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BEHAVIOURAL DISORDERS
In this video we will be discussing about some behavioural disorders
PICA
So what does PICA stands for ?
PICA stands for persistent eating of non – food or non nutritive substances which is not normal to eat or normally should be avoided . Like eating chalk , clay , paper , mud , sand for Atleast 1 month .
It is more common in children with ID and Autism spectrum disorder .
It is more commonly associated with iron deficiency Anemia .
It can be treated by behavioural therapy .
THUMB SUCKING
It is a very self soothing behaviour
25 percent of the children have it upto 2 years of age and it ususally subsides. But if it is persisting for more than 5 years of age then it maybe associated with paronychia, paronychia is an infection of the tissue adjacent to the nails .
Even here , it can be treated by behavioural therapy .
BRUXISM (teeth grinding )
It is seen in 5 to 30 percent of the children
It begins from the first 5 years of life .
It is associated with day time anxiety which may happen due to seperation from parents .
Persistanf bruxism is associated with temporomandibular joint pain or dislocation .
It can be treated by behavioural therapy
BREATH HOLDING SPELLS :
Here the child becomes pale and lifeless after crying but regains conciousness on stimulation .
It happens due to immaturity of autonomic nervous system . It is most commonly seen in children of 6 to 18 months of age
The triggers usually are incessant crying , anger and frustration .
Now how do we manage it ?
We have to rule out seizures or any other medical conditions ,
We have to reassure the parents
and if there’s underlying iron deficiency anemia we have to treat that as well .
This is all about the behavioural disorders . Thank you !
