PMHNP Learning Disabilities & Childhood Neuro D/Os

3.5 early childhood - Stuttering age of onset Caregiver needs intense - Rett syndrome requires life long custodial care; exhausting for care giver; support group; Childhood-Onset Fluency Disorder (Stuttering) - causes anxiety about speaking; limitations in communication and social participation; Childhood-Onset Fluency Disorder (Stuttering) - sound/syllable repetition; sound prolongations consonants and vowels; broken words; audible blocking; word substitution; words produced with excess physical tension; monosyllable whole word repetition (at least one) Childhood-Onset Fluency Disorder (Stuttering) - substantial disruption in the rhythm and fluency of speech; the most common speech impairment Co-occur with down's syndrome - Intellectual disability; Autism; ADHD; ODD/CD Down's Syndrome - Diagnosis in utero with Chorionic villa sampling; amniocentesis; alfa-fetal protein karyotyping Down's Syndrome - GI reflux; celiac disease; hypothyroidism; hearing/vision problems; risk of alzheimers, heart disorders, leukemia; poor growth; overweight; men infertile; Down's Syndrome - hypotonia, flat facial profile; eyes slant up/out; epicanthic fold; sandal gap; palmar crease; short statur