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The 3 Most Common Disorders with Intellectual Disability
Intellectual Developmental Disability
The onset of IDD is during the developmental period and includes both intellectual and adaptive functioning deficits that impact learning academic skills and functional use of academic skills, abstract thing, executive functioning, short-term memory, social interactions (e.g., communication, conversation, and language), regulating emotions and behavior, understanding of risk in social situations and judgment, and several areas of personal care and daily living. Individuals diagnosed with IDD commonly require continued supportive services.
Global Developmental Delay
GDD is reserved of children who are under the age of 5 years and cannot be reliably assess during early childhood due to the severity of impairment. GDD is assigned when a child fails to meet expected milestones, such as their ability to walk, talk, and toilet train, in addition to developmental milestones in several areas of intellectual functioning. GDD also applies to children who are unable to undergo assessment of intellectual functioning or are too young to participate in standardize testing.
Autism Spectrum Disorder
Impaired intellectual functioning is common amongst individuals with autism spectrum disorder. Autism is characterized by the present of both deficits in social communication and the presence of restricted, repetitive patterns of behaviors, interests, or activities and may be difficult to differentiate from an intellectual developmental disability disorder in very young children. If you have concerns related to Autism, please CLICK HERE.
The 3 most Common Syndrome Disorders with Intellectual Disability
Fragile X Syndrome
Fragile X syndrome (FXS) is a genetic disorder with changes in the FMR1 gene, which makes proteins called FMRP that is needed for brain development. FXS affects both males and females but females typically experience milder symptoms than males. Symptom of FXS include developmental delays, learning and cognitive disabilities, and difficulties with social and behavioral functioning, which may overlap with symptoms of autism spectrum disorder. Most males and approximately half of females with FXS display physical characteristics and features that include a long and narrow face, large ears, a prominent jaw and forehead, unusually flexible fingers, and flat feet. To learn more about FXS, click here.
Down Syndrome
Down syndrome is present in those who have an extra, critical portion of chromosome 21 that tis present in some or all of their cells which alters the course of development for those with Down syndrome and cause the associated characteristics of Down syndrome. some factors, such as the maternal age of the parent, has been linked to an increased chance of a child being born with Down syndrome, with approximmitelly 5% of Down syndrome case traced to the biological father. About 95% of cases of Down syndrome are accounted for by an error in cell division called “nondisjunction,” which is also known as Trisomy 21. Mosaicism (e.g., mosaic down Down syndrome), the least common form of Down syndrome, is diagnosed when there is a mixture of tea types of cells, with some that contain the expected 46 chromosomes while others care an extra chromosome (47). The third type of Down syndrome, Translocation, accounts for approximately 4% of those diagnosed with Down syndrome. Translocation is characterize by an additional full or partial copy of chromosome 12 that attaches to chromosome 14, which causes the characteristics of Down syndrome. Physical traits include low muscle tone, small stature, an upward slant to the eyes, and a single deep crease across the center of the palm. To learn more about Down syndrome, click here.
Fetal Alcohol Syndrome
Fetal Alcohol Syndrome Disorder (FASD) is a condition found in children that have been exposed to alcohol during pregnancy and cause brain damage and other growth problems that are not reversible. Common symptoms of FASD may include a mix of physical deficits: small eyes; an exceptionally thin upper lip; a short, upturned nose; a smooth skin surface between the nose and upper lip; deformities of joints, limbs, and fingers; slow physical growth before and after birth; vision difficulties or hearing problems; small head circumference and brain size; heart deficits and problems with kidney and bones. FASD is associated with brain and central nervous system problems: poor coordination or balance; intellectual disability, learning disorders, and delayed development; poor memory; trouble with attention processing information; difficulty with reasoning, problem solving, and identifying consequences of choices; poor judgement; jitteriness; hyperactivity, and rapidly changing moods. Common social and behavioral issues related to FASD include: difficulties in school, poor social skills, difficulties getting along with peers, difficulties adapting to change or switching from one task to another, problems with behavior and impulse control, poor concept of time, problems staying on task, and difficulty planning or working toward a goal. To learn more about FASD, click here
What are the Common Areas Impacted by Intellectual Disability?
How we Assess for Intellectual Disability
The assessment of intellectual disability requires both cognitive and adaptive functioning testing. Individuals with an intellectual disability typically experience difficulties with reasoning, problem solving, planning, abstract thinking, judgement, learning from instruction and experience, and practical understanding, in addition to having an IQ of 70 (+/- 5). We are able to assess for deficits in verbal comprehension, working memory, perceptual reasoning, quantitative reasoning, abstract thought, and cognitive efficiency to determine if an intellectual disability exists.
WE USE THE GOLD STANDARDS OF ASSESSMENT
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We can assess cognitive abilities in both children and adults:
Primary Test of Nonverbal Intelligence (PTONI)
Test of Nonverbal Intelligence (TONI) (Ages 3 - 9:11)Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V) (Ages 6 - 16:11)
Weschler Adult Intelligence Scale, Fourth Edition (WAIS-IV) (Ages 16 - 90:11)
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Adaptive Behavior Assessment System, Third Edition (ABAS-3)
Conners Comprehensive Behavior Assessment (CBRS)
Vineland Adaptive Behavior Scales, Third Edition (Vineland-3)
THE MORE WE KNOW - THE MORE WE CAN HELP -
THE MORE WE KNOW - THE MORE WE CAN HELP -
WHAT IS INCLUDED IN AN ADAPTIVE EVALUATION?
Clinical Interview
Cognitive Intelligence Testing (IQ)
Adaptive Functioning Assessment(s)
Behavior Assessment Measure(s)
ADHD Testing (if necessary)
Comprehensive Integrative Written Evaluation Report
Prescribed Treatment Recommendations
Personalized Treatment Plan
Feedback/Psychoeducation
Additional Resources