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Intellectual Disability

Intellectual disability limits a person’s ability to learn and do their daily activities.

It is classified based on its severity:

  • Mild intellectual disability – these people are slower with learning and managing daily life. They may live independently with some support.
  • Moderate intellectual disability – these people can learn basic life skills and generally care for themselves. They need moderate support to function.
  • Severe intellectual disability – these people can perform simple self-care tasks. They may or may not understand speech. They may find it hard to communicate with others. People with severe intellectual disability usually live in a group home.
  • Profound intellectual disability – these people are unable to live on their own. They require close supervision for safety. They also need help with basic self-care. These individuals may have very limited or no ability to communicate. Sometimes they also have physical limitations or disability.

Symptoms

Symptoms of intellectual disability are broad and differ from person to person. For some people, the first signs appear before age two with abnormalities such as:

  • Crawling or walking later than most children
  • Speaking later than most children
  • Difficulty communicating
  • Having trouble remembering things
  • Having a hard time solving problems
  • Not understanding social cues
  • Behaviour problems such as tantrums
  • Late to master potty training or dressing themselves

For some children with intellectual disability, signs do not appear until they start to struggle in school.

Causes

There are many different causes of intellectual disability. The three most frequent are Down syndrome, Fragile X syndrome, and Foetal Alcohol Syndrome.

Down syndrome and fragile X syndrome are inherited genetic disorders.

Foetal Alcohol Syndrome occurs when a baby is exposed to alcohol while in the mother’s womb. Exposure to tobacco or drugs during the pregnancy also carries risk.

Intellectual disability can occur because of an illness or infection, such as meningitis. It can also occur as a result of head trauma or near drowning experience.

Problems during birth may also contribute to developing intellectual disability. The cause is unknown in many cases.

Risk Factors

Intellectual disability is more common in males than females. Mild intellectual disability is more common than profound intellectual disability.

Diagnosis

There is no one test that diagnoses intellectual disability. The diagnosis is made by putting the results of several tests together and into context. The tests fall into two large categories:

  • Tests measuring intelligence
  • Tests measuring a person’s ability to manage everyday life. These include academic tasks (for example, reading and maths), social tasks (for example, making friends), and practical tasks (for example, getting dressed).

The clinician may also speak with the child’s parents and teachers.

Treatment

Intellectual disability is lifelong and cannot be cured. However, many people with this condition live full lives with help such as:

  • Social services
  • Help finding a job
  • Help managing money and bills
  • Support groups for the entire family
  • Help finding housing
  • Help accessing available services
  • Speech therapy
  • Physical therapy
  • Behaviour modification counselling
  • Occupational therapy

Treatment can also include medication for underlying causes or medical conditions. Sometimes, a special diet is required.

Complications

There are several complications which can occur in people with intellectual disability, including:

  • Feeling depressed or anxious
  • Seizures
  • Vision problems
  • Hearing problems
  • Learning disabilities

People with intellectual disabilities are vulnerable persons. They are at higher-than-average risk of:

  • Sexual abuse or assault
  • Having a hard time getting medical or mental health care
  • Physical abuse
  • Someone taking advantage of them financially
  • Not having a job
  • Difficulty living outside of an institution

In order to help a child reach their full potential, it is important for parents to seek help for them as early as possible in order to live a fulfilling life.

 
 
 

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