BOOK
Neuropsychiatry of Traumatic Brain Injury, An Issue of Psychiatric Clinics of North America, E-Book
(2014)
Additional Information
Book Details
Abstract
It is widely recognized that neuropsychiatric disturbances contribute substantially to disability among persons with traumatic brain injury (TBI). This issue of Psychiatric Clinics addresses the most common and the most clinically challenging neuropsychiatric sequelae of TBI. The overarching aim of this publication is to provide clinicians with information about the clinical characteristics, diagnostic assessment, neurobiology and treatment of these conditions that will be useful in their work with individuals and families affected by TBI. Topics include: Posttraumatic Encephalopathy; Cognitive Disorders after TBI; Emotional and Behavioral Dyscontrol after TBI; Mood Disorders following TBI; Apathy following TBI; Psychotic Disorders following TBI; Sleep and Fatigue following TBI; TBI and Posttraumatic Stress Disorder; Neuropsychiatry of Persistent Post-concussive Symptoms; Psychiatric Disorders following Pediatric TBI.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Neuropsychiatry ofTraumatic Brain Injury | i | ||
| copyright\r | ii | ||
| Contributors | iii | ||
| Contents | vii | ||
| Psychiatric Clinics Of North America | x | ||
| Preface | xi | ||
| References | xiii | ||
| Cognitive Sequelae of Traumatic Brain Injury | 1 | ||
| Key points | 1 | ||
| Introduction | 1 | ||
| Epidemiology of cognitive dysfunction following TBI | 2 | ||
| Short-Term Cognitive Impairment | 2 | ||
| Long-Term Cognitive Impairment | 3 | ||
| Deficits of executive function and everyday thinking skills | 3 | ||
| Pathophysiology of cognitive deficits following TBI | 6 | ||
| Neuropsychological assessment | 7 | ||
| Treatment | 7 | ||
| Summary | 8 | ||
| References | 9 | ||
| Mood Disorders After TBI | 13 | ||
| Key points | 13 | ||
| Introduction | 13 | ||
| Depressive disorders | 14 | ||
| Epidemiology | 14 | ||
| Risk Factors | 15 | ||
| Diagnostic Assessment | 16 | ||
| Differential Diagnosis | 17 | ||
| Ancillary Studies | 18 | ||
| Psychotherapy | 18 | ||
| Pharmacotherapy | 19 | ||
| Electroconvulsive Therapy and Brain Stimulation Techniques | 20 | ||
| Manic, hypomanic, and mixed disorders | 20 | ||
| Epidemiology | 20 | ||
| Risk Factors | 21 | ||
| Diagnostic Assessment | 21 | ||
| Differential Diagnosis | 22 | ||
| Ancillary Studies | 22 | ||
| Pharmacotherapy | 23 | ||
| Psychotherapy | 24 | ||
| ECT and Brain-Stimulation Techniques | 24 | ||
| Summary and future directions | 24 | ||
| Acknowledgments | 24 | ||
| References | 25 | ||
| Emotional and Behavioral Dyscontrol After Traumatic Brain Injury | 31 | ||
| Key points | 31 | ||
| Emotional dyscontrol | 33 | ||
| Pathological Laughing and Crying | 33 | ||
| Affective Lability | 35 | ||
| Irritability | 36 | ||
| Behavioral dyscontrol | 38 | ||
| Disinhibition | 39 | ||
| Aggression | 40 | ||
| Summary | 43 | ||
| References | 43 | ||
| Traumatic Brain Injury and Posttraumatic Stress Disorder | 55 | ||
| Key points | 55 | ||
| Introduction | 56 | ||
| Epidemiology | 57 | ||
| Definitions of TBI and PTSD | 57 | ||
| Frequency of PTSD Among TBI Survivors | 58 | ||
| The Influence of TBI on the Development and Course of PTSD | 60 | ||
| Neurobiology of co-occurring TBI and PTSD | 60 | ||
| Imaging and Lesion-Behavioral Correlates | 62 | ||
| Evaluation | 63 | ||
| Neuroimaging and Neuropsychological Assessment | 65 | ||
| Treatment implications | 65 | ||
| Symptom Management | 67 | ||
| Pharmacological Treatments for PTSD and TBI | 67 | ||
| Psychotherapy for PTSD and TBI | 68 | ||
| Combined Interventions for PTSD and TBI | 68 | ||
| Summary | 68 | ||
| References | 69 | ||
| Sleep and Fatigue Following Traumatic Brain Injury | 77 | ||
| Key points | 77 | ||
| Sleep disturbances after TBI—their nature and assessment | 78 | ||
| Causes of sleep disturbance after TBI | 79 | ||
| Fatigue after TBI—its nature and assessment | 80 | ||
| Causes of fatigue after TBI | 81 | ||
| Consequences of fatigue and sleep disturbances | 83 | ||
| Current treatment approaches | 83 | ||
| Summary | 85 | ||
| References | 85 | ||
| Neuropsychiatry of Persistent Symptoms After Concussion | 91 | ||
| Key points | 91 | ||
| Introduction | 91 | ||
| Did a mild TBI occur? | 92 | ||
| Self-report | 93 | ||
| Medical Records | 93 | ||
| Brain Imaging | 93 | ||
| Neuropsychological Testing | 94 | ||
| What is causing the symptoms? | 94 | ||
| Psychiatric Factors | 94 | ||
| Physical Factors | 95 | ||
| Psychological Factors | 95 | ||
| Legal Factors, Insurance Factors, and Effort | 95 | ||
| Treatment | 96 | ||
| References | 99 | ||
| Apathy Following Traumatic Brain Injury | 103 | ||
| Key points | 103 | ||
| Introduction | 103 | ||
| Apathy: definition and phenomenology | 103 | ||
| Diagnosis of apathy | 104 | ||
| Apathy in TBI: differential diagnosis | 106 | ||
| Frequency of apathy in TBI | 107 | ||
| Apathy, depression, and cognitive impairment | 107 | ||
| Correlates of apathy after TBI | 107 | ||
| Mechanism of apathy in TBI | 108 | ||
| Treatment of apathy in TBI | 109 | ||
| Summary | 109 | ||
| References | 109 | ||
| Psychotic Disorder Caused by Traumatic Brain Injury | 113 | ||
| Key points | 113 | ||
| Diagnosis of psychosis caused by TBI | 114 | ||
| Psychotic Symptoms | 114 | ||
| Relationship of Psychosis to TBI | 115 | ||
| Differential Diagnosis | 116 | ||
| Functional Consequences of PDDTBI | 118 | ||
| Treatment | 119 | ||
| Pharmacotherapy | 119 | ||
| Nonpharmacologic Treatment | 119 | ||
| Theoretic model of the proposed relationships between TBI and psychosis | 120 | ||
| Summary and future directions | 121 | ||
| References | 122 | ||
| Neuropsychiatry of Pediatric Traumatic Brain Injury | 125 | ||
| Key points | 125 | ||
| Introduction | 125 | ||
| Epidemiology | 125 | ||
| Pathophysiology | 126 | ||
| Evaluation | 126 | ||
| Methodological Concerns | 127 | ||
| Preinjury Psychiatric Status | 127 | ||
| Postinjury Psychiatric Status | 127 | ||
| NPD | 128 | ||
| Specific Psychiatric Disorders/Symptom Clusters | 128 | ||
| Personality Change due to TBI | 128 | ||
| Secondary ADHD | 130 | ||
| ODD/Conduct Disorder | 130 | ||
| PTSD | 131 | ||
| Other Anxiety Disorders | 131 | ||
| Mania/Hypomania | 132 | ||
| Depressive Disorders | 132 | ||
| Psychosis and Autism | 132 | ||
| Treatment | 132 | ||
| Nonpharmacologic Treatment Strategies | 132 | ||
| School | 132 | ||
| Family-based treatment | 133 | ||
| Pharmacotherapies | 133 | ||
| PC due to TBI: Labile and Aggressive Subtypes | 133 | ||
| PC due to TBI: Disinhibited, Paranoid, Apathetic Subtypes | 134 | ||
| ADHD | 134 | ||
| Depression | 134 | ||
| Emerging Treatment Approaches | 134 | ||
| Summary | 135 | ||
| References | 135 | ||
| Index | 141 |