Credits to Koi Kye Wen, T3
Monday, April 5, 2010
Friday, April 2, 2010
Thursday, March 25, 2010
Marathon
pt1
pt2
pt4
pt5
pt7
pt8
pt9 (its nice eh? xD)
pt10
pt11
pt12
pt13
pt14
pt15
pt 16
pt17 (LAST PART)
wahaha.. finally copied all 17 parts~
alright im off to continue my CMT assignment now.. buhbye~~
Monday, March 15, 2010
Depression in Children
Yes. Childhood depression is different from the normal "blues" and everyday emotions that occur as a child develops. Just because a child seems depressed or sad, does not necessarily mean they have depression. But if these symptoms become persistent, disruptive, and interfere with social activities, interests, schoolwork and family life, it may indicate that he or she has the medical illness called depression. Keep in mind that while depression is a serious illness, it is also a treatable one.
How Can I Tell if My Child is Depressed?
The symptoms of depression in children vary. It is often undiagnosed and untreated because they are passed off as normal emotional and psychological changes that occur during growth. Early medical studies focused on "masked" depression, where a child's depressed mood was evidenced by acting out or angry behavior. While this does occur, particularly in younger children, many children display sadness or low mood similar to adults who are depressed. The primary symptoms of depression revolve around sadness, a feeling of hopelessness, and mood changes.
Signs and symptoms of depression in children include:
* Irritability or anger
* Continuous feelings of sadness, hopelessness
* Social withdrawal
* Increased sensitivity to rejection
* Changes in appetite -- either increased or decreased
* Changes in sleep -- sleeplessness or excessive sleep
* Vocal outbursts or crying
* Difficulty concentrating
* Fatigue and low energy
* Physical complaints (such as stomachaches, headaches) that do not respond to treatment
* Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests
* Feelings of worthlessness or guilt
* Impaired thinking or concentration
* Thoughts of death or suicide
Not all children have all of these symptoms. In fact, most will display different symptoms at different times and in different settings. Although some children may continue to function reasonably well in structured environments, most kids with significant depression will suffer a noticeable change in social activities, loss of interest in school and poor academic performance, or a change in appearance. Children may also begin using drugs or alcohol, especially if they are over the age of 12.
Although relatively rare in youths under 12, young children do attempt suicide -- and may do so impulsively when they are upset or angry. Girls are more likely to attempt suicide, but boys are more likely to actually kill themselves when they make an attempt. Children with a family history of violence, alcohol abuse, or physical or sexual abuse are at greater risk for suicide, as are those with depressive symptoms.
Which Children Get Depressed?
It is estimated that 2.5% of children in the U.S. suffer from depression. Depression is significantly more common in boys under the age of 10. But by age 16, girls have a greater incidence of depression.
Bipolar disorder is more common in adolescents than in younger children. Bipolar disorder in children can, however, be more severe than in adolescents. It may also co-occur with, or be hidden by, attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), or conduct disorder (CD). According to the National Institute of Mental Health, 20-40% of adolescents with major depression develop bipolar disorder within five years after having depression.
What Causes Depression in Children?
As in adults, depression in children can be caused by any combination of factors that relate to physical health, life events, family history, environment, genetic vulnerability, and biochemical disturbance. Depression is not a passing mood, nor is it a condition that will go away without proper treatment.
Can Depression in Children Be Prevented?
Children with a family history of depression are at greater risk of experiencing depression themselves. Children who have parents that suffer from depression tend to develop their first episode of depression earlier than children whose parents do not. Children from chaotic or conflicted families, or children and teens who abuse substances like alcohol and drugs, are also at greater risk of depression.
How is the Diagnosis Made?
If the symptoms of depression in your child have lasted for at least two weeks, you should schedule a visit with his or her doctor to make sure there are no physical reasons for the symptoms and to make sure that your child receives proper treatment. A consultation with a mental healthcare professional who specializes in children is also recommended.
A mental health evaluation should include interviews with you (as the parents) and your child, and any additional psychological testing that is necessary. Information from teachers, friends, and classmates can be useful for showing that these symptoms are consistent during your child's various activities and are a marked change from previous behavior.
There are no specific tests -- medical or psychological -- that can clearly show depression, but tools such as questionnaires (for both the child and parents) combined with personal information can be very useful.
What Are the Treatment Options?
Treatment options for children with depression are similar to those for adults, including psychotherapy (counseling) and medicine . The role that family and the child's environment play in the treatment process is different from that of adults. Your child's doctor may suggest psychotherapy first, and consider antidepressant medicine as an additional option if there is no significant improvement. Currently, there are no good studies documenting the effectiveness of medicine over psychotherapy in children.
However, three studies do show that the antidepressant Prozac is effective in treating depression in children and teens. The drug is officially recognized by the FDA for treatment of children 8-18 with depression.
Treating children with bipolar disorder
Children with bipolar disorder are usually treated with psychotherapy and a combination of medicines, usually an antidepressant and a mood stabilizer. Use of an antidepressant alone can trigger bouts of mania.
The FDA has determined that antidepressant medications increase the risk of suicidal thinking and behavior in children and adolescents with depression and other psychiatric disorders. If you have questions or concerns, discuss them with your health care provider.
What Can I Expect Long-Term?
Studies have found that first-time depression in children is occurring at younger ages than previously. As in adults, it may occur again later in life. Depression often occurs at the same time as other physical illnesses. And because studies have shown that depression may precede more serious mental illness later in life, diagnosis, early treatment, and close monitoring are crucial.
A Parent's Perspective
As a parent, it is sometimes easier to deny that your child has depression. You may put off seeking the help of a mental healthcare professional because of the social stigmas associated with mental illness. It is very important for you -- as the parent -- to understand depression and realize the importance of treatment so that your child may continue to grow physically and emotionally in a healthy way. It is also important to seek education about the future effects depression may have on your child throughout adolescence and adulthood.
Parents should be particularly vigilant for signs that may indicate that their child is at risk for suicide.
Warning signs of suicidal behavior in children include:
* Many depressive symptoms (changes in eating, sleeping, activities)
* Social isolation
* Talk of suicide, hopelessness, or helplessness
* Increased acting-out behaviors (sexual/behavioral)
* Increased risk-taking behaviors
* Frequent accidents
* Substance abuse
* Focus on morbid and negative themes
* Talk about death and dying
* Increased crying and reduced emotional expression
* Giving away possessions
By Koh Mei Poh, T2
Saturday, February 27, 2010
Mother's Sensitivity May Help Language Growth in Children With Autism Spectrum Disorder
The study is published online this month and will appear in an upcoming issue of the Journal of Autism and Developmental Disorders.
"Language problems are among the most important areas to address for children with autism, because they represent a significant impairment in daily living and communication," says Daniel Messinger, associate professor in the department of psychology at the University of Miami (UM) College of Arts and Sciences and principal investigator of a larger study of infants at-risk for autism, which includes this study.
Maternal sensitivity is defined in the study as a combination of warmth, responsiveness to the child's needs, respect for his or her emerging independence, positive regard for the child, and maternal structuring, which refers to the way in which a mother engages and teaches her child in a sensitive manner. For example, if a child is playing with colored rings, the mother might say, "This is the green ring," thus teaching the child about his environment, says Messinger.
In this study, maternal sensitivity (and primarily, sensitive structuring) was more predictive of language growth among toddlers developing autism than among children who did not go on to an autism diagnosis. One possible explanation is that children with autism may be more dependent on their environment to learn certain skills that seem to come more naturally to other children.
"Parenting may matter even more for children with developmental problems such as autism because certain things that tend to develop easily in children with typical neurological development, like social communication, don't come as naturally for kids with autism, so these skills need to be taught," says Jason K. Baker, a postdoctoral fellow at the Waisman Center, University of Wisconsin-Madison, who conducted the study with Messinger while at UM.
For the study, 33 children were assessed in the lab at 18, 24, 30 and 36 months of age. Some of the children had an older sibling diagnosed with autism and were considered high risk for autism.
At the 18-month assessment, the researchers videotaped a five minute period of mother and child free play in which the mothers were asked to play as they would at home. Aspects of maternal sensitivity were scored on seven-point scales ranging from absence of sensitive behavior to extremely sensitive behavior. Children's language was assessed at 2 and 3 years. At the 3 year visit, when the children were old enough to be evaluated, 12 of children from the high risk group received an autism-spectrum diagnosis.
The study was funded by the National Institutes of Health. Its findings parallel previous treatment research indicating that when children with autism increase their connection to the environment they do much better, Baker says. Understanding the benefits of sensitive structuring in the development of language among young children with emergent autism provides scientific support for early intervention programs that focus on parent-child interactions. "We know that parenting doesn't cause autism. The message here is that parents can make a difference in helping their children fight against autism," Baker says.
Reference:
University of Miami (2010, February 25). Mother's sensitivity may help language growth in children with autism spectrum disorder.ScienceDaily. Retrieved February 27, 2010, from http://www.sciencedaily.com/releases/2010/02/100225101224.htm
Credits to Gan Shy Cheat (T1)
Wednesday, February 24, 2010
Lipodystrophy
Lipodystrophy is a medical condition characterized by abnormal or degenerative conditions of the body’s adipose tissue. (”Lipo” is Greek for “fat” and “dystrophy” is Greek for “abnormal or degenerative condition”.) A more specific term, lipoatrophy is used when describing the loss of fat from one area (usually the face). This condition is also characterized by a lack of circulating leptin which may lead to osteosclerosis.
Zara Hartshorn has been robbed of her childhood. Her mom took her out of school because the bullying was so bad. A bus driver laughed in her face recently when she tried to pay the child’s fare. Strangers stare and point in the street. Kids call her “grandma,” “monkey” and “baggy face.”
Zara is 13 but has a rare genetic condition that makes her look much, much older than her years. She has the face of a grown woman, gaunt and wrinkled. But she’s a frightened teen inside.
“It feels like people are looking down their noses at me and staring,” she said at her home in northern England. “You know when you get that feeling you’re being watched? I feel that everywhere I go.”
Zara’s mother, Tracey Pollard, feels her pain: She, too, was born with lipodystrophy.
Pollard, 41, noticed the tell-tale signs in Zara’s face at birth. “I was grieving for a child that’s got to go through the same things in life that I’ve had to go through,” she said. “I was angry at myself for actually having Zara.”



Monday, February 15, 2010
Changes proposed in how psychiatrists diagnose

Changes proposed in how psychiatrists diagnose
WASHINGTON – Don't say "mental retardation" — the new term is "intellectual disability." No more diagnoses of Asperger's syndrome — call it a mild version of autism instead. And while "behavioral addictions" will be new to doctors' dictionaries, "Internet addiction" didn't make the cut.
The American Psychiatric Association is proposing major changes Wednesday to its diagnostic bible, the manual that doctors, insurers and scientists use in deciding what's officially a mental disorder and what symptoms to treat. In a new twist, it is seeking feedback via the Internet from both psychiatrists and the general public about whether the changes will be helpful before finalizing them.
The manual suggests some new diagnoses. Gambling so far is the lone identified behavioral addiction, but in the new category of learning disabilities are problems with both reading and math. Also new is binge eating, distinct from bulimia because the binge eaters don't purge.
Sure to generate debate, the draft also proposes diagnosing people as being at high risk of developing some serious mental disorders — such as dementia or schizophrenia — based on early symptoms, even though there's no way to know who will worsen into full-blown illness. It's a category the psychiatrist group's own leaders say must be used with caution, as scientists don't yet have treatments to lower that risk but also don't want to miss people on the cusp of needing care.
Another change: The draft sets scales to estimate both adults and teens most at risk of suicide, stressing that suicide occurs with numerous mental illnesses, not just depression.
But overall the manual's biggest changes eliminate diagnoses that it contends are essentially subtypes of broader illnesses — and urge doctors to concentrate more on the severity of their patients' symptoms. Thus the draft sets "autism spectrum disorders" as the diagnosis that encompasses a full range of autistic brain conditions — from mild social impairment to more severe autism's lack of eye contact, repetitive behavior and poor communication — instead of differentiating between the terms autism, Asperger's or "pervasive developmental disorder" as doctors do today.
The psychiatric group expects that overarching change could actually lower the numbers of people thought to suffer from mental disorders.
"Is someone really a patient, or just meets some criteria like trouble sleeping?" APA President Dr. Alan Schatzberg, a Stanford University psychiatry professor, told The Associated Press. "It's really important for us as a field to try not to overdiagnose."
Psychiatry has been accused of overdiagnosis in recent years as prescriptions for antidepressants, stimulants and other medications have soared. So the update of this manual called the DSM-5 — the Diagnostic and Statistical Manual of Mental Disorders, fifth edition — has been anxiously awaited. It's the first update since 1994, and brain research during that time period has soared. That work is key to give scientists new insight into mental disorders with underlying causes that often are a mystery and that cannot be diagnosed with, say, a blood test or X-ray.
"The field is still trying to organize valid diagnostic categories. It's honest to re-look at what the science says and doesn't say periodically," said Ken Duckworth, medical director for the National Alliance for the Mentally Ill, which was gearing up to evaluate the draft.
The draft manual, posted at http://www.DSM5.org, is up for public debate through April, and it's expected to be lively. Among the autism community especially, terminology is considered key to describing a set of poorly understood conditions. People with Asperger's syndrome, for instance, tend to function poorly socially but be high-achieving academically and verbally, while verbal problems are often a feature of other forms of autism.
"It's really important to recognize that diagnostic labels very much can be a part of one's identity," said Geri Dawson of the advocacy group Autism Speaks, which plans to take no stand on the autism revisions. "People will have an emotional reaction to this."
Liane Holliday Willey, an author of books about Asperger's who also has the condition, said in an e-mail that school autism services often are geared to help lower-functioning children.
"I cannot fathom how anyone could even imagine they are one and the same," she wrote. "If I had put my daughter who has a high IQ and solid verbal skills in the autism program, her self-esteem, intelligence and academic progress would have shut down."
Terminology also reflects cultural sensitivities. Most patient-advocacy groups already have adopted the term "intellectual disability" in place of "mental retardation." Just this month, the White House chief of staff, Rahm Emanuel, drew criticism from former GOP vice presidential nominee Sarah Palin and others for using the word "retarded" to describe some activists whose tactics he questioned. He later apologized.
___
AP Medical Writer Lindsey Tanner in Chicago contributed to this report
Retrieved February 15, 2010 from http://news.yahoo.com/s/ap/20100210/ap_on_he_me/us_med_mental_disorders
By Daniel Ho Khee Hoong, T2
Tuesday, February 9, 2010
Early Recognition of Child Development Problems
Early recognition of developmental problems (such as autism, dyslexia etc) in children is essential so that early intervention can take place and that child can live a normal life and live to their full potential.