TY - JOUR
T1 - Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms
T2 - Insights into psychiatric practice
AU - Llauterbach, Margo D.
AU - Notarangelo, Paula L.
AU - Nichols, Stephen J.
AU - Llane, Kristy S.
AU - Koliatsos, Vassilis E.
N1 - Publisher Copyright:
© 2015 Lauterbach et al.
PY - 2015
Y1 - 2015
N2 - 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.
AB - 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.
KW - Neurobehavioral
KW - Traumatic brain injury
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=84936875600&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84936875600&partnerID=8YFLogxK
U2 - 10.2147/NDT.S80457
DO - 10.2147/NDT.S80457
M3 - Article
C2 - 26170672
AN - SCOPUS:84936875600
SN - 1176-6328
VL - 11
SP - 1601
EP - 1607
JO - Neuropsychiatric Disease and Treatment
JF - Neuropsychiatric Disease and Treatment
M1 - A180
ER -