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智能障礙者常見的精神異常 及其處理 PowerPoint PPT Presentation


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智能障礙者常見的精神異常 及其處理. 徐立仁醫師 桃園榮民醫院精神部 2006/10/11. 智能障礙 學習疾患 發展性運動協調疾患 溝通疾患 廣泛性發展疾患. 注意力缺失 / 過動疾患 餵食及飲食性 疾患 抽動性疾患 排泄性疾患 分離焦慮疾患. 通常初診斷於嬰兒、兒童、青春期的精神疾病. 第ㄧ軸: 臨床疾患 第二軸: 人格疾患 智能不足 第三軸: 一般性醫學狀況 第四軸:心理社會及環境的問題 第五軸:功能的整體評估( GAF Scale ). 精神科五軸診斷.

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智能障礙者常見的精神異常 及其處理

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5944319

2006/10/11


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/


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GAF Scale


Mental retardation

50-70 IQ 85% 9-12

35~49 IQ 10% 6-9

20~ 34 IQ 3-4 % 3-6

< 20 1-2% < 3

: ~

: 1. 2. 3. 18

: 1 %

: 71-84

( Mental Retardation )


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1. 2. Prenatal 3. Perinatal 4. 5.


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4-18


Pervasive developmental disorders

:

:

: RettAsperger

( Pervasive Developmental Disorders )


Autistic disorder

:0.02-0.05%:=3.5:175%

1.

2.

3.

( Autistic Disorder )


Attention deficit hyperactivity disorder

:

A 1() A2( )

A1/A2

B.

C.

D. ( )

E . PDD ,

/ ( Attention-deficit / Hyperactivity Disorder )


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A 1 ( )


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A2 ( )


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/


Schizophrenia

: 15-25 25-35

: 1 2 %

: ,

50% 10 %

( Schizophrenia )


Bipolar disorder

: (5-60 )

:

: 10% ~ 20% ( 6-9 m ) 10 %

: 1%

( Bipolar Disorder )


Major depression

: //

6-13m3m

: 10-25 %

2/3 15%

( Major Depression )


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1. 2002 2.

3.

1. 2. 3.

(1)


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1. 2

(2)


Anxiety disorders

PTSD

( Anxiety Disorders )


Obsessive compulsive disorder

: 2-3 %( teenage)

episodic

( Obsessive-Compulsive Disorder)


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Antipsychotics

Antipsychotics


Antipsychotics1

1. EPSa. b. c. d. 2. NMS 3.

Antipsychotics


Mood stabilizers

Carbamazepine Valproate

Mood Stabilizers


Antidepressants

/( SSRI)(SNRI)( NDRI)(NaSSA)

Antidepressants


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1. 2. 3. 4. 5. 6.


Central stimulants

MethylphenidateRetalin

Central stimulants


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