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Medication Approaches to the Neuropsychiatric Sequelae of TBI

Why learn about meds?. Improves careImproves your clinical skillsFosters participation in treatmentFacilitates holistic approach to care. Bottom line. You need to decide what you are treatingNot organicity"Not tbi"No sloppy thinking allowedIt's ok to be wrong, not ok to be vagueAvoid co

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Medication Approaches to the Neuropsychiatric Sequelae of TBI

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    1. Medication Approaches to the Neuropsychiatric Sequelae of TBI TW McAllister, M.D. Professor of Psychiatry Director of Neuropsychiatry Dartmouth Medical School

    2. Why learn about meds? Improves care Improves your clinical skills Fosters participation in treatment Facilitates holistic approach to care

    3. Bottom line… You need to decide what you are treating… Not “organicity” Not “tbi” No sloppy thinking allowed It’s ok to be wrong, not ok to be vague Avoid collecting psychotropics like notches on a pharmacological belt

    4. General Principles Challenges in assessment Vulnerability to side effects Clarification of goals This sounds easier than it is because of several challenges…This sounds easier than it is because of several challenges…

    5. MIXED AND FLUCTUATING SYMPTOM PICTURE PROMINENT MOOD CHANGES PROMINENT ANXIETY/AGITATION PROMINENT IMPULSIVITY PROMINENT FEATURES FLUCTUATE OVER TIME

    6. VARIABLE COGNITIVE DEFICITS IMPAIRED ATTENTION AND CONCENTRATION IMPAIRED PLANNING AND PROBLEM SOLVING IMPAIRED MEMORY AND LEARNING IMPAIRED LANGUAGE FUNCTION

    7. COMMUNICATION DEFICITS PROPOSITIONAL AND PROSODIC FUNCTION CAN BE IMPAIRED DIFFICULT TO MATCH AFFECT AND CONTENT DENIAL SYNDROMES LACK OF EXPERIENCE WITH PSYCHIATRIC LANGUAGE

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