Title |
Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice
|
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Published in |
Neuropsychiatric Disease and Treatment, July 2015
|
DOI | 10.2147/ndt.s80457 |
Pubmed ID | |
Authors |
Margo D Lauterbach, Paula L Notarangelo, Stephen J Nichols, Kristy S Lane, Vassilis E Koliatsos |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 71 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 8 | 11% |
Researcher | 6 | 8% |
Student > Doctoral Student | 6 | 8% |
Student > Postgraduate | 5 | 7% |
Other | 5 | 7% |
Other | 21 | 30% |
Unknown | 20 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 16 | 23% |
Psychology | 15 | 21% |
Neuroscience | 4 | 6% |
Nursing and Health Professions | 3 | 4% |
Unspecified | 3 | 4% |
Other | 7 | 10% |
Unknown | 23 | 32% |