Monday, 11 August 2025

Intellectual Disabilities – DSM-5 Question & Answer Sheet

 

1. What is an Intellectual Disability?

Answer:
An intellectual disability is when a person has below-average intellectual functioning and limitations in adaptive skills (such as communication, self-care, and social skills).
In the DSM-5, it must begin before age 18 and affect both intellectual functioning and adaptive behaviour.


2. How is an Intellectual Disability Diagnosed (DSM-5 criteria)?

Answer:
The DSM-5 requires:

  1. Deficits in intellectual functions (e.g., reasoning, problem solving, learning), confirmed by assessment and testing.

  2. Deficits in adaptive functioning (meeting personal independence and social responsibility standards).

  3. Onset during the developmental period (childhood or adolescence).


3. What are the levels of severity?

Answer:

  • Mild – Can live independently with some support; may have some learning difficulties.

  • Moderate – Needs moderate support for daily life and work tasks.

  • Severe – Needs extensive daily support; limited communication skills.

  • Profound – Needs full-time care; significant communication and mobility challenges.


4. What causes Intellectual Disabilities?

Answer:
Causes can include:

  • Genetic conditions (e.g., Down syndrome, Fragile X syndrome).

  • Pregnancy issues (e.g., infections, substance exposure, malnutrition).

  • Birth complications (e.g., oxygen deprivation, prematurity).

  • Illness or injury (e.g., meningitis, head injury).

  • Unknown causes (in some cases).


5. How can people with Intellectual Disabilities be supported?

Answer:
Support can include:

  • Education support plans (IEPs in the USA, EHCPs in the UK).

  • Life skills training (cooking, money management).

  • Speech and occupational therapy.

  • Supportive technology (apps, visual aids).

  • Inclusive community activities.

  • Family and carer support.


6. What is the difference between Intellectual Disability and Learning Disability/Difficulty?

Answer:

  • Intellectual Disability – A broad condition affecting overall intellectual and adaptive functioning.

  • Learning Disability/Difficulty – Specific challenges in one area (e.g., dyslexia, dyscalculia) without affecting general intelligence.


7. How does society help people with Intellectual Disabilities?

Answer:

  • Laws protecting rights (e.g., ADA in the USA, Equality Act in the UK).

  • Access to education, healthcare, and employment.

  • Advocacy groups promoting inclusion and accessibility.

  • Reasonable adjustments in school, work, and public spaces.


8. Why is early diagnosis important?

Answer:

  • Allows early access to therapy and education support.

  • Helps families plan and access resources.

  • Improves learning, independence, and quality of life.


9. Can people with Intellectual Disabilities live independently?

Answer:
Yes, many can, especially with mild or moderate disabilities, if they have the right support, training, and accessible housing.


10. What is the role of families and carers?

Answer:

  • Providing daily support and encouragement.

  • Working with schools, health professionals, and social services.

  • Advocating for rights, inclusion, and opportunities.

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Intellectual Disabilities – DSM-5 Question & Answer Sheet

  1. What is an Intellectual Disability? Answer: An intellectual disability is when a person has below-average intellectual functioning a...