Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: Insights into psychiatric practice

Margo D. Llauterbach, Paula L. Notarangelo, Stephen J. Nichols, Kristy S. Llane, Vassilis E. Koliatsos

Research output: Contribution to journalArticle

Abstract

Traumatic brain injury (TBI) causes a variety of neuropsychiatric problems that pose diagnostic and treatment challenges for providers. In this report, we share our experience as a referral neuropsychiatry program to assist the general psychiatrist when adult TBI patients with psychiatric symptoms present for evaluation and treatment. We completed a retrospective study of patients with moderate-to-severe TBI and severe neuropsychiatric impairments. We collected information on demographics, nature of injury, symptomatology, diagnoses, and treatments. Data analysis indicates that mood stabilization was a key concern, often requiring aggressive pharmacological management. Cognitive dysfunction was a problem for the majority of patients, but was only medicated in a third, due to poor efficacy or behavioral side effects. The co-occurrence of multiple TBI-related symptoms and diagnoses in this patient cohort emphasizes the need for individualized psychopharmacological approaches and interventions.

Original languageEnglish (US)
Article numberA180
Pages (from-to)1601-1607
Number of pages7
JournalNeuropsychiatric Disease and Treatment
Volume11
DOIs
StatePublished - Jan 1 2015

Keywords

  • Neurobehavioral
  • Traumatic brain injury
  • Treatment

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

Fingerprint Dive into the research topics of 'Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: Insights into psychiatric practice'. Together they form a unique fingerprint.

  • Cite this