person’s age -significantly interferes with academic achievement and other math-related activities -If sensory deficit is present. the reading difficulties are in excess of those usually associated with it Mathematics Disorder -ability is measured by a standard test and result is below expected given the person’s age -significantly interferes with academic achievement and other math-related activities -If sensory deficit is present. the math difficulties are in excess of those usually associated with it Motor Skills Disorder Marked impairment in the development of motor coordination (clumsiness. or play ball games Communication Disorders Expressive Language Disorder Impairment in expressive language development as demonstrated by scores in standardized test significantly interferes with academic achievement and other related activities .occasionally be seen in older children or adults - Prevalence is 6% in the age range of 5-11 Usually recognized when the child attempts to run.

DYSTHYMIC DISORDER – characterized by at least 2 years of depressed mood. BIPOLAR not otherwise specified H. J. accompanied by additional depressive symptom that do not meet criteria for Major Depressive Episode C. MOOD DISORDER due to GMC I. CYCLOTHYMIC DISORDER – characterized by at least 2 years of numerous periods of hypomanic symptoms that do not meet criteria for manic episode and numerous periods of depressive symptoms that do not meet criteria for MDE G. usually accompanied by Major Depressive episodes E.Disorder Types/Subtypes/ Severity Associated Features Specifiers Others MOOD DISORDERS A. SUBSTANCE – INDUCED Mood disorder Mood Disorder not otherwise specified . MAJOR DEPRESSIVE DISORDER – characterized by one or more Major Depressive Episodes (at least 2 weeks of depressed mood or loss of interest accompanied by at least 4 additional symptom of depression B. BIPOLAR I DISORDER – characterized by one or more manic or mixed episodes. BIPOLAR II DISORDER – characterized by one or more major depressive episodes accompanied by at least one Hypomanic episode F. DEPRESSIVE DISORDER not otherwise specified – included for coding disorders with depressive features that do not meet criteria of other disorders D.