This document discusses tic disorders such as Tourette's disorder. It defines tics as involuntary muscle contractions or vocalizations. Tourette's is characterized by both multiple motor and at least one vocal tic over a period of more than one year. Onset is before age 18. It occurs more in males than females and is associated with ADHD and OCD. Treatment includes haloperidol. Differential diagnoses include chronic motor or vocal tic disorder and transient tic disorder.
lecture 24 from a college level introduction to psychology course taught Fall 2011 by Brian J. Piper, Ph.D. (psy391@gmail.com) at Willamette University, includes sleep stages, EEG, development, dreams, purpose of sleep
The circadian system has been observed for many years in humans and other organisms. Circadian rhythms describe the body’s physical, physiological and psychological changes over a 24-hour period.
lecture 24 from a college level introduction to psychology course taught Fall 2011 by Brian J. Piper, Ph.D. (psy391@gmail.com) at Willamette University, includes sleep stages, EEG, development, dreams, purpose of sleep
The circadian system has been observed for many years in humans and other organisms. Circadian rhythms describe the body’s physical, physiological and psychological changes over a 24-hour period.
PSYA3 - Biological Rhythms powerpoint.
100 slides because there's a lot to know! Condensed it as much as possible.
Includes:
Biological rhythms - Circadian, Infradian, Ultradian, endogenous pacemakers, exogenous zeitgebers & consequences of disruption of said rhythms
Sleep states -
lifespan changes, restorative theory, evolutionary evaluations
Disorders of sleep - Insomnia & other sleep disorders.
There's minimal evaluation for Infradian - so do it yourself :D
A sleep disorder is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental, social and emotional functioning.
The outcome of this course is for the learner to describe the normal stages of sleep, common sleep measurement tools sleep characteristic, common sleep disorders, the changes that affect the quality and quantity of sleep as an individual ages, and methods the healthcare provider can use to assess and assist clients with sleep disorders.
PSYA3 - Biological Rhythms powerpoint.
100 slides because there's a lot to know! Condensed it as much as possible.
Includes:
Biological rhythms - Circadian, Infradian, Ultradian, endogenous pacemakers, exogenous zeitgebers & consequences of disruption of said rhythms
Sleep states -
lifespan changes, restorative theory, evolutionary evaluations
Disorders of sleep - Insomnia & other sleep disorders.
There's minimal evaluation for Infradian - so do it yourself :D
A sleep disorder is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental, social and emotional functioning.
The outcome of this course is for the learner to describe the normal stages of sleep, common sleep measurement tools sleep characteristic, common sleep disorders, the changes that affect the quality and quantity of sleep as an individual ages, and methods the healthcare provider can use to assess and assist clients with sleep disorders.
2. TIC DISORDER TICS- RAPID AND REPETITIVE MUSCLE CONTRACTIONS RESULTING IN MOVEMENTS OR VOCALIZATIONS WHICH ARE INVOLUNTARY TYPES: SIMPLE MOTOR TICS- FUNCTIONALLY SIMILAR MUSCLE GROUPS EYE BLINKING, SHRUGGING OF SHOULDER, NECK JERKING SIMPLE VOCAL TIC- COUGHING,THROAT CLEARING, GRUNTING, SNIFFING COMPLEX MOTOR TICS- SMELLING OF OBJECTS, GROOMING BEHAVIOR, ECHOPRAXIA, COPROPRAXIA COMPLEX VOCAL TICS- REPEATING WORDS AND PHRASES OUT OF CONTEXT (COPROLALIA, ECHOLALIA) WAX AND WANE DECREASED BY SLEEP, RELAXATION OR ABSORPTION IN AN ACTIVITY
3. TOURETTE’S DISORDER DIAGNOSTIC CRITERIA A. BOTH MULTIPLE MOTOR AND ONE OR MORE VOCAL TICS HAVE BEEN PRESENT AT SOMETIME DURING THE ILLNESS, ALTHOUGH NOT NECESSARILY CONCURRENTLY B. THE TICS OCCUR MANY TIMES A DAY (USUALLY IN BOUTS) nearly everyday or intermittently throughout a period of more than one year AND DURING THIS PERIOD THERE WAS NEVER A TIC FREE PERIOD OF MORE THAN 3 CONSECUTIVE MONTHS C. THE ONSET IS before 18 years of age D. the disturbance is not due to direct physiological effects of a drug or a general medical condition
4. Tourette’s Disorder Lifetime prevalence 4 to 5 per 10,000 5 to 30 children per 10,000 onset of motor component by age 7 vocal tics by 11 years 3 males: 1 female Familial illness Association with ADHD and OCD ? Dopamine, endogenous opiods
5. Tourette’s Disorder ? Post streptococcal syndrome CLINICAL FEATURES Tics may occur as early as 2 years Initial tics in the face and neck progress downward Most frequent initial symptom eye blink tic, followed by head tic and facial grimace
6. Tourette’s Disorder PRODROME: IRRITABILITY, ATTENTION DIFFICULTIES, POOR FRUSTRATION TOLERANCE OBSESSIVE COMPULSIVE SYMTOMS OCCUR AFTER ONSET COPROLALIA IN 1/3 OF CASES NO SPECIFIC LABORATORY OR DIAGNOSTIC TEST TREATMENT - HALOPERIDOL
7. DIFFERENTIAL DIAGNOSIS 1.CHRONIC MOTOR OR VOCAL TIC DISORDER A. SINGLE OR MULTIPLE MOTOR OR VOCAL TICS BUT NOT BOTH, HAVE BEEN PRESENT AT SOMETIME DURING THE ILLNESS B. TICS OCCUR MANY TIMES A DAY NEARLY EVERYDAY OR INTERMITTENTLY THROUGHOUT A PERIOD OF MORE THAN O9NE YEAR AND DURING THIS PERIOD THERE WAS NEVER A TIC FREE PERIOD OF MORE THAN 3 CONSECUTIVE MONTHS C. THE ONSET IS BEFRORE 18 YEARS D. THE DISORDER IS NOT DUE TO THE PHYSIOLOGICAL EFFECTS OF A SUBSTANCE E. A CRITERIA HAVE NEVER BEEN MET FOR TOURETTE’S DISORDER
8. DIFFERENTIAL DIAGNOSIS TRANSIENT TIC DISORDER A. SINGLE OR MULTIPLE MOTOR AND OR VOCAL TICS B. THE TICS OCCUR MANY TIMES A DAY NEARLY EVERYDAY FOR AT LEAST 4 WEEKS BUT FOR NO LONGER THAN 12 CONSECUTIVE MONTHS C. ONSET BEFORE 18 YEARS D AND E (SIMILAR TO CHRONIC MOTOR TIC) DO NOT DEVELOP TO A MORE SERIOUS TIC DISORDER,MAY APPEAR DURING STRESS
