A case report of a 33-year-old woman with atypical bipolar disorder, autistic disorder, profound mental retardation and a chromosomal anomaly is presented. [ncbi.nlm.nih.gov]

Results are presented for each criterion variable, and the implications of the findings for service and research are discussed. [experts.illinois.edu]

• Disability

  In: Journal of Developmental and Physical Disabilities, Vol. 21, No. 6, 01.11.2009, p. 523-535. [experts.umn.edu]

  Such reactions result from the insecurity of people whose disabilities prevent them from adjusting to perceived threats. [ncbi.nlm.nih.gov]

  Many are blind, deaf, mute and/or physically disabled. [psychcentral.com]

  The modern terminology distinguishes between mild, moderate, severe, and profound levels of disability. Historically persons with intellectual disabilities have been deprived of certain rights (as in not being allowed to vote). [merriam-webster.com]

• Epilepsy

  Stagno, S (1996)“Psychiatric Aspects of Epilepsy” InWyllie,E (Ed) The Treatment of Epilepsy: Principles and Practice. Williams and Wilkins. Baltimore. p 1131-42. [thenadd.org]

  A 39-year-old man with generalized tonic clonic epilepsy and profound mental retardation sustained 18 fractures (15 in appendicular and 3 in axial bones) during 19 years. Both femoral necks were fractured, requiring surgical repair. [ncbi.nlm.nih.gov]

  Descriptive sleep information on 28 people with severe or profound mental retardation and epilepsy was presented here. [ndcn.ox.ac.uk]

• Pain

  In this paper, we report an unusual presentation of hibernoma of the posterior cervical triangle characterized by both severe pain and rapid growth. [bmcearnosethroatdisord.biomedcentral.com]

  For the clergy the knowledge of certain forms is important, especially those that occur fairly frequently among religious persons, and are highly troublesome and painful. [en.wikisource.org]

  We stand on the side of the dance floor appalled at the possibility of being called to join in, we attempt to make our excuses the moment the music begins, we take pains that no one will ever, ever see our hips unite with a beat. [theschooloflife.com]

  Counseling can also be valuable for the family of a retarded child to help parents cope with painful feelings about the child's condition, and with the extra time and patience needed for the care and education of a special-needs child. [psychology.jrank.org]

  The teenage/young adult Laura she paints just isn’t very likeable and the self destruction so painful And frustrating to watch. But ain’t that way when it comes to the disease of addiction. [amazon.com]

• Trisomy 21

  The characteristic phenotype of Down syndrome is basically the same in trisomy 21 and in translocation. [emedicine.medscape.com]

  Down syndrome • Down syndrome usually caused by – the presence of an extra 21st chromosome, – Mosaicism: chromosome splits into many small parts – Trisomy 21: chromosonal split resembles presence of 3 21st chromosomes – Related to maternal age, but not [slideshare.net]

  Down syndrome occurs when there is an extra chromosome in the 21st pair of chromosomes (known as trisomy 21). People with Down syndrome have 47 chromosomes instead of the normal46. The disorder occurs in one out of every 600-700 births worldwide. [psychology.jrank.org]

  See color insert for color version of photo. chromosome 18 (trisomy 18) and Down syndrome. Down syndrome, also called mongolism or trisomy 21, is caused by an abnormality in the development of chromosome 21. [minddisorders.com]

• Crying

  Promptly at 7:30 treatment patients were rounded up by the cry, 'Treatment patients git to the door.' Begging, pleading, crying, and resisting, they were herded into the gymnasium and seated around the edge of the room. [sos.mo.gov]

  Coincidentally later that night, found myself conversing with Merv about humans being robots themselves primarily, the implied meaning of robots as labor, homogenous thinking, that the battle cry of Workers of the World, unite, is really a trap into homogeneity [postpablo.wordpress.com]

  Anxiety disorder is different from transient… Alarming Signs of Depression Nobyembre 10, 2018 0 Alarming Signs of Depression Inability to experience happiness Sad mood for most of the time of the day Crying spells Less appetite… Red Flags of Autism Spectrum [psychologyclinix.com]

  ETIOLOGY… Genetic Factors Chromosomal abnormalities Down’s syndromes Fragile X syndrome Trisomy X syndrome Turner’s syndrome Cat-cry syndrome Prader-willi syndrome 8. Cranial malformation Hydrocephaly,Microcephaly 9. [slideshare.net]

  We should shake ourselves from such inhibitions by loosening our hold on any remaining sense of dignity and by accepting frankly that we are – by nature – of course completely idiotic, great sacks of foolishness that cry in the night, bump into doors, [theschooloflife.com]

• Aspiration

  […] with mental retardation and were scheduled for community placement Serious medical problems in decreasing frequency were constipation (96%), seizure disorder (70%), poor dental hygiene (67%), cerebral palsy (62%), scoliosis (61%), contractions (41%), aspiration [ncbi.nlm.nih.gov]

  Our Ambition Fine Gael is a party of aspiration, a party of enterprise, a party of opportunity, and a party of hope. These are our values and they guide our ambition for this country. [finegael.ie]

  This aspiration hasn’t entirely disappeared in modernity – but it’s been assigned to very particular and woefully selective ambassadors: the disco and the rave. [theschooloflife.com]

  Definition: less than 10th percentile for gestational age, usually not detectable before 32-34 weeks (maximal foetal growth), incidence: 3-7% of all deliveries, 12-47% of twin pregnancies complications: increased risk for perinatal asphysia, meconium aspiration [m.kmle.co.kr]

  The final diagnosis is made after a fine needle aspiration procedure or after the surgical excision [ 6 ]. [bmcearnosethroatdisord.biomedcentral.com]

• Suggestibility

  Data suggesting that lamotrigine may decrease glutamate release encouraged an empirical trial of lamotrigine for treatment of SIB. [ncbi.nlm.nih.gov]

• Fear

  Procedures for reducing dental fear in children with autism. J. Autism Dev. Disord. 26: 547–556. Google Scholar Maguire, K. B., Lange, B., Scherling, M., and Grow, R. (1996). [link.springer.com]

  After 4 weeks of treatment of lamotrigine 200 mg daily, decreases in agitation and fearfulness were clinically observed, along with a 50% reduction in the frequency of SIB as measured by standardized scales. [ncbi.nlm.nih.gov]

  But the greatest enemy of this is fear, and in particular, the fear – as we may put it – that we will look ‘like an idiot’ in front of people whose opinion might matter. [theschooloflife.com]

  Many individuals do not disclose an illness for fear of stigma and discrimination. This fear may be compounded if an employee feels that a job is in jeopardy or a student worries that admission may not be offered. [cpr.bu.edu]

  • I fear he is truly an idiot.• If you couldn't handle your booze then you were a bloody idiot to drink and drive, that was not negotiable.• Only a very disinterested idiot could miss, and be unimpressed by, either.• Whenever I phone the bank I get through [ldoceonline.com]

• Behavior Disorder

  Disability Subscribe to Newsletter What is a Disability Mental Retardation Diversity in MR Services Learning Disabilities LD Diagnosis Student Success Emotion/Behavior Disorders Orthopedic Impairment Traumatic Brain Injury Visual Impairment Auditory Impairment [spiritlakeconsulting.com]

  The data presented support the hypothesis that genetic variation at NR2E1 may be associated with susceptibility to brain‐behavior disorders. © 2008 Wiley‐Liss, Inc. [onlinelibrary.wiley.com]

  Anxiety disorders or posttraumatic stress disorder may present with some SIB in response to frustration or threatening situations; fearfulness and avoidant behaviors. [thenadd.org]

  […] mental disorders marked by specific behavioral phenotypes. [nap.edu]

  Symptomatic Treatment Treatment of aggression and self-injurious behavior secondary to mood disorders or psychotic disorders has met with some success. [pipatl.org]

• Stereotyped Behavior

  Conceptualizations regarding factors that maintain stereotypic behavior and engagement were discussed in the context of the three experimental conditions. [ncbi.nlm.nih.gov]

  Moreover, there was a trend showing a correlation between the genotypes for the third polymorphism and the severity of stereotypical behavior as ranked by the Gilliam Autism Rating Scale. [journals.sagepub.com]

  Autistic disorder - communication _ Delayed or total lack of spoken language _ Impaired initiation or sustained conversation _ Repetitive use of language _ Often thought to be hearing impaired prior to diagnosis Autistic disorder - stereotyped behavior [umsl.edu]

  Among individuals with profound retardation, impaired adaptive behaviors, excitability, explosiveness, hyperactivity, agitation and pacing, irritability and aggression, stereotypic behaviors and self-injurious behaviors generate psychiatric referrals [thenadd.org]

  Pervasive developmental disorder, not otherwise specified (PDD NOS) shares many characteristics with autism, including marked impairment of communication, social interaction, and stereotypic behaviors. [nap.edu]

• Delusion

  Delusions of the wildest character may also be present. [en.wikisource.org]

  Organic causes of delusions and hallucinations frequently involve damage to the temporal lobes or limbic structures (Hurley, 1996). [thenadd.org]

  Positive symptoms include hallucinations, delusions, and thought disorders. *Adapted from Zuckerman, D., Debenham, K., & Moore, K. (1993). The ADA and People with Mental Illness: A Resource Manual for Employers. [cpr.bu.edu]

  Asking a person with an IQ below 40 about hallucinations, delusions, or guilt is seldom productive. [pipatl.org]

• Confusion

  For in psychology there are experimental methods and conceptual confusion. ‎ [books.google.com]

  Conditions of confusion, delusions of persecution, of poisoning, of megalomania of varying types occur. [en.wikisource.org]

  For Selin, this is a journey further inside herself: a coming to grips with the ineffable and exhilarating confusion of first love, and with the growing consciousness that she is doomed to become a writer. [saxo.com]

  Idiot characters in literature are often confused with or subsumed within mad or lunatic characters. [en.wikipedia.org]

  Panic disorder may be confused with CPSs that involve ictal fear (Pollack & Scott, 1997). [thenadd.org]

• Excitement

  Excited Melancholia. —Excited melancholia is almost invariably a disease of old age or the decline of life, and it attacks men and women with equal frequency. [en.wikisource.org]

  I was excited when we got this book at work... However I was really disappointed. The Hokey Pokey? Seriously? The big push now is to have age appropriate activities in the workshops, and I did not find much new or creative in this book. [amazon.co.uk]

  Idiots in Isolation As we all live through these extraordinary times of constraint we have put together an exciting programme of activity that responds to our current sense of isolation and allows people to continue to engage with our work digitally. [toldbyanidiot.org]

  Enter a word (“newspaper”), a word combination (“exciting trip”) or a phrase (“with all good wishes”) into the search box. [it.pons.com]

• Profound Intellectual Disability

  Convert to ICD-10-CM : 318.2 converts directly to: 2015/16 ICD-10-CM F73 Profound intellectual disabilities Approximate Synonyms Intellectual disability, profound Profound intellectual disability Profound mental retardation (I.Q. below 20) Applies To [icd9data.com]

  ICD-10-CM Codes › F01-F99 Mental, Behavioral and Neurodevelopmental disorders › F70-F79 Intellectual disabilities › F73- Profound intellectual disabilities › Profound intellectual disabilities 2016 2017 2018 2019 Billable/Specific Code F73 is a billable [icd10data.com]

  In 19th- and early 20th-century medicine and psychology, an "idiot" was a person with a very profound intellectual disability. In the early 1900s, Dr. Henry H. [en.wikipedia.org]

  A person with profound intellectual disability having a mental age below three years and generally unable to learn connected speech or guard against common dangers. [yourdictionary.com]

  Profound mental retardation is the rarest and most severe form of intellectual disability, comprising just under two percent of all individuals with mental retardation. (Severity is typically categorized as mild, moderate, severe or profound.) [psychcentral.com]

• Forgetful

  If you put the Thanksgiving turkey in the oven but forget to turn it on, in four hours, you'll have a cold turkey and a bunch of relatives calling you an idiot. [vocabulary.com]

  Do not forget. This visitation Is but to whet thy almost blunted purpose. ‎ [books.google.com]

  […] that special populations also get presbyopia, so don't forget to prescribe for near point tasks) _ Prescription for refractive error (especially large errors; however, don't underestimate the importance of a proper refractive correction to allow the [umsl.edu]

  The Idiot is clumsy: it forgets names, loses important documents, spills food down its front and gets air kisses wrong. It speaks out of turn, thrusts itself forward at inopportune moments, both babbles and blushes. [theschooloflife.com]

• Irritability

  Hypergraphia, hyper-religiosity, irritability, viscosity, and hyposexuality are the primary symptoms. [thenadd.org]

  In other cases we meet with moodiness, which is not sad but irritable and angry, and consequently differs from the regular irritability of the epileptic; it frequently leads to most violent attacks upon those about them. [en.wikisource.org]

  Google Scholar | Medline | ISI Tucker H., Schuster MM : Irritable bowel syndrome: Newer pathophysiologic concepts. Adv Intern Med 1982;27:183-204. Google Scholar | Medline Hammer J., Talley NJ : Diagnostic criteria for the irritable bowel syndrome. [journals.sagepub.com]

  Major management difficulties included sleep disorder and severe irritability, most prominent in the first 3 years of life, unrelated to gastro-oesophageal reflux. Fundoscopic examination was normal and did not disclose optic atrophy or retinopathy. [jmg.bmj.com]

  Aggression reflects preseizure irritability. Aggression reflects irritability secondary to mania, depression, or organic mood disorder. Aggression represents rage attacks. Aggression is associated with task-related anxiety. [pipatl.org]

(Review of lipoma and epidermal inclusion cysts including workup and treatment.) Bancroft, LW, Kransdorf, MJ, Peterson, JJ, O’Conner, MI. “Benign fatty tumors: classification, clinical course, imaging appearance, and treatment”. [dermatologyadvisor.com]

Initial imaging workup includes USG followed by computed tomography (CT) or MRI, 18-F-fluorodeoxyglucose position emission tomography (18F-FDG-PET), and angiography. USG shows a well-circumscribed hyperechoic mass. [ijpmonline.org]

Data suggesting that lamotrigine may decrease glutamate release encouraged an empirical trial of lamotrigine for treatment of SIB. [ncbi.nlm.nih.gov]

Multidimensional assessment procedure was used to evaluate effects of the TEACCH (Treatment and Education of Autistic and Communication Handicapped Children) program principles and strategies (i.g. individualization, structured learning, environmental [moh-it.pure.elsevier.com]

Qualitative and quantitative effects of treatment for dental fear and avoidance. Anesth. Prog. 33: 9–13. Google Scholar Clevenger, W. E., Wigal, T., Salvati, N., Burchill, R., and Crinella, F. M. (1993). [link.springer.com]

Our patient illustrates the need for study of several tissues in patients with complex aneuploidy syndromes or atypical manifestations of a given syndrome (such as prolonged survival), as well as the need for caution in counseling families about prognosis [ncbi.nlm.nih.gov]

Nuclear medicine FDG-PET: FDG avid, although practically this has not been shown to help differentiate from malignancy Treatment and prognosis The treatment of hibernomas consists of complete surgical excision. [radiopaedia.org]

_ VEP (only occasionally needed) _ Have realistic expectations, but give the special needs patients full consideration Clinical decisions for special populations _ Strabismus prognosis is generally poor _ Vision therapy can be useful and effective in [umsl.edu]

This includes whatever statements and treatment notes that may have been obtained from your treating physician (a doctor who has a history of treating your condition and is, therefore, qualified to comment as to your condition and prognosis). [ssdrc.com]

 Diagnosis of the child should be fully explained to them, and also the prognosis.  Principles of management should be explained in detail.. 40. Parental feelings and the home situation should also be discussed. [slideshare.net]

Etiology of the Mental Handicap and Incidence of Urinary Leakage Table-3 shows the incidences of urinary symptoms at 7 to 10 years old and the etiology of their mental problem. [scielo.br]

Abstract Although profound mental retardation is generally associated with various organic etiologies that result in substantial cognitive and behavioral deficits, little is known about specific subgroups of persons with profound mental retardation. [ncbi.nlm.nih.gov]

Etiology The etiology involves clinically significant persistence of remnants of or accumulation of brown fat in regions where small amounts of brown fat normally persist as vestigial remnants. [dermatologyadvisor.com]

[…] undergraduate students (physical therapy, occupational therapy, speech therapy, social work, psychology, nursing, vocational counseling, therapeutic recreation, hospital administration), as well as practitioners, about the most current information on the etiology [books.google.com]

Etiology A number of environmental, genetic or multiple factors can cause mental retardation. [aafp.org]

EPIDEMIOLOGY ……. About 3% of the world population is estimated to be mentally retarded. •In India, 5 out of 1000 children are mentally retarded (The Indian Express ). •Mental retardation is more common in boys than girls. [slideshare.net]

Definition / general Lipoma containing prominent brown adipocytes that resembles normal brown fat as classic lipoma resembles white fat Epidemiology Rare (2% of lipomas) Mean age 26 - 38 years; 60% male Sites Most commonly in axilla, back, mediastinum [pathologyoutlines.com]

[…] of Psychiatry, Medical College of Virginia), as were later studies of the genetic epidemiology of schizophrenia and alcoholism, as parts of a collaboration extending over nearly a quarter century. [cambridge.org]

The current literature was reviewed about epidemiology, clinical course, diagnosis and treatment. [bmcearnosethroatdisord.biomedcentral.com]

Google Scholar | Crossref | ISI Kahn HA, Sempos CT : Statistical Methods in Epidemiology. New York, Oxford University Press, 1989. [journals.sagepub.com]

Animal models of SIB suggest that the glutamate neurotransmitter systems, involved in the generation of epileptic seizures, may also have a role in the pathophysiology of SIB. [ncbi.nlm.nih.gov]

Pathophysiology Pathophysiology involves cytogenic abnormalities of chromosomes 11q13-21 and 10q22, which can cause a deletion in the MEN-1 gene. Structural rearrangements involving the long arm of chromosome 11 are characteristic. [dermatologyadvisor.com]

Google Scholar | Medline | ISI Tucker H., Schuster MM : Irritable bowel syndrome: Newer pathophysiologic concepts. Adv Intern Med 1982;27:183-204. Google Scholar | Medline Hammer J., Talley NJ : Diagnostic criteria for the irritable bowel syndrome. [journals.sagepub.com]

Such reactions result from the insecurity of people whose disabilities prevent them from adjusting to perceived threats. [ncbi.nlm.nih.gov]

SECONDARY PREVENTION Early treatment of correctable disorders Early recognition of presence of mental retardation 31. TERTIARY PREVENTION Treatment of psychological and behavioral problems. [slideshare.net]

Fetal Alcohol Syndrome can also be prevented: pregnant women should not drink alcohol. [cdc.gov]

Preventive measures Some types of mental retardation can be prevented through genetic counseling to determine the risk of a couple having a retarded baby. [psychology.jrank.org]

Return to Special Needs Resource Centers for Disease Control and Prevention. 2014. [adoption.com]