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What is intellectual disability?

Intellectual disability (ID) is a neurodevelopmental disorder characterized by deficits in conceptual, social, and practical domains. It is also known as intellectual developmental disorder, and has two sub-diagnoses: global developmental delay and unspecified intellectual disability. ID has a prevalence of roughly 1%, with men being more likely to be diagnosed.

What does ID look like?

Differential Diagnosis

  • Major/mild neurocognitive disorder
  • Communication disorder
  • Specific learning disorder
  • Autism spectrum disorder
  • Fragile X syndrome
  • DiGeorge (22q11.2 deletion) syndrome

How is ID investigated?

  • Psychometrically valid, comprehensive, and culturally appropriate tests of intelligence
  • Developmental screening
  • Genetic testing

How is ID treated?

  • Antipsychotics for managing challenging/aggressive behavior

References

[1] American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA.

[2] Boyd, M. A. (2019). Psychiatric & mental health nursing for Canadian practice. Wolters Kluwer.

[3] Glover, G., Bernard, S., Branford, D., Holland, A., & Strydom, A. (2014). Use of medication for challenging behavior in people with intellectual disability. Br J Psychiatry, 205(1), 6-7.

[4] Peters-Scheffer, N., Didden, R., Mulders, M., & Korzilius, H. (2013). Effectiveness of low intensity behavioral treatment for children with autism spectrum disorder and intellectual disability. Research in Autism Spectrum Disorders, 7(9), 1012-1025.

[5] Townsend, M. C. (2015). Psychiatric mental health nursing. F.A. Davis.