Lectures

Intellectual Disability in Children

by Brian Alverson, MD
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    00:01 Intellectual disability is a different phenomenon.

    00:04 Let's focus in on that one too.

    00:07 Intellectual disability is any significantly impaired cognitive functioning.

    00:12 It is no longer called mental retardation.

    00:16 We use to call both cerebral palsy and mental retardation MRCP.

    00:22 We try to avoid that phrase because people with intellectual disability may find that a pejorative or an unpleasant thing to say.

    00:31 In fact, President Obama signed Rosa's Law which officially renamed the condition in the United States from mental retardation to Intellectual disability.

    00:42 So intellectual disablity affects about 2% of people.

    00:47 It may be associated with genetic mutations.

    00:50 The classic example wil be Down's syndrome.

    00:52 Where all people with Down syndrome except perhaps some mosaic individuals will be affected by some degree of intellectual disability.

    01:01 But more than half of cases there really is no identifiable causes to why intellectual disability has occured. It simply has.

    01:12 So, when we are measuring mental disablity, we often use the IQ score.

    01:18 Remember than the average person has an IQ score of 100.

    01:23 We classify intellectual disability as mild if their IQ score is 50-55.

    01:29 Moderate if it's 35-49 and severe if it's 20-34 and profound if it's less than 20.

    01:37 So intellectual disability is generally managed through intense cognitive therapy.

    01:43 Remember, that children who are having trouble in school have the right to an individualized learning plan, which can help them curtail their education to their individual learning needs.

    01:55 The ILP is often instigated by parents and physicians can help parents learn about how ILP's are used to improve their child's outcomes.

    02:07 There are special schools available for children with more intensive cognitive therapy.

    02:12 But the state needs to be educating all children regardless of their intellectual capacity.

    02:19 It's important to work on social skill building.

    02:22 We can't just think about cognitive outcomes as being able to do math, reading problems like that.

    02:29 We have to help these chidren develop social skills because being inherently social is being inherently human.

    02:36 And again, don't forget about the individualized learning plan, that is very important for these children.

    02:42 That is a brief summary of Cerebral Palsy and Intellectual disability.

    02:47 Thanks for your attention.


    About the Lecture

    The lecture Intellectual Disability in Children by Brian Alverson, MD is from the course Pediatric Neurology. It contains the following chapters:

    • Intellectual Disability
    • Diagnosis of Intellectual Disability
    • Management of Intellectual Disability

    Included Quiz Questions

    1. Half of the cases have no identifiable cause.
    2. It is usually associated with a genetic mutation like Trisomy 21.
    3. A patient with an IQ score of 70 has moderate intellectual disability.
    4. Patients should receive stimulant therapy.
    5. Technically, we call this problem mental retardation
    1. Intense cognitive therapy
    2. Cognitive behavioural therapy
    3. Biofeedback
    4. Group therapy
    5. Motivational interviewing
    1. Severe intellectual disability
    2. Mild intellectual disability
    3. Moderate intellectual disability
    4. Profound intellectual disability
    5. Mental retardation

    Author of lecture Intellectual Disability in Children

     Brian Alverson, MD

    Brian Alverson, MD


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