Multiple complex developmental disorder

Not to be confused with Multisystem developmental disorder.

Multiple complex developmental disorder (MCDD) is a research category, proposed to involve several neurological and psychological symptoms where at least some symptoms are first noticed during early childhood and persist throughout life. It was originally suggested to be a subtype of autistic spectrum disorders (PDD) with co-morbid schizophrenia or another psychotic disorder; however, there is some controversy that not everyone with MCDD meets criteria for both PDD and psychosis. The term multiplex developmental disorder was coined by Donald J. Cohen in 1986.

Diagnostic criteria

The current diagnostic criteria for MCDD are a matter of debate due to it not being in the DSM-IV or ICD-10. Various websites contain various diagnostic criteria. At least three of the following categories should be present. Co-occurring clusters of symptoms must also not be better explained by being symptoms of another disorder such as experiencing mood swings due to autism, cognitive difficulties due to schizophrenia, and so on. The exact diagnostic criteria for MCDD remain unclear but may be a useful diagnosis for people who do not fall into any specific category. It could also be argued that MCDD is a vague and unhelpful term for these patients.

Psychotic symptoms

Criteria are met for a psychotic disorder.

Some symptoms may include:

1. Delusions, such as thought insertion, paranoid preoccupations, fantasies of personal omnipotence, over engagement with fantasy figures, grandiose fantasies of special powers, referential ideation, and confusion between fantasy and real life.
2. Hallucinations and/or unusual perceptual experiences.
3. Negative symptoms (anhedonia, affective flattening, alogia, avolition)
4. Disorganized behavior and/or speech such as thought disorder, easy confusability, inappropriate emotions/facial expressions, uncontrollable laughter, etc.
5. Catatonic behavior.

Affective and behavioral symptoms

These symptoms are not due to situations such as, person is depressed because of difficulty making friends. It is normal to experience dysfunctional emotions and behaviors at times. Criteria are met for a neurotic or personality disorder, preferably at least two.

Some symptoms may include:

1. Depression.
2. Mania.
3. Anxiety.
4. Anger.
5. Dissociative symptoms such as depersonalization, derealization, deja vu, etc.
6. Emotional instability.
7. Psychopathic behavior.
8. Narcissism.
9. Paranoia.
10. Obsessive-compulsive behavior.

Autistic symptoms

Criteria are met for an autistic spectrum disorder.

Some symptoms may include:

1. Difficulty with social skills.
2. Repetitive behaviour and patterns.
3. Sensory processing disorder. (Poor motor skills, poor auditory processing, poor depth perception, etc.)
4. Alexithymia. (Difficulty expressing self, difficulty understanding emotions, literal concrete thinking, etc.)
5. Lack of eye contact.
6. Intense, singular interests.
7. Low interest in dress up games during childhood.

Neurological symptoms

Because these are frequently found in cases of autistic disorders, criteria could be met for multiple neurological disorders, or cause severe symptoms.

Some examples include:

1. Learning difficulties symptoms such as dyslexia, dysgraphia, dyscalcula, NVLD, slow learning, poor memory, etc.
2. AD/HD symptoms such as poor concentration, poor decision making, poor judgement, impulsiveness, difficulty sitting still, etc.
3. Synesthesia.
4. Neurological sleep disorders such as narcolepsy, insomnia, circadian rhythm disorder, etc.
5. Conditions affecting perceptions and/or cognition, such as agnosia, aphasia, etc.
6. Tourette syndrome or Tic disorder.
7. Epilepsy or Seizure disorder.
8. Parkinsonian syndrome features such as tremors, stiff movements, etc.

Physical developmental disorders

The child can defecate only through the large intestines and not the large intestines and the small intestines. This problem only allows the person to have limited nutrition. Later in life the small intestines can open and function properly.

Another issue is once the baby has weened off of mother milk the adult, even as old as 47 like the previous issue of not using the small intestines, can vomit and release the bile from his system along with cancerous tumors from the spleen, pancreas, liver, and gallbladder. These two developments usually happen within the first months or years but can happen as late as 47 years old.

Also the pineal and pituary gland can open and function as late as 47 when these process shold happen in the first months or years. Leaving puberty should happen, hormonal changes and such, during adolescent but do to various abnormal conditions can happen at 47 years old.

There is nothing special about 47 years, but continous use of psychiatric drugs can delay the developmental progress and success; therefore, the use of psychiatric drugs is strongly discouraged in order to allow for developmental progress.

Praying to God is the most helpful tool recommended for developmental progress. Brain cancer can be cured by changing the enviroment.

Severely developmentally disabled men are still able to masturbate, be raped by women, and visit prostitutes and their sperm can be stolen to impregnate women for his structure. However, it is prohibited since the sperm is from a pre-pubescent body. Just as a woman can have sex with a one year old baby for his sperm it can happen to severely developmentally disabled men.

Causes

Multiple complex developmental disorder is likely to be caused by a number of different various genetic factors. Each individual with MCDD is unique from one another and displays different symptoms. Various neuropsychological disorders can also be found in family members of people with MCDD.

References

• Weisbrot, Deborah M.; Carlson, Gabrielle A. (February 2005). ""Diagnostically Homeless": Is it ADHD? Mania? Autism? What to do if no diagnosis fits" (PDF). Current Psychiatry. 4 (2). Montvale, New Jersey: Dowden Health Media: 25–42. ISSN 1537-8276. OCLC 232115063. Retrieved August 28, 2009.

External links

• http://medicine.yale.edu/childstudy/autism/information/mdd.aspx