TY - JOUR
T1 - A Case Study on the Management of the Behavioral Sequelae of Traumatic Brain Injury
AU - Bajamundi-Plyler, Clare
AU - Hatfield, Rachael
AU - Rosier, James Tyler
AU - Roy, Durga
N1 - Funding Information:
Funding: There has been no significant financial support for this work that could have influenced its outcome.
Publisher Copyright:
© 2022 Academy of Consultation-Liaison Psychiatry
PY - 2022/7/1
Y1 - 2022/7/1
N2 - We present the case of a 46-year-old male with a history of post-traumatic stress disorder and opioid use disorder who sustained a severe traumatic brain injury secondary to motor vehicle accident and was brought to the attention of our psychiatry consultation-liaison team owing to significant physical and verbal aggression. This article will detail the specific behavioral and pharmacological management for this patient's symptoms. Additionally, experts in the field of consultation and liaison psychiatry will provide guidance based on their experience and a review of the available literature. Key teaching topics include the pathophysiology and cognitive evaluation of traumatic brain injury, conducting a behavioral analysis and developing a behavioral management plan and finally how to utilize appropriate symptom-based pharmacology while taking into account evidence-based treatment. Neuropsychiatric symptoms in traumatic brain injury are often challenging to manage owing to the varied symptom profile. Thus, treatment requires continued re-evaluation and a mixture of behavioral therapy and psychopharmacologic approaches.
AB - We present the case of a 46-year-old male with a history of post-traumatic stress disorder and opioid use disorder who sustained a severe traumatic brain injury secondary to motor vehicle accident and was brought to the attention of our psychiatry consultation-liaison team owing to significant physical and verbal aggression. This article will detail the specific behavioral and pharmacological management for this patient's symptoms. Additionally, experts in the field of consultation and liaison psychiatry will provide guidance based on their experience and a review of the available literature. Key teaching topics include the pathophysiology and cognitive evaluation of traumatic brain injury, conducting a behavioral analysis and developing a behavioral management plan and finally how to utilize appropriate symptom-based pharmacology while taking into account evidence-based treatment. Neuropsychiatric symptoms in traumatic brain injury are often challenging to manage owing to the varied symptom profile. Thus, treatment requires continued re-evaluation and a mixture of behavioral therapy and psychopharmacologic approaches.
KW - behavioral therapy, psychopharmacology
KW - neuropsychiatry
KW - traumatic brain injury
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U2 - 10.1016/j.jaclp.2022.01.002
DO - 10.1016/j.jaclp.2022.01.002
M3 - Review article
C2 - 35123125
AN - SCOPUS:85126097344
SN - 2667-2960
VL - 63
SP - 316
EP - 323
JO - Journal of the Academy of Consultation-Liaison Psychiatry
JF - Journal of the Academy of Consultation-Liaison Psychiatry
IS - 4
ER -