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

Margo D Lauterbach,1 Paula L Notarangelo,1 Stephen J Nichols,2 Kristy S Lane,1 Vassilis E Koliatsos11The Neuropsychiatry Program at Sheppard Pratt, Sheppard Pratt Health System, Baltimore, MD, 2Department of Emergency Medicine, The University of Tennessee College of Medicine Chattanooga, Chattanooga...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lauterbach MD, Notarangelo PL, Nichols SJ, Lane KS, Koliatsos VE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/434968739f9349bf9eb5c23e7d970237
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:434968739f9349bf9eb5c23e7d970237
record_format	dspace
spelling	oai:doaj.org-article:434968739f9349bf9eb5c23e7d9702372021-12-02T01:35:28ZDiagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice1178-2021https://doaj.org/article/434968739f9349bf9eb5c23e7d9702372015-07-01T00:00:00Zhttp://www.dovepress.com/diagnostic-and-treatment-challenges-in-traumatic-brain-injury-patients-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Margo D Lauterbach,1 Paula L Notarangelo,1 Stephen J Nichols,2 Kristy S Lane,1 Vassilis E Koliatsos11The Neuropsychiatry Program at Sheppard Pratt, Sheppard Pratt Health System, Baltimore, MD, 2Department of Emergency Medicine, The University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USAAbstract: 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.Keywords: traumatic brain injury, neurobehavioral, treatmentLauterbach MDNotarangelo PLNichols SJLane KSKoliatsos VEDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 1601-1607 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Lauterbach MD Notarangelo PL Nichols SJ Lane KS Koliatsos VE Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice
description	Margo D Lauterbach,1 Paula L Notarangelo,1 Stephen J Nichols,2 Kristy S Lane,1 Vassilis E Koliatsos11The Neuropsychiatry Program at Sheppard Pratt, Sheppard Pratt Health System, Baltimore, MD, 2Department of Emergency Medicine, The University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USAAbstract: 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.Keywords: traumatic brain injury, neurobehavioral, treatment
format	article
author	Lauterbach MD Notarangelo PL Nichols SJ Lane KS Koliatsos VE
author_facet	Lauterbach MD Notarangelo PL Nichols SJ Lane KS Koliatsos VE
author_sort	Lauterbach MD
title	Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice
title_short	Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice
title_full	Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice
title_fullStr	Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice
title_full_unstemmed	Diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice
title_sort	diagnostic and treatment challenges in traumatic brain injury patients with severe neuropsychiatric symptoms: insights into psychiatric practice
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/434968739f9349bf9eb5c23e7d970237
work_keys_str_mv	AT lauterbachmd diagnosticandtreatmentchallengesintraumaticbraininjurypatientswithsevereneuropsychiatricsymptomsinsightsintopsychiatricpractice AT notarangelopl diagnosticandtreatmentchallengesintraumaticbraininjurypatientswithsevereneuropsychiatricsymptomsinsightsintopsychiatricpractice AT nicholssj diagnosticandtreatmentchallengesintraumaticbraininjurypatientswithsevereneuropsychiatricsymptomsinsightsintopsychiatricpractice AT laneks diagnosticandtreatmentchallengesintraumaticbraininjurypatientswithsevereneuropsychiatricsymptomsinsightsintopsychiatricpractice AT koliatsosve diagnosticandtreatmentchallengesintraumaticbraininjurypatientswithsevereneuropsychiatricsymptomsinsightsintopsychiatricpractice
_version_	1718402954215555072

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

Ejemplares similares