Juvenile Huntington s Disease
|
|
|
- Barnard Kerry Arnold
- 5 years ago
- Views:
Transcription
1 Juvenile Huntington s Disease A. Sasha Duffy, D.O. HDSA Center of Excellence at UC Davis
2 Juvenile Huntington s Disease Genetically inherited neuropsychiatric degenerative disease Caused by abnormal CAG expansion of the HD gene leading to a mutated huntingtin protein which causes cellular disturbances and dysfunction 50/50 chance of inheriting the gene from an affected parent
3 Juvenile Huntington s Disease Symptom onset before the age of 20 CAG repeats of > 50 Fewer than 10% of people with HD have JHD Only 1-2% of people with HD have childhood onset before the age of
4
5 How do we get from 40 to 60? Mutable normal allele (27-35) and reduced penetrance Mutable gene is unstable and may undergo anticipation in that it may increase from one generation from the next Maternal transmission: +/- 2 Paternal transmission: -2 to + 20 or more Paternal cases for most JHD cases (case reports from maternal inheritance)
6 Juvenile Huntington s Disease Affects memory, movement and mood Leading to changes in thinking, difficulties with movements and psychiatric and behavioral disturbances MOVEMENT Different from typical adult-onset HD, particularly a child under 10 years of age Unique challenges MEMORY MOOD
7 Typical Initial Symptoms of JHD + family history, usually in the father Stiffness in the legs Clumsiness in the arm and legs Decline in cognitive function Changes in behavior Seizures Changes in oral motor function Chorea in adolescent Behavioral disturbances MOVEMENT MEMORY MOOD
8 MEMORY Decline in cognitive function (thinking and reasoning) Initially subtle following by progression May appear distracted, easily be overwhelmed and/or having difficulty completing tasks Loss of skills previously gain (milestones) and difficulty learning new skills Decline in school performance Attention and concentration difficulties Problems with multitasking and decision making
9 MOVEMENT Worsening of motor skills Changes in speech, riding a bicycle, or throwing a ball Rigidity or stiffness Dystonia (abnormal tightness and posturing) Difficulty walking Clumsiness Poor oral control with drooling and difficulty swallowing Chorea is rare but can be seen in adolescent onset
10 Psychiatric and behavioral changes Depression: sadness, tearful, feeling hopeless, changes in sleep, appetite, energy, and overall performance Attention difficulties or hyperactivity Hypersexuality Aggressiveness, impulsivity, explosive behavior Obsessive thinking MOOD
11 MOOD Affect of disease on the brain verses psychological stress of the disease Behaviors can be unpredictable and difficult to manage (disease verses normal changes and urges of being a teenager) Can lead to substance abuse (drugs or alcohol) Causes disruptions in family or social life
12 Seizures Can be the presenting symptom About 25% of children with JHD May be any type and differ in severity Babies and children can have seizures due to many other causes not related to JHD
13 Young Adult HD The young adult with features of JHD and HD Not everyone fits perfectly into JHD and adult onset HD Special attention to an individuals presentation and particular needs You can be a part of both JHD and HD
14 Challenges in diagnosing JHD Many symptoms found in other conditions What else could it be? + HD genetic testing does not necessarily mean that the symptoms are due to JHD Complicated family history Parent not affected yet Early death of a parent (before they were affected) Misdiagnosis or lack of diagnosis in affected parent Non-paternity adoption
15 Evaluation for possible JHD Talk to your health care provider Seek referral or reach out to a HD Center What to expect: Medical and neurological history Family history Developmental history Neurological exam Discussion about impression and plan Do not be afraid to ask questions A diagnosis of JHD takes time Routine follow-up
16 Genetic testing? If the history and examination are strongly suggestive of HD then may proceed with confirmatory genetic testing If symptoms are not typical or exam is not clear then genetic testing should not necessarily be pursued at that time GOAL: make an appropriate and timely diagnosis while avoiding the potential risks of testing a child inappropriately or prematurely
17 Your Medical Team HD COE: Neurologist, Psychiatrist, Social Worker, Genetic Counselor, Therapist, Research Coordinator Therapy: Physical, occupational and speech Dietician Primary care physician Dental care
18 HDSA Center of Excellence at UC Davis Skip to main content JP Roberson Foundation Charles and Margaret Pue Foundation Huntington s Disease Clinic UC Davis Health System News Jobs Giving UC Davis H U N T I N G T O N S D I S E A S E Center Of Excellence OUR M ISSION: To provide excellent, comprehensive and compassionate care and outreach to families To provide expert education to families, researchers and health care providers To advance Huntington's Disease research pecial Note r. Wheelock and Dr. Duffy are conducting two anonymous r esearch surveys about HD. he Predictive Testing Survey will help us better understand the thoughts and experience of Our Directors Vicki Wheelock, Clinical Professor Lorin Scher, Assistant Clinical
19 Your Medical Care Each person has their own individual course with medical care tailored to their needs Treatment focuses on Education Movement disorders Cognitive disorders Behavioral and Psychiatric issues Seizures Psychosocial dynamics
20 Movement Disorder Treatment Early intervention Safety devices and equipment assessment Physical therapy and range of motion exercises Safety measures and fall prevention Rigidity Sinemet, Amantadine, Botulinum toxin therapy Spasticity and dystonia Baclofen, Tizanidine, Clonazepam MOVEMENT Chorea Tetrabenazine (Xenazine) Neuroleptics: Zyprexa, Risperdal, Abilify, Haldol, etc
21 Cognitive Impairment Management Provide a stable and predictable environment Create daily schedule Minimize distractions and noise Simplify tasks and decisions Re-orientation Creative reminders MEMORY Modifications at school (Individual Education Plan)
22 Behavioral and Psychiatric Management Affect of disease on the brain verses psychological stress of the disease Depression: sadness, tearful, feeling hopeless, changes in sleep, appetite, energy, and overall performance Anti-depressants (SSRI, SNRI, TCA, other): Zoloft, Celexa, Effexor, Wellbutrin, Remeron, etc MOOD
23 Behavioral and Psychiatric Management Behaviors can be unpredictable and difficult to manage (disease verses normal changes and urges of being a teenager) Aggressiveness, impulsivity, explosive behavior Behavioral and environmental modification, safety plan Antipsychotics, mood stabilizers or anti-anxiety Rx Obsessive thinking Reassurance and redirection Anti-depressants/ SSRI s MOOD
24 Behavior Management: Sexuality JHD verses adolescent/teenager(s) changing body and hormonal urges Managing menstrual hygiene Contraceptive medication Education about sex Discussing and redirecting inappropriate sexual behavior (touching self in public) Possible treatment with medication
25 Treatment of Seizures Appropriate work-up: brain imaging, electroencephalogram, possible blood tests Many different types of seizures Seizure precautions discussed Importance of medication compliance Medication treatment (depending on seizure type): Keppra, Depakote, Lamictal, Tegretol, Topamax, Zonegran, etc
26 Other Medical Issues Choking (dysphagia) Avoidance of aspiration Use of a straw and modification of food consistency Small and slow Nutrition Nutritious high calorie food Frequent snacks (milkshakes, ensure, muscle milk) Communication Electronic communication devices Hand gestures
27 Late Stage JHD Early discussions regarding possibilities and goals of care Severe stiffness in limbs leaving some children wheelchair or bed bound Treatment of any discomfort Attention to possible malnutrition, infections of the urine and lung and skin sores In home services and placement outside of the home Sensitive issues to discuss: feeding tube, goals of care, palliative care, hospice care Advance directive
28 Caregivers Handling the emotions of such a diagnosis Managing your own feelings Practical and emotional support Outlets Caring for the caregiver Support groups Knowing your resources Respite Create your HD family
29 In the moment Attempt to take pause and live in the moment Enjoy the simple things in life Have the moment be NOT about JHD
30 Key Points Education Know where to turn for help and support Advocate (HD warriors) And maintain hope through research!
31 Thank you to our JHD & HD families for your strength, courage, and inspiration!
Managing Challenging Behaviors
Managing Challenging Behaviors Barbara J. Kocsis, MD Psychiatry Resident, HDSA Center of Excellence UC Davis School of Medicine In partnership with Drs. Lorin Scher, MD and Vicki Wheelock, MD 1 Our Goal
Introduction to Huntington s Disease. Huntington s Disease Society of America Center of Excellence at UC Davis June 4, 2013
Introduction to Huntington s Disease Huntington s Disease Society of America Center of Excellence at UC Davis June 4, 2013 Welcome! HDSA Center of Excellence UC Davis Medical Center Vicki Wheelock MD,
Managing Challenging Behaviors
Managing Challenging Behaviors Barbara J. Kocsis, MD Psychiatry Resident, HDSA Center of Excellence UC Davis School of Medicine & Lorin M. Scher, MD Attending Psychiatrist, HDSA Center of Excellence UC
Psychiatric and Behavioral Challenges in HD
Psychiatric and Behavioral Challenges in HD Lorin M. Scher, MD Department of Psychiatry and Behavioral Sciences UC Davis School of Medicine June 8 th 2012 1 Disclosure Advisory Board for Lundbeck Inc.
Juvenile Huntington s Disease. Josh Dayananthan, MD Movement Disorders Fellow HDSA Center of Excellence at UC Davis Medical Center
Juvenile Huntington s Disease Josh Dayananthan, MD Movement Disorders Fellow HDSA Center of Excellence at UC Davis Medical Center What is JHD? Huntington s disease (HD) is an inherited neuropsychiatric
Vicki Wheelock MD. HDSA Center of Excellence at UC Davis June 5, 2009
Vicki Wheelock MD HDSA Center of Excellence at UC Davis June 5, 2009 The information provided by speakers in workshops, forums, sharing/networking sessions and any other educational presentation made as
Juvenile-onset Huntington s disease
Juvenile-onset Huntington s disease Presenter Disclosures Martha A. Nance MD The following personal financial relationships with commercial interests relevant to this presentation existed during the past
HDSA welcomes you to Caregiver s Corner. Funded by an educational grant from
HDSA welcomes you to Caregiver s Corner Funded by an educational grant from Caregiver s Corner Webinar, DATE Managing Psychiatric Symptoms Peg Nopoulos, M.D. Professor of Psychiatry, Neurology, and Pediatrics
How to Effectively Manage the Motor Symptoms of HD
How to Effectively Manage the Motor Symptoms of HD Yvette Bordelon, MD, PhD Associate Clinical Professor of Neurology David Geffen School of Medicine at UCLA The information provided by speakers in workshops,
Medications for Early/Mid Stage HD
Medications for Early/Mid Stage HD Robert Y. Moore, MD, PhD, FAAN Love Family Professor Department of Neurology University of Pittsburgh Director, Huntington s s Disease Program University of Pittsburgh-UPMC
Genetic Testing Program for Huntington s Disease
Genetic Testing Program for Huntington s Disease Genetic testing for the Huntington s Disease (HD) gene expansion became possible in 1993. This test can be used to confirm the diagnosis in someone who
HDSA Annual Convention June 2013 Behavior Issues: Irritability and Depression Peg Nopoulos, M.D.
HDSA Annual Convention June 2013 Behavior Issues: Irritability and Depression Peg Nopoulos, M.D. Professor of Psychiatry, Neurology, and Pediatrics University of Iowa, Iowa City, Iowa The information provided
DEPRESSION. Men and women of all ages, races, and economic levels can have depression. It occurs more often in women.
DEPRESSION The exact cause of depression is not known. Many researchers believe it is caused by chemical imbalances in the brain, which may be hereditary or caused by events in a person's life. Some types
Recognition and Management of Behavioral Disturbances in Dementia
Recognition and Management of Behavioral Disturbances in Dementia Danielle Hansen, DO, MS (Med Ed), MHSA INTRODUCTION 80% 90% of patients with dementia develop at least one behavioral disturbances or psychotic
Psychiatric Medications. Positive and negative effects in the classroom
Psychiatric Medications Positive and negative effects in the classroom Teaching the Medicated Child Beverly Bryant, M.D. Hattiesburg Clinic 9/17/14 Introduction According to the National Survey of Children
Creating Partnerships. Laine Young-Walker, MD
Creating Partnerships Laine Young-Walker, MD Psychiatry is the medical specialty devoted to the study, diagnosis, treatment and prevention of mental disorders. Medical school >>>four years of residency
The Mental Health and Wellbeing of Children and Adolescents who are affected by Autism and Related Disorders
The Mental Health and Wellbeing of Children and Adolescents who are affected by Autism and Related Disorders Charles Cartwright, M.D Director: YAI Autism Center March 2013 Autism Spectrum Defined by the
Mood Disorders for Care Coordinators
Mood Disorders for Care Coordinators David A Harrison, MD, PhD Assistant Professor, Dept of Psychiatry & Behavioral Sciences University of Washington School of Medicine Introduction 1 of 3 Mood disorders
Depression After Traumatic Brain Injury (TBI)
Depression After Traumatic Brain Injury (TBI) A resource for individuals with traumatic brain injury and their supporters This presentation is based on TBI Model Systems research and was developed with
Disclosures. This speaker has indicated there are no relevant financial relationships to be disclosed.
Disclosures This speaker has indicated there are no relevant financial relationships to be disclosed. Parkinson s Disease, Huntington s Disease and ALS: A brief overview of three diagnoses Leo G. Rafail,
End of Life with Dementia Sue Quist RN, CHPN
End of Life with Dementia Sue Quist RN, CHPN Objectives: Describe the Medicare hospice benefit and services. Discuss the Medicare admission criteria for hospice patients with dementia due to Alzheimer
Katrina Kuzyszyn-Jones, Psy.D. Lepage Associates
Katrina Kuzyszyn-Jones, Psy.D. Lepage Associates www.lepageassociates.com Acute Stress Disorder Posttraumatic Stress Disorder (PTSD) Major Depressive Disorder (MDD) Bipolar Disorder Suicidal Behaviors
Vicki Wheelock MD HDSA Center of Excellence at UC Davis Sacramento, CA
Vicki Wheelock MD HDSA Center of Excellence at UC Davis Sacramento, CA The information provided by speakers in workshops, forums, sharing/networking sessions and any other educational presentation made
Health Care Information for Families of Children with Down Syndrome
Health Care Information for Families of Children with Down Syndrome American Academy of Pediatrics Introduction Down syndrome is a common condition caused by having extra copies of genes on the 21st chromosome.
TRANSCRANIAL MAGNETIC STIMULATION & BRAIN MUSIC THERAPY
TMS - DEPRESSION HISTORY Date: Patient Name: DOB: How did you hear about TMS? What do you know about TMS? Referring Physician? Name of Practice: Name of Inpatient Treatment for Depression: Name of Inpatient
DEVELOPMENTAL BEHAVIOURAL REFERRAL
Date DEVELOPMENTAL BEHAVIOURAL REFERRAL Completed By Role: Paediatrician/GP How long Other professionals involved with the child (e.g. psychologist, OT, speech therapist) Reason for this referral List
Cancer Survivorship NEURO-ONCOLOGY PATIENT SURVIVORSHIP PLAN. Resources and Tools for the Multidisciplinary Team
NEURO-ONCOLOGY PATIENT SURVIVORSHIP PLAN Cancer Survivorship Resources and Tools for the Multidisciplinary Team Your survivorship care plan is a summary of your tumor treatments and recommendations for
Diabetes and You! Depression Devin Sawyer, MD 4/25/03
Diabetes and You! Depression Devin Sawyer, MD 4/25/03 Two types of depression Clinical depression: one who suffers with depressed mood regardless of outside stressors, and Situational Depression: one who,
Non-Motor Symptoms of Parkinson s Disease
Non-Motor Symptoms of Parkinson s Disease Samantha Holden, MD University of Colorado Movement Disorders MOTOR SYMPTOMS Rigidity Bradykinesia Tremor Gait Imbalance NON-MOTOR SYMPTOMS Dementia Urinary frequency
Your guide to recovery. Treating concussions
Your guide to recovery Treating concussions About concussions A concussion is a condition, usually caused when a blow to the head or body causes the brain to move rapidly within the skull, that can temporarily
BACKGROUND HISTORY QUESTIONNAIRE
BACKGROUND HISTORY QUESTIONNAIRE Name: Sex M F Address: Home Number: Work Number: Cell Number: Email: SSN: Name and Address of Employer: Date of Birth: Age: Ethnicity: Referred By: Referral Question or
Hunting for Huntington s
Focus on CME at The University of Western Ontario Hunting for Huntington s Varinder Dua, MBBS, FRCPC Presented at the CME for Regional Mental Health Care, February 2004 Huntington s disease (HD) is a well-defined,
MCPAP Clinical Conversations:
MCPAP Clinical Conversations: After the screen: A Practical Approach to Mental Health Assessment in the Pediatric Primary Care Setting Barry Sarvet, MD Professor and Chair of Psychiatry, UMMS-Baystate
Medications and Non-Pharma Approaches to Treatment. David J. Irwin, MD Penn Frontotemporal Degeneration Center
Medications and Non-Pharma Approaches to Treatment David J. Irwin, MD Penn Frontotemporal Degeneration Center Outline Non-Pharmacological Treatment Strategies Behavior Language Motor Supportive Care Check-points
Delirium in Palliative care. Presentation to Volunteers 2016 David Falk
Delirium in Palliative care Presentation to Volunteers 2016 David Falk Delirium What is delirium? Case Study - Delirium 60+ year old PQ presents to hospice very somnolent. She was admitted with her adult
Wellbutrin/Wellbutrin-SR/ Wellbutrin-XL (bupropion)
Wellbutrin/Wellbutrin-SR/ Wellbutrin-XL (bupropion) Generic name: Bupropion Available strengths: 75 mg, 100 mg immediate-release tablets; 100 mg, 150 mg, 200 mg sustained-release tablets (Wellbutrin-SR);
To Give or not to Give Medication: That is the Question
To Give or not to Give Medication: That is the Question Charmi Patel Rao, MD September 14, 2018 Introduction Board Certified Child & Adolescent Psychiatrist Clinical expertise in ECMH and Developmental
ADULT INTAKE/PSYCHOSOCIAL ASSESSMENT. Name: Date: Referred by:
ADULT INTAKE/PSYCHOSOCIAL ASSESSMENT Name: Date: Referred by: Date of Birth: SSN: Identifying Information (age, marital status, ethnicity, and sex) 1. Reason for Referral: (Why are you here? Describe problems,
Identifying and Assisting Lawyers and Judges with Cognitive Impairments. National Council for Lawyer Assistance Programs.
Identifying and Assisting Lawyers and Judges with Cognitive Impairments National Council for Lawyer Assistance Programs October 9, 2012 Susan Stone, JD, MD Susan Stone and Associates PO Box 220, 180 Bradley
The PD You Don t See: Cognitive and Non-motor Symptoms
The PD You Don t See: Cognitive and Non-motor Symptoms Benzi M. Kluger, M.D., M.S. Assistant Professor of Neurology and Psychiatry University of Colorado Denver Goals 1) What are the most common non-motor
Treating Disruptive Behavior Disorders in Children and Teens. A Review of the Research for Parents and Caregivers
Treating Disruptive Behavior Disorders in Children and Teens A Review of the Research for Parents and Caregivers e Is This Information Right for Me? This information is for you if: A health care professional*
HD CLINIC MEDICAL HISTORY FORM
HD CLINIC MEDICAL HISTORY FORM Welcome to the HDSA Center of Excellence HD Clinic. Please take a few moments to answer the questions below as best as you can. If you need assistance, a caregiver/companion
Beacon Assessment Center Developmental Questionnaire Please complete prior to your first appointment
Beacon Assessment Center Developmental Questionnaire Please complete prior to your first appointment If you would prefer to complete the electronic version of this questionnaire on the Beacon Assessment
Richard Heidenfelder M.D. Child, Adolescent and Adult Psychiatry 447 9th Ave San Diego, CA
*We are not accepting any New Patients who are currently taking any controlled pain medications *We are *Note: not completion accepting of the any following New Patients paperwork who and Initial are Screening
Psychiatric Issues in Patients with Huntington's Disease. Disclosures. Huntington s Disease. Disease Course. Huntington s Disease
Psychiatric Issues in Patients with Huntington's Disease SCPA Sunday, January 27, 2019 Robert Breen, M.D. South Carolina Department of Mental Health University of South Carolina School of Medicine 1 2
Psychiatric symptoms are a common and debilitating
Med/Psych Update HUNTINGTON S DISEASE How to target psychiatric symptoms of Huntington s disease Clinical experience, limited evidence guide selection of symptom-focused treatments Lorin M. Scher, MD Health
ELEMENTAL CENTER MENTAL HEALTH INTAKE FORM
1 Please complete all information on this form. It may seem long, but most of the questions require only a check, so it will go quickly. Thank You! Personal Information First Name Last Name Gender DOB
20/11/2013. Dr. Sinead Maguire Neurology Registrar 22 nd November 2013
Dr. Sinead Maguire Neurology Registrar 22 nd November 2013 The active total care of patients whose disease is not responsive to curative treatment. Control of pain, of other symptoms, and psychological,
PRINCIPLES OF CAREGIVING DEVELOPMENTAL DISABILITIES MODULE
PRINCIPLES OF CAREGIVING DEVELOPMENTAL DISABILITIES MODULE CHAPTER 1: KNOWLEDGE OF DEVELOPMENTAL DISABILITIES CONTENT: A. Developmental Disabilities B. Introduction to Human Development C. The Four Developmental
An Introduction to Huntington s Disease
An Introduction to Huntington s Disease By Alison Heavey Regional Care Advisor Essex Huntington s Disease Association The Huntington's Disease Association exists to support people affected by the disease
Juvenile Huntington Disease
Juenile Huntington Disease THE RAREST HD VARIANT when the disease starts before 20 years of age Ferdinando Squitieri M.D., Ph.D. - Neurologist, Head of the HD Unit, IRCCS Casa Sollieo della Sofferenza
Huntington s Disease Psychiatry. Christopher A. Ross MD PhD HDSA Convention June 6, Many slides adapted from Adam Rosenblatt, MD
Huntington s Disease Psychiatry Christopher A. Ross MD PhD HDSA Convention June 6, 2008 --Many slides adapted from Adam Rosenblatt, MD Huntington s Disease Society of America The information provided by
Life after testing positive. Mary Beth Bialick LISW Social Worker HDSA Ohio Valley Chapter Cincinnati, Ohio
Life after testing positive Mary Beth Bialick LISW Social Worker HDSA Ohio Valley Chapter Cincinnati, Ohio The information provided by speakers in workshops, forums, sharing/networking sessions and any
HealthyPlace s Introductory Guide to Bipolar Disorder. By Natasha Tracy
HealthyPlace s Introductory Guide to Bipolar Disorder By Natasha Tracy 1 Index Introduction Chapter One Bipolar Disorder Basics Chapter Two Bipolar Disorder Diagnosis Chapter Three Treatment of Bipolar
The PD You Don t See: Cognitive and Non-motor Symptoms
The PD You Don t See: Cognitive and Non-motor Symptoms Benzi M. Kluger, M.D., M.S. Associate Professor of Neurology and Psychiatry Director Movement Disorders Center University of Colorado Denver Goals
Agenda. Treating the Suffering of Mood and Behavioral Dysregulation
Treating the Suffering of Mood and Behavioral Dysregulation Barbara J. Limandri, DNSc, APRN, BC Linfield College School of Nursing Agenda Behavioral and biological processes of mood dysregulation Similarities
8/7/2017. Updates in Huntington s Disease AL Academy of Neurology Updates in HD Worldwide Prevalence of HD
Updates in Huntington s Disease AL Academy of Neurology 2017 Victor Sung, MD Director, UAB / HDSA Huntington s Disease Center of Excellence Updates in HD 2017 The UAB / HDSA Huntington s Disease Center
Autism or Something Else? Knowing the Difference
Autism or Something Else? Knowing the Difference SUSAN BUTTROSS, M.D., FAAP PROFESSOR OF PEDIATRICS CENTER FOR THE ADVANCEMENT OF YOUTH UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MISSISSIPPI Disclosure
PSYCHIATRY INTAKE FORM
Please complete all information on this form. PSYCHIATRY INTAKE FORM Name Date Date of Birth Primary Care Physician Current Therapist/Counselor What are the problem(s) for which you are seeking help? 1.
SEXUALITY Information for Patients and Families
SEXUALITY Information for Patients and Families Since my stroke I have difficulties with sexual performance. Is this normal? Yes. Studies estimate that 65-75% of people who have had a stroke do experience
Psychiatric Illness. In the medical arena psychiatry is a fairly recent field A challenging field Numerous diagnosis
Psychiatric Illness In the medical arena psychiatry is a fairly recent field A challenging field Numerous diagnosis 12,000,000 children infants through 18 y/o nation wide 5,000,000 suffer severely Serious
BEYOND DEMENTIA: WHAT EVERYONE SHOULD KNOW ABOUT MENTAL HEALTH IN THE ELDERLY:
BEYOND DEMENTIA: WHAT EVERYONE SHOULD KNOW ABOUT MENTAL HEALTH IN THE ELDERLY: Beyond Managing Behavior Delivering Accurate & Effective Mental Healthcare MARSHALL, PARKER & WEBER, LLC 2016-20 TH ANNUAL
Too Many Meds? How to Prevent Polypharmacy in People with Intellectual/Developmental Disabilities
Too Many Meds? How to Prevent Polypharmacy in People with Intellectual/Developmental Disabilities One definition of polypharmacy is using more medications than is medically necessary. However, it can be
Psychiatric Issues in Huntington s Disease
Psychiatric Issues in Huntington s Disease Arik Johnson, PsyD HDSA Center of Excellence at UCLA June 24, 2011 26th Annual HDSA Conference Minneapolis, MN The information provided by speakers in workshops,
Drugs for Emotional and Mood Disorders Chapter 16
Drugs for Emotional and Mood Disorders Chapter 16 NCLEX-RN Review Question 1 Choices Please note Question #1 at the end of Ch 16 pg 202 & Key pg 805 answer is #4 1. Psychomotor symptoms 2. Tachycardia,
5/12/11. Educational Objectives. Goals
Educational Objectives Learn: steps for initial depression screening and management in primary care when to refer to mental health providers tools for providers and patients principles of collaborative
SECTION 1. Children and Adolescents with Depressive Disorder: Summary of Findings. from the Literature and Clinical Consultation in Ontario
SECTION 1 Children and Adolescents with Depressive Disorder: Summary of Findings from the Literature and Clinical Consultation in Ontario Children's Mental Health Ontario Children and Adolescents with
MUSC Health Movement Disorders. Movement Disorders Program & The Murray Center for Research on Parkinson s Disease & Related Disorders
Movement Disorders Program & The Murray Center for Research on Parkinson s Disease & Related Disorders Medical University of South Carolina MUSC Health Movement Disorders Movement Program Program 96 Jonathan
Typical or Troubled? Teen Mental Health
Typical or Troubled? Teen Mental Health Adolescence is a difficult time for many teens, but how does one know the difference between typical teen issues and behavior that might signal a more serious problem?
Relevant Listings for Evaluating Traumatic Brain Injury at Step 3 of the Sequential Evaluation
Relevant Listings for Evaluating Traumatic Brain Injury at Step 3 of the Sequential Evaluation I. Neurological Disorders Revised Medical Criteria for Evaluating Neurological Disorders went into effect
Health Care Information for Families of Children with Down Syndrome American Academy of Pediatrics
Syndrome American Academy of Pediatrics Introduction Down syndrome is a common condition caused by having extra copies of genes on the 21st chromosome. Those extra genes change development during pregnancy,
Medication Information for Parents and Teachers
Medication Information for Parents and Teachers Oxcarbazepine Trileptal, Oxtellar XR General Information About Medication Each child and adolescent is different. No one has exactly the same combination
Common Forms of Dementia Handout Package
Common Forms of Dementia Handout Package Common Forms of Dementia 1 Learning Objectives As a result of working through this module, you should be better able to: 1. Describe clinical features of 4 major
Depression. University of Illinois at Chicago College of Nursing
Depression University of Illinois at Chicago College of Nursing 1 Learning Objectives Upon completion of this session, participants will be better able to: 1. Recognize depression, its symptoms and behaviors
Multiple System Atrophy
Multiple System Atrophy This document has been prepared to help you become more informed about Multiple System Atrophy. It is designed to answer questions about the condition and includes suggestions on
Cover Page. The handle holds various files of this Leiden University dissertation
Cover Page The handle http://hdl.handle.net/1887/32744 holds various files of this Leiden University dissertation Author: Heemskerk, Anne-Wil Title: Dysphagia in Huntington s disease Issue Date: 2015-04-15
Child/ Adolescent Questionnaire
Oconee Center for Behavioral Health 1360 Caduceus Way Building 400, Suite 102 Tel 706-286-8442 Fax 706-310-6907 Child/ Adolescent Questionnaire Patient s Name: Date of Birth: / / Patient s Birthplace:
Huntington s disease General information about Huntington s and the Huntington's Disease Association
Huntington s disease General information about Huntington s and the Huntington's Disease Association General information about Huntington s disease Huntington s disease (HD), is a hereditary disorder of
Behavioral Interventions
Behavioral Interventions Linda K. Shumaker, R.N.-BC, MA Pennsylvania Behavioral Health and Aging Coalition Behavioral Management is the key in taking care of anyone with a Dementia! Mental Health Issues
New Patient Questionnaire
4 Embarcadero Center, Suite 1400, San Francisco, CA 94111 (415) 926-7774 phone; (415) 591-7760 office@sanfranciscopsych.com New Patient Questionnaire Thank you for trusting San Francisco Psychiatry with
Behavior From the Inside Out. Marcia L Braden, PhD PC Licensed Psychologist Special Educator
Behavior From the Inside Out Marcia L Braden, PhD PC Licensed Psychologist Special Educator www.marciabraden.com Behavioral Profile Sensory Integration Disorder Anxiety Disorders, panic attacks Attention
3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose
A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual
Prepared by: Elizabeth Vicens-Fernandez, LMHC, Ph.D.
Prepared by: Elizabeth Vicens-Fernandez, LMHC, Ph.D. Sources: National Institute of Mental Health (NIMH), the National Alliance on Mental Illness (NAMI), and from the American Psychological Association
Name:, Sex:, Age: Ethnicity, Race. Date of Birth:, address: Address:, City: State:, County,, Zip: Telephone numbers: Home: ( ),Work: ( )
Adult Patient Information Name:, Sex:, Age: Ethnicity, Race Date of Birth:, Email address: Address:, City: State:, County,, Zip: Telephone numbers: Home: ( ),Work: ( ) Cell: ( ) Referral by: Person to
Women, Mental Health, and HIV
Women, Mental Health, and HIV Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject What is Mental Health? Refers to emotional, psychological, social
This fact sheet describes the condition Fragile X and includes a discussion of the symptoms, causes and available testing.
11111 Fact Sheet 54 FRAGILE X SYNDROME This fact sheet describes the condition Fragile X and includes a discussion of the symptoms, causes and available testing. In summary Fragile X is a condition caused
Pediatric Primary Care Mental Health Specialist Certification Exam. Detailed Content Outline
Pediatric Primary Care Mental Health Specialist Certification Exam Detailed Content Outline Description of the Specialty The Pediatric Primary Care Mental Health Specialist (PMHS) builds upon the Advanced
Full Circle Psychotherapy: Ayla Marie Carter, MA, LMHC
Full Circle Psychotherapy: Ayla Marie Carter, MA, LMHC aylacarter@fullcirclepsychotherapy.org www.fullcirclepsychotherapy.org (253) 686-4681 Name (First, Middle, last): Birthdate: Age: Gender: Sexual Orientation:
Mental Health Intake Form
Current Symptoms Checklist: (check once for any symptoms present, twice for major symptoms) ( ) ( ) Depressed mood ( ) ( ) Racing thoughts ( ) ( ) Excessive worry ( ) ( ) Unable to enjoy activities ( )
Autism and Anxiety in Adults
Autism and Anxiety in Adults Dr. Barbara Luskin, PhD, LP Who is the Autism Society of Minnesota? Established in 1971, the Autism Society of Minnesota (AuSM) is a 501(c)(3) nonprofit organization committed
Mental Health & Your Teen Tools, Strategies & Resources
3 rd Annual 22q11DS Family Conference Mental Health & Your Teen Tools, Strategies & Resources Dr. Claire De Souza Child & Adolescent Psychiatrist Medical Director, Consultation-Liaison Psychiatry Program
Explosive Youth: Common Brain Disorders. Juvenile Law Conference 2005 Larry Fisher, Ph.D. UHS Neurobehavioral Systems
Explosive Youth: Common Brain Disorders Juvenile Law Conference 2005 Larry Fisher, Ph.D. UHS Neurobehavioral Systems For More Information Larry Fisher, Ph.D. Director of Neuropsychological Services UHS
Happy Daisy Ltd. New Client intake Form. What are the issues for which you are seeking care?
Happy Daisy Ltd. New Client intake Form Name Date Preferred name Pronouns Referred by Date of birth Age Race What are the issues for which you are seeking care? 1. 2. 3. Please check of any of the symptoms
Mental Health Issues in Nursing Homes. I m glad you asked.
Mental Health Issues in Nursing Homes I m glad you asked. I m glad you asked Susan Wehry, M.D. Associate Professor of Psychiatry, College of Medicine, University of Vermont Consultant, State of Vermont
Are All Older Adults Depressed? Common Mental Health Disorders in Older Adults
Are All Older Adults Depressed? Common Mental Health Disorders in Older Adults Cherie Simpson, PhD, APRN, CNS-BC Myth vs Fact All old people get depressed. Depression in late life is more enduring and
Mental Illness. Doreen L. Rasp, APN, FNP, PMHNP Advanced Behavioral Counseling
Mental Illness Doreen L. Rasp, APN, FNP, PMHNP Advanced Behavioral Counseling Moodiness Changing Bodies Narcissism Self-Esteem Ignorant Naïve Insecure Self-Centered Independent Adolescence Disorders Affecting
Subthalamic Nucleus Deep Brain Stimulation (STN-DBS)
Subthalamic Nucleus Deep Brain Stimulation (STN-DBS) A Neurosurgical Treatment for Parkinson s Disease Parkinson s Disease Parkinson s disease is a common neurodegenerative disorder that affects about
Depression. Content. Depression is common. Depression Facts. Depression kills. Depression attacks young people
Content Depression Dr. Anna Lam Associate Consultant Department of Psychiatry, Queen Mary Hospital Honorary Clinical Assistant Professor Li Ka Shing Faculty of Medicine, The University of Hong Kong 1.
Understanding Parkinson s Disease Important information for you and your loved ones
Patient Education Understanding Parkinson s Disease Important information for you and your loved ones This handout explains the signs, symptoms, and possible treatments of Parkinson s disease. Parkinson
Typical or Troubled? By Cindy Ruich, Ed.D. Director of Student Services Marana Unified School District Office:(520)
By Cindy Ruich, Ed.D. Director of Student Services Marana Unified School District Office:(520) 682-1046 c.t.ruich@maranausd.org Test Your Mental Health Knowledge 1) Mental Illness is a serious condition.