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EMOTIONAL HANDICAPS. IDENTIFICATION—one of more of the following, over a long period of time and to a marked degree. An inability to learn that cannot be explained by intellectual, sensory or other health factors
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IDENTIFICATION—one of more of the following, over a long period of time and to a marked degree • An inability to learn that cannot be explained by intellectual, sensory or other health factors • An inability to build or maintain satisfactory interpersonal relationships with peers and teachers • Inappropriate types of behaviors or feelings under normal circumstances • A general pervasive mood of unhappiness or depression • A tendency to develop physical symptoms or fears associated with personal or school problems
COMMON EMOTIONALLY HANDICAPPING CONDITIONS SEEN IN CHILDREN • Anxiety disorders • Depression • Bi-Polar Disorder • Post Traumatic Stress Disorder • Reactive Attachment Disorder
CAUSES • Heredity • Biology • Psychological Trauma • Abuse/Neglect • Environmental Stress
DIAGNOSIS • Based on symptoms and signs • Medical exam to rule out physical basis • Social/Emotional testing administered by specially trained professionals • Reports from child, parents, teachers, other adults
TREATMENTS • Medication • Counseling • Creative (music, art, play) therapies • Therapeutic Environments
SOME SYMPTONS ASSOCIATED WITH MENTAL ILLNESS IN CHILDREN: • inability to cope with daily problems or activities • abuse of drugs or alcohol • changes in sleeping/eating habits • excessive complaints of physical ailments • defying authority, skipping school, stealing, damaging property • intense fear of gaining weight • long lasting negative moods, often accompanied by thoughts of death • frequent outbursts of anger • changes in school performance • loss of interest in friends, activities • significant increase in time spent alone • excessive worrying or anxiety • hyperactivity • persistent nightmares • persistence disobedience or aggressive behavior • frequent temper tantrums • hearing voices or seeing things that are not there
EMOTIONALLY DISTURBED OR SOCIALLY MALADJUSTED? Emotional Disturbance Socially Maladjusted Does not qualify for Special Education Identification and Services • Qualifies for Special Education Identification and Services
SCHOOL BEHAVIOR EMOTIONALLY DISTURBED SOCIALLY MALADJUSTED UNWILLING TO COMPLY WITH TEACHER REQUESTS; TRUANCY; REJECTS HELP DISLIKES SCHOOL, EXCEPT AS A SOCIAL OUTLET; REBELS AGAINST RULES AND STRUCTURE MISSES SCHOOL DUE TO CHOICE ACHIEVEMENT INFLUENCED BY TRUANCY; NEGATIVE ATTITUDE TOWARD SCHOOL; AVOIDANCE • UNABLE TO COMPLY WITH TEACHER REQUESTS; NEEDY OR HAS DIFFICULTY ASKING FOR HELP • SCHOOL IS A SOURCE OF CONFUSION OR ANGST; DOES MUCH BETTER WITH STRUCTURE • MISSES SCHOOL DUE TO EMOTIONAL OR PSYCHOSOMOATIC ISSUES • UNEVEN ACHIEVEMENT; IMPAIRED BY ANXIETY, DEPRESSION OR EMOTIONS
SOCIAL ISSUES EMOTIONALLY DISTURBED SOCIALLY MALADJUSTED ACCEPTED BY A SAME DELINQUENT OR SOCIO-CULTURAL GROUP PERCEIVED AS COOL, TOUGH, CHARISMATIC WELL DEVELOPED SOCIAL SKILLS; WELL ATTUNED TO SOCIAL CUES MANY RELATIONSHIPS WITHIN SELECT PEER GROUP; MANIPULATIVE; LACK OF HONESTY IN RELATIONSHIPS • DIFFICULTY MAKING FRIENDS; IGNORED OR REJECTED • PERCEIVED AS BIZARRE OR ODD; OFTEN RIDICULED • POORLY DEVELOPED SOCIAL SKILLS; IMMATURE; DIFFICULTY READING SOCIAL CUES, DIFFICULTY ENTERING GROUPS • INABILITY TO ESTABLISH OR MAINTAIN RELATIONSHIPS; WITHDRAWN; SOCIAL ANXIETY
AFFECT EMOTIONALLY DISTURBED SOCIALLY MALADJUSTED INFLATED SELF CONCEPT; INDEPENDENT; UNDERDEVELOPED CONSCIENCE; BLAMES OTHERS; EXCESSIVE BRAVADO EXTERNALIZES HURTS OTHERS AS A MEANS TO AN END APPEARS RELAXED AND COOL INTENTIONAL EMOTIONAL OUTBURSTS; EXPLOSIVE LITTLE REMORSE; NON-EMPATHETIC • POOR SELF CONCEPT; OVERLY DEPENDENT; ANXIOUS; FEARFUL; MOOD SWINGS; DISTORTS REALITY • INTERNALIZES • HURTS SELF AND OTHERS AS AN END • DISPROPORTIONATE REACTIONS NOT UNDER STUDENTS CONTROL • REMORSEFUL; OVERLY SELF CRITICAL
OTHER EMOTIONALLY DISTURBED SOCIALLY MALADJUSTED “STREET WISE”; MANIPULATES FACTS AND RULES FOR OWN BENEFIT RISK TAKER; DAREDEVIL SUBSTANCE ABUSE MORE LIKELY; PEER INVOLVEMENT DEVELOPMENTALLY AGE APPROPRIATE OR ABOVE • ENGAGES IN FANTASY; GUILLABLE; THOUGHT DISORDERS • AVOIDS RISKS; RESISTS MAKING CHOICES • SUBSTANCE ABUSE LESS LIKELY; MAY USE INDIVIDUALLY • IMMATURE
WARNING SIGNS OF SUICIDAL BEHAVIOR IN CHILDREN • Many depressive symptoms • Social isolation • Talk of suicide, hopelessness, helplessness • Increased acting out behaviors • Increased risk taking behaviors • Frequent accidents • Substance abuse • Focus on morbid and negative themes • Talk about death and dying • Increased crying and reduced emotional expression • Giving away possessions