Preparation for Child Psych PRITE and Boards
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(Definitions)
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====Childhood-onset fluency disorder/stuttering====
 
====Childhood-onset fluency disorder/stuttering====
 
* This disorder involves difficulty with speech fluency, and often involves fearful anticipation and avoidance behaviors. The onset is usually before 7 years of age.
 
* This disorder involves difficulty with speech fluency, and often involves fearful anticipation and avoidance behaviors. The onset is usually before 7 years of age.
 +
* '''Tourette's and tic disorders''' are important to rule out during evaluation
 
*  315.35/F80.81
 
*  315.35/F80.81
 
====Social (pragmatic) communication disorder====
 
====Social (pragmatic) communication disorder====
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Other impairing communication disorders can be classified as Unspecified communication disorder (307.9/F80.9)
 
Other impairing communication disorders can be classified as Unspecified communication disorder (307.9/F80.9)
 
   
 
   
 +
==Evaluation and Treatment==
 +
 +
* careful diagnostic evaluation involves evaluation for sensory deficits, particularly hearing, neurological exam, and referral for standardized testing for learning and intellectual disabilities.
 +
* Communication disorders are not diagnosed in the presence of congenital or other acquired conditions, such as '''dysarthria''' associated with cerebral palsy or cleft palate, receptive language difficulties associated with intellectual disability, or Landau-Kleffner syndrome.
 +
* identifying co-morbid conditions is paramount for appropriate intervention
 +
* early referral to speech pathologist.
  
 
[[Category:Disorders]]
 
[[Category:Disorders]]
{{stub}}
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{{Brief report}}

Revision as of 17:12, 2 September 2015

Definitions

Disorders of communication are diagnosed in children with impairing deficits in language, speech, and communication. These terms are used interchangeably in the community, but actually refer to specific and distinct aspects of communication:

Language is a system of verbal, written, or visual symbols used for communication. American Sign language is one such system.

Speech is the production of sounds for the purpose of communication.

Communication" is a general term for verbal and non-verbal behaviors, including unintentional behaviors, that carry some meaning to others.

Diagnostic considerations

Communication disorders are categorized under the Neurodevelopmental Disorders in the DSM-5 and thus, have an onset during the developmental period. Included are:

Language disorder

  • This disorder involves persistent difficulty in acquisition and use of language; it begins in early developmental period and can involve both receptive and expressive deficits.
  • 315.39/F80.9

Speech sound disorder

  • This involves persistent difficulty with speech sound production that interferes with communication. Speech sound disorder is frequently co-morbid with language disorder.
  • Mostly intelligible speech is expected by 3 y.o. More advanced sounds (l, r, s, z) should be pronounced correctly by age 8.
  • 315.39/F80.0

Childhood-onset fluency disorder/stuttering

  • This disorder involves difficulty with speech fluency, and often involves fearful anticipation and avoidance behaviors. The onset is usually before 7 years of age.
  • Tourette's and tic disorders are important to rule out during evaluation
  • 315.35/F80.81

Social (pragmatic) communication disorder

  • Involves difficulty with social use of language and communication.
  • 315.39/F80.89

Other impairing communication disorders can be classified as Unspecified communication disorder (307.9/F80.9)

Evaluation and Treatment

  • careful diagnostic evaluation involves evaluation for sensory deficits, particularly hearing, neurological exam, and referral for standardized testing for learning and intellectual disabilities.
  • Communication disorders are not diagnosed in the presence of congenital or other acquired conditions, such as dysarthria associated with cerebral palsy or cleft palate, receptive language difficulties associated with intellectual disability, or Landau-Kleffner syndrome.
  • identifying co-morbid conditions is paramount for appropriate intervention
  • early referral to speech pathologist.