Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download 행동치료의 의학적 처방
Document related concepts
Transcript
행동치료의 의학적 처방 Hyun S. Park, MD Developmental and Behavioral Pediatrician Neurodevelopmental Center, For OC Kids Assistant Clinical Professor of Pediatrics, UCI SOM Autism • Qualitative Social Interaction Impairments • Qualitative Communication Impairments • Repetitive and Restricted Stereotyped Patterns of Behavior, Activities and Interest Incidence • 1 child in 150 has autism spectrum disorder Characteristic of behaviors • • • • Dangerous Hurt self and/or others Annoying disturbing Common Behavior Problems • • • • • Aggression to self and others Tantrums Agitation Obsessions and compulsions Rocking, spinning, wandering around • • • • • Hyperactivity, jumping, climbing Inattention, immobility, low energy Echolalia, non verbal Excessive talking, screaming, shouting MELTDOWNS • • • • moodiness Fearful, fearless Pain reaction: too much- too little Sensory processing difficulties: auditory, visual, tactile, oral, vestibular. What to do with behavior problem • Identify the problem • Understand what is going on with them • Children with autism learn by repetition Brain learning circuitry • Reflex • Associative Children with autism learn by repetition of behaviors • Routine in daily activities, schedules, environment • Learned skill not able to generalize to different settings and situations • Re-learn the skill in a different setting and situation • Visual learners • Concrete thinkers • Focus your energy in teaching simple new skills such as praying, singing, greeting, sharing • Reinforced with repetition • Lack of common sense • Gradual introduction of change • Ignoring negative behaviors Medical consultations • Primary physician – check for absence of illness • Developmental and Behavioral Pediatrician- developmental and behavioral problem • OT, PT, Speech therapist • • • • Psychiatrist -mental and behavioral problem Behaviorist- behavioral modification Neurologist –possible seizure Gastroenterologist-diarrhea, food malabsorption, GER Medications • • • • Stimulants Antidepressants Atypical neuroleptics Antiseizure Psychostimulants • Hyperactivity,inattention, impulsivity Ritalin, Metadate, Concerta Dexedrine, Adderall, Vyvanse Strattera • Hyperactivity,inattention, impulsivity Antidepressants, anxiolytics • • • • Fluoxetine Paroxetine Citalopram Others SSRIs Atypical neuroleptics • Risperdal – Aggressive behavior, irritability, insomnia, mood swing What can I do for these children Be loving, caring, PATIENT, provide warm environment. Be understanding of the child and family Guide and encourage families to seek help Referrals to…. • Early intervention programs • Referral to Early Start Programs, • Regional Center in California • Public Schools Special Education programs Education and information • Mental health • Community centers • Medical specialist You see them for short time, family lives with child 24/7.
