Definitions of Disabilities

Alcoholism – abuse of alcohol, dependency on alcohol

  • Type 1 alcoholics are described as having anxious personality 
    traits with high harm avoidance, high reward dependence, and low novelty seeking.
  • Type 2 alcoholics are described as having antisocial personality traits with low 
    harm avoidance, low reward dependence, and high novelty seeking.
    Type 2 alcoholism is considered to be of earlier onset than Type 1.

Alternative names: alcohol dependence; habitual alcohol use

Definition

A chronic illness marked by uncontrolled consumption of alcoholic beverages that interferes with physical or mental health, and social, family, or occupational responsibilities.

Symptoms:

  • tolerance to the effects of alcohol
  • need for daily or frequent use of alcohol for adequate function
  • lack of control over drinking, with inability to discontinue or reduce alcohol intake
  • solitary drinking
  • making excuses to drink
  • episodes of memory loss associated with drinking (black outs)
  • episodes of violence associated with drinking
  • interference with social and family relationships or occupational responsibilities
  • behavioral problems such as missing work
  • unexplained mood swings
  • secretive behavior to hide alcohol related behavior
  • hostility when confronted about drinking
  • neglect of food intake
  • neglect of physical appearance
  • nausea
  • vomiting
  • shaking in the morning
  • abdominal pain
  • cramps
  • numbness and tingling
  • redness and enlarged capillaries in the face (especially the nose)
  • confusion

Note: Symptoms may vary.

Alcohol withdrawal symptoms: (may vary from mild to severe):

  • tremors to uncontrollable body shaking
  • restlessness to agitation
  • insomnia to total wakefulness
  • loss of appetite to rejection of all food
  • nausea
  • vomiting
  • confusion
  • hallucinations
  • rapid heart rate
  • sweating
  • convulsions

Additional symptoms that may be associated with this disease:

  • tongue problems
  • eyelid drooping
  • dizziness


Allergies

Allergies - A hypersensitivity to foreign substances, which are normally harmless, but produce a violent reaction in the allergy sufferer. Allergies are generally the body's effort to eliminate something that it considers unsuitable. Typical allergic reactions are hay fever, migraine, asthma, allergic rhinitis, digestive disturbances, coeliac disease, conjunctivitis, urticaria, eczema, drowsiness, CFS, hyperactivity in children, tinnitus, recurrent sinusitis and ear infections.

There are different types of Allergies, the most common being type 1. When an allergen encounters cells capable of antibody formation, they then form IgE antibodies, which bind to the surface of other cells, called mast cells and basophils. In response to the attachment those cells release chemicals, called mediators of anaphylaxis, among them histamine. Those chemicals cause allergic reactions such as swelling or the secretion of mucus.

Almost any substance can be an allergen for an individual. Common allergens include certain foods, especially milk, wheat and eggs, pollens, dust, moulds, cosmetics and certain food additives.

An Allergy is not the same as intolerance. Allergies always involve the immune system, whereas intolerance, e.g. lactose intolerance, is caused by a lack of lactase, the enzyme that converts lactose into glucose.


Aspergers Syndrome

Aspergers Syndrome (AS) - a neurobiological disorder, which most researchers feel, falls at the "high-end" of the Autistic Spectrum. Individuals with AS can have symptoms ranging from mild to severe. While sharing many of the same characteristics as PDD-NOS (Pervasive Developmental Disorder, Not Otherwise Specified) and HFA (High-Functioning Autism), AS is a relatively new term in the United States, having only recently being officially recognized as a diagnosis by the medical community.

Individuals with Asperger Syndrome and related disorders exhibit serious deficiencies in social and communication skills. They often have obsessive repetitive routines and preoccupations with a particular subject. Because of their high degree of functionality and their naivete, those with AS are often viewed by their peers as odd, and are frequently a target for bullying.

Characteristics - Children with these diagnoses exhibit serious and chronic social, behavioral and communicative impairments. Not every child is the same but some characteristics may be:

  • socially awkward and clumsy in relations with other children and/or adults
  • naive and gullible
  • often unaware of others' feelings
  • unable to carry on a "give and take" conversation
  • easily upset by changes in routines and transitions
  • literal in speech and understanding
  • overly sensitive to loud sounds, lights or odors
  • fixated on one subject or object
  • physically awkward in sports

They may have:

  • unusually accurate memory for details
  • sleeping or eating problems
  • trouble understanding things they have heard or read
  • inappropriate body language or facial expression
  • unusual speech patterns (repetitive and/or irrelevant remarks)
  • stilted, formal manner of speaking
  • unusually loud, high or monotonous voice
  • tendency to rock, fidget or pace while concentrating


Asthma

Asthma is a reaction, usually allergic, characterized by attacks of wheezing and difficult breathing, particularly exhaling. Asthma attacks are brought on by muscular spasm of the passages conveying air to and within the lungs (bronchi). The mucus membranes that line the respiratory passageways may become irritated and secrete massive amounts of mucus, which narrows the airways and worsens the asthma attack.

Most asthmatics have allergies to foods, especially milk, food additives or airborne substances such as dust, pollen and moulds.


Attention Deficit Disorder

Attention Deficit Disorder (ADD) – "a neurological condition that affects learning and behavior and occurs in approximately 5% to 10% of the population. Symptoms of the disorder may include attention deficits, impulsivity, hyperactivity, mood swings, low frustration tolerance, and difficulty falling asleep at night. Some people may daydream, some may have difficulty completing tasks, 
others may be disorganized and forgetful, or may procrastinate."


Attention Deficit Hyperactivity Disorder (ADHD)

A. Either (1) or (2):

(1) Inattention: At least six of the following symptoms of inattention have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level:

  1. often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
  2. often has difficulty sustaining attention in tasks or play activities
  3. often does not seem to listen to what is being said to him or her
  4. often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
  5. often has difficulties organizing tasks and activities
  6. often avoids, expresses reluctance about, or ahs difficulties engaging in tasks that require sustained mental effort (such as schoolwork or homework)
  7. often loses things necessary for tasks or activities (e.g., school assignments, pencils, books, tools, or toys)
  8. often forgetful in daily activities

(2) Hyperactivity-impulsivity: At least five of the following symptoms of hyperactivity-impulsivity have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level:

Hyperactivity

  1. often fidgets with hands or feet or squirms in seat
  2. leaves seat in classroom or in other situations in which remaining seated is expected
  3. often runs about or climbs excessively in situations where it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
  4. often has difficulty playing or engaging in leisure activities quietly
  5. is always "on the go" or acts as if "driven by a motor"
  6. often talks excessively

Impulsivity

  1. often blurts out answers to questions before the questions have been completed
  2. often has difficulty waiting in lines or awaiting turn in games or group situations
  3. often interrupts or intrudes on others (e.g., butts into other’s conversations or games)
  1. Some symptoms that caused impairment were present before age seven.
  2. Some symptoms that cause impairment are present in two or more settings (e.g., at school, work, and at home).
  3. There must be clear evidence of clinically significant impairment in social, academic, or occupational functioning.
  4. Does not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia or other Psychotic Disorder, and is not better accounted for by a Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder.

 

Cerebral Palsy

Note: All of the following information has been taken from http://www.geocities.com/HotSprings/Sauna/4441/cond.html .

Cerebral Palsy – is a group of disorders whose major feature is brain damage. Most of the time this damage is done before/during or shortly after birth and is due to anoxia. Cerebral Palsy can also be caused by a brain injury that would occur due to a fall down stairs or car accident, however when this is the cause it is more commonly called Traumatic Brain Injury not Cerebral Palsy. There are four types of CP: Spastic, Athetoid, Ataxic, and Mixed. Tight muscles characterize spastic CP. In Athetoid CP involuntary movements are present. Ataxic CP occurs when the Cerebellum has been damaged, thus causing lack of coordination and jerky movements.

It is possible to have a mix of all three types (Spastic/Athetoid/Ataxic). Statistics will say that mixed CP accounts for 10% of all cases of cerebral palsy, but the actual percentage may be more.

Prenatal Causes (Shortly before birth and 1-4 weeks after birth)

  • Anoxia due to problems with the umbilical cord
  • Asphyxia due to a mechanical respiratory obstruction
  • Analgesics (the administering of drugs affecting the respiratory system)
  • Trauma: to the head during labor/delivery, hemorrhage, forceps application, poor position of the infant, breech delivery
  • Pressure changes: being delivered too fast or too slow
  • Complications at birth, respiratory distress, very low birth weight

Causes of Acquired Cerebral Palsy

  • Trauma to the head such as a wound or fracture resulting in injury to the brain
  • Infections of the nervous system such as high fevers, meningitis, encephalitis, and brain abscess
  • Vascular problems of affecting the brain such as thrombosis or hemorrhage
  • Anoxia due to strangulation, carbon monoxide poisoning, smoke inhalation, and near drowning
  • Neoplasm’s of the brain such as cysts, tumors and hydrocephalus

 

Deafness

More than 28 million Americans have impaired hearing. Levels of hearing impairment vary from a mild, but important, loss of sensitivity to a total loss of hearing. The largest group of Americans suffering from hearing loss is the elderly. Age-related hearing loss affects 30 to 35 percent of the United States population between the ages of 65 and 75 years and 40 percent of the population over the age of 75. The most common cause of hearing loss in children is otitis media, a disorder that predominately affects infants and young children. A substantial number of hearing impairments are caused by environmental factors such as noise, drugs, and toxins. Many acquired sensorineural hearing losses may result from a genetic predisposition.

Otitis media

An infection or inflammation of the middle ear. This inflammation often begins when infections that cause sore throats, colds, or other respiratory or breathing problems spread to the middle ear. Seventy-five percent of children experience at least one episode of otitis media by their third birthday. Almost half of these children will have three or more ear infections during their first three years. It is estimated that medical costs and lost wages because of otitis media amount to $5 billion* a year in the United States. Although otitis media is primarily a disease of infants and young children, it can also affect adults.

*Gates GA, Cost-effectiveness Considerations in Otitis Media Treatment, Otolaryngol Head Neck Surg, 114 (4), April 1996, 525-530.

What causes otitis media?

Otitis media usually results from a bacterial or viral infection secondary to a cold, sore throat or other respiratory problem.

Dyscalculia - A severe difficulty in understanding and using symbols or functions needed for success in mathematics.

Dysgraphia - A severe difficulty in producing handwriting that is legible and written at an age appropriate speed.

Dyslexia - Also known as reading disorder, is marked by reading achievement (e.g., reading accuracy, speed and comprehension as measured by standardized tests) that falls substantially below that expected given the individuals chronological age, measured intelligence, and age appropriate education (DSM-IV, Dyslexia).

Dysomnia - A marked difficulty in remembering names and recalling words needed for oral and written language.

Dyspraxia - A severe difficulty in performing drawing, writing, buttoning, and other tasks requiring fine motor skills, or in sequencing the necessary movements.

Language Disorder - disorders that affect the way people talk and understand. These disorders may range from simple sound substitutions to not being able to use speech and language at all.

  1. Stuttering: A interruption in the flow or rhythm of speech characterized by hesitations, repetitions or prolongation or sound, syllables, words or phrases.
  2. Articulation Disorders: Difficulties with the way sounds are formed and strung together, usually characterized by substituting one sound for another (wabbit for rabbit), omitting a sound (han for hand) or distorting a sound (shlip for sip)
  3. Voice Disorders: are characterized by inappropriate pitch (too high, too low, never changing or interrupted by breaks; loudness (too loud or not loud enough); or quality (harsh, hoarse, breathy or nasal).
  4. Aphasia: Is the loss of speech and language abilities resulting from stroke or head injury.
  5. Delayed Language: characterized by a marked slowness in the development of the vocabulary and grammar necessary for expressing and understanding thoughts and ideas.

Causes

Related to hearing loss, cerebral palsy and other neuromuscular disorders, severe head injury, stroke, viral disease, mental retardation, certain drugs, physical impairments such as cleft lip or palate, vocal abuse or misuse, and inadequate speech and language models; frequently, however, the cause is unknown.

Warning Signs

A disorder might be suspected when a person’s speech or language s markedly different from that of others of the same age, sex, or ethnic group; when a person’s speech and/or language is difficult to understand; when a person is overly concerned about his or her own speech; or when a person frequently avoids communicating with others.

Learned Helplessness - A tendency to be a passive learner 
who depends on others for decisions and guidance.

Learning Disability - He or she learns differently than most people. Learning is more difficult than it is for most people. It is diagnosed under four criteria:

  1. There must be a significant discrepancy between overall cognitive ability and achievement.
  2. Processing Deficit- The brain must process all the information received from all of the senses (hearing and vision).
  3. The processing deficit must be shown to be directly contributing to underachievement. The weakness must be negatively affecting the person’s academic performance.
  4. The underachievement can not be primarily due to factors other than a processing deficit, such as a head injury or epilepsy, physical disability, or sensory impairment, (vision or hearing), mental retardation, or lack of appropriate instruction, or severe psychological disturbance.

Symptoms of Learning Disabilities

  • inconsistent school performance
  • difficulty remembering today what was learned
  • short attention span (restless, easily distracted)
  • letter and number reversals (sees "b" for "d" or "p", "6" for "9", "pots" for "stop" or "post")
  • poor reading (below age and grade level)
  • frequent confusion about directions and time (right-left, up-down, yesterday-tomorrow)
  • personal disorganization (difficulty in following simple directions/schedules; has trouble organizing, planning, and making best use of time; frequent loss or misplacement of homework, schoolbooks, or other items)
  • impulsive and/or inappropriate behavior (poor judgment in social situations, talks and acts before thinking)
  • failure on written tests but high scores on oral exams (or vice versa)
  • speech problems (immature language development, trouble expressing ideas, poor word recall)
  • difficulty understanding and following instructions unless they are broken down to one or two tasks at a time seems immature and has difficulty making friends
  • trouble remembering what someone just told him or her
  • poor coordination (in gross motor activities such as walking or sports and/or in fine motor activities such as tying a shoelace, holding a pencil, or handwriting inconsistent, slow, messy, or illegible)
  • difficulty interpreting body language, facial expression, or tone of voice difficulty with development of sound/symbol correspondence

Migraines - According to the National Headache Foundation "All migraine headaches are characterized by severe pain, and in many cases, nausea, vomiting, tremor, cold hands, sensitivity to light (photosensitivity) and sound (phonosensitivity)." All migraines are one sided and the pain is throbbing or pulsating in nature. The pain can be moderate to severe and can last an hour or days, weeks and in extreme cases over a month.

There are different kinds of migraines. These include classic, common, and transformed. The difference between a classic migraine and a common one is that with a classic migraine the migraine you get a warning of some kind prior to the migraine. It may be a visual disturbance, a ringing in the ears or even just a feeling. This is called an aura. Other times the migraine can come on like a freight train, that kind is the common migraine. A transformed migraine is a tension headache that turns into a migraine.

Perceptual Handicap - Difficulty in accurately processing, organizing, and discriminating among visual, auditory, and tactile information.

Reading Disability - Dyslexia is a kind of mind. Very often it is a gifted mind, but it is a mind that is physiologically different. This brain difference is not a defect, but it makes learning language excessively hard.

The manifestations of dyslexia are two-fold. On one hand a child with a dyslexic mind will have trouble from the very beginning learning to understand speech and make himself understood. Because his mind cannot easily recall words, the dyslexic child may have to describe what he wants--"Oh, you know, that thing we use to write with..." instead of "pencil." The mind of a dyslexic child will often have trouble sequencing, so the words will get twisted --- "basgetti, mellow, aminals" or spoken in the wrong order, "please up hurry!"

When a child enters school he may struggle with the positioning of letters that distinguishes a "p" from a "d" from a "b." "Was" becomes "saw," "pet" can be read as "bet." Even in upper grades, the dyslexic mind may read "nuclear" as "unclear." What makes dyslexia difficult to recognize is that many of its characteristics are a natural part of the maturing process of young children. It is when a child gets "stuck" in these stages and they last longer than normal, that parents and teachers need to recognize a potential difficulty.

On the other hand the dyslexic mind may have tremendous musical ability that allows a child to sing or play an instrument easily or at an early age. The child with a dyslexic mind may be able to build whole cities with tiny interlocking blocks and no directions, or solve three-dimensional puzzles without difficulty. Many of our most gifted athletes have dyslexic minds that can "see" the entire field of play and the relative position of all the players simultaneously.

Because it relies more on language skills than these other gifts, school very quickly becomes a nightmare of frustration for a dyslexic child. Because a dyslexic mind cannot learn whole words by sight, a dyslexic child has trouble learning to read by traditional methods. Organizing his desk or homework assignments or holding a pencil correctly will be hard work. The child sees his peers succeeding while he is failing. Because he is bright, he knows something is wrong. If parents and teachers fail to recognize and respond to his struggle, he becomes afraid. This fear can cause him to act out inappropriately.

Often the child appears to be lazy, not trying hard enough, or just slow. In fact, the dyslexic child's mind is working harder to fill in the gaps between what he actually sees, hears and feels in the outer world, and how he thinks about these things in his head and puts them into words. The dyslexic mind needs more help in sorting, recognizing, and organizing the raw materials of language for reading and spelling. Some "red flag" behaviors that may indicate that a dyslexic mind is at work are:

  • Avoiding difficult tasks, especially if they involve reading, writing or spelling.
  • Spending an inordinate amount of time on tasks or not finishing assignments.
  • Propping his head up when writing.
  • Guessing when she doesn't know a word.
  • Knowing a word one day but forgetting it the next.
  • Mixing cursive with manuscript letters.
  • Having a vocabulary, which exceeds his reading ability.
  • Understanding math conceptually, but having difficulty reading and writing problems.
  • Having a wide spread between performance and verbal scores on standardized tests.
  • Acting inappropriately or demanding excessive attention.

 

Specific Language Difficulty - a severe difficulty in some aspect of listening, speaking reading, writing, and spelling, while skills in other areas are age appropriate.

Traumatic BrainInjury (TBI) – generally refers to any injury to the brain resulting from the application of external forces to the skull. TBI possibly entails the loss of memory, vision, communication and mobility. Personality changes can also be a result of a brain injury.

Possible ways to have a Brain Injury

  • car accident
  • bullet wound or assault
  • a fall
  • a bike, roller blade or skate board mishap
  • A football, Wrestling or other sports related injury
  • Child Abuse
  • Domestic Violence

Types of Brain Damage

  1. Closed head injury
  1. Surface contusion (bruising) – common at the point of impact and the opposite side of the brain. It is also common where the brain is adjacent to rough bony surfaces of the skull. Regardless of the site of impact, this explains damage to parts of the frontal lobes and anterior temporal lobes.
  2. Shearing – axons in the brain can be widespread in severe head injury. It is commonly seen in the brain stem and in the frontal and temporal lobes where the surface of the brain rubs against bony ridges of the skull
  3. Hematoma (bleeding) – occurs in areas that receive the brunt of the injury. These injuries are associated with specific deficits related to that part of the brain
  1. Frontal Lobe damage
  1. Deficits in the regulation of behavior, including social behavior and cognitive behavior
  2. Delayed onset of symptoms
  3. Good Test performance

Results of TBI

  • Difficulty concentrating
  • Weak orientation to task and difficulty shifting from task to task
  • Relatively slow performance
  • Difficulty organizing information or tasks
  • Difficulty thinking abstractly
  • Difficulty thinking strategically
  • Difficulty remembering new information and assignments
  • Academic performance that is generally lower than before injury
  • Poor awareness of new cognitive limitations
  • Inappropriate or impulsive behavior in class
  • Conflicts with peers or teachers
  • Excessive moodiness
  • Exaggerated responses to stress
  • Excessive tiredness
  • Difficulty starting tasks without prompting
  • Limited safety judgment
  • Depression and withdrawal
  • Anxiety
  • Anger and acting out
  • Apathy
  • Traumatic brain injury is the leading killer and disabler of New York’s and 
    this nation’s children and young adults. [Brain injury association of New York]
  • The National cost of traumatic brain injury is estimated to be $48.3 billion annually.