Intellectual Developmental Disorders Matri1

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Grand Canyon University *

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Jan 9, 2024

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1 Intellectual Developmental Disorders Matrix Brian Fazio College of Humanities and Social Sciences, Grand Canyon University PCN 673 Developmental Disabilities Dr. Mariama Sandifer December 13, 2023

2 Intellectual Developmental Disorders Matrix Intellectual Developmental Disorder #1 based on genetic conditions Selected genetic condition: Fragile X Syndrome Q99.2 Child’s symptomology (50-75 words): Fragile X syndrome impacts a child's intelligence, mental health, physical features, and behavior. Common symptoms include learning disabilities, low IQ, delayed developmental milestones, slowed nonverbal communication, math problems, and language processing issues. Mental health problems include anxiety, depression, and obsessive- compulsive behaviors. Physical features include long faces, large foreheads, jaws, soft skin, large ears, and enlarged testicles. Behavior has ADHD, social anxiety, shyness, poor eye contact, and sensory disorders ( Fragile X Syndrome , 2021). Presenting symptoms (50-75 words): The child is 40 months old. The child has physical signs, including a longer face and lazy eye. The child also has poor eye contact, is very shy, and loud sounds greatly disturb him. He is a picky eater; sometimes he likes food and will not eat it next time. He has trouble sleeping and learning as well (Association, 2022). Family system (50-75 words): The nuclear family system has both parents living together with two kids. The parents are both college-educated and work 45-50 hours a week. They do have health care through private insurance. They have shelter, proper nutrition, no birth complications, and no significant concerns. The children are in school and attend. Cultural considerations (50-75 words): This is a white Anglo-Saxon family. The family is Christian but is a holiday Christian as they only go on holidays and weddings. They do not

3 follow any cultural beliefs closely. They cook a variety of food and speak English at home. They have pets. The family sees their extended family on major holidays. Presenting symptoms (50-75 words): The child is 40 months old. The child has physical signs, including a longer face and lazy eye. The child also has poor eye contact, is very shy, and loud sounds greatly disturb him. He also has poor coordination as well/ He is a picky eater; sometimes he likes food and will not eat it next time. He has trouble sleeping and learning as well (Association, 2022). Type (severity level) with justification for level of functioning: The child with Fragile X is male, and males are more likely to have a more severe version because males have only 1 X chromosome. Hence, any damage or mutation has a more dramatic effect. The child has moderate severity which is shown with the coordination issues as well as anxiety. Treatment plan (100-200 words): Treatment Objectives Fragile X Treatment Plan: A) Able to be in social settings long and more frequent B) Reduce Muscle Pain Treatment Plan to Achieve Plan A 1) Will be provided with Lorazepam to deal with anxiety 2) Will have CBT to help deal with anxiety 3) Family will be part of the some sessions Treatment Plan to Achieve Plan B 1) The client will have Physical Therapy 2) The client will have Occupational Therapy 3) Will take tizanidine as a muscle relaxant

4 Goal: A client will be comfortable around average size crowds found in malls, stores, and movies. The client will have minimal anxiety or be able to cope successfully with feelings of anxiety 90% of the time. Goal B-Client will have increased movement and less pain, have a 50% reduction of pain, and receive maintenance therapy. [Client] will participate in outpatient therapy and med clinic to address concerns related to their mental health goals. They will be discharged from therapy when they meet treatment goals 90% of the time and maintain progress for 180 days (1 full review). They will follow medication management team recommendations and continue utilizing family/community support. Intellectual Developmental Disorder #2 based on complications during pregnancy or birth Selected complications during pregnancy or birth: FASD Q86.0 Child’s symptomology (50-75 words): Fetal alcohol syndrome (FAS) is a condition characterized by abnormal facial features, low body weight, short height, sleep and sucking difficulties, and vision or hearing problems. It can also develop in early childhood and beyond, causing delayed speech and language development, difficulty concentrating, hyperactivity, learning disabilities, low IQ, poor coordination, reasoning, judgment skills, poor school performance, and short-term memory ( Fetal Alcohol Syndrome , 2022). FASD, a complex

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