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New insights for coping with personality changes in acquired brain injury
Date:6/25/2014

nostic and Statistical Manual of Mental Disorders (DSM-5). Diagnosis is now based retrospectively on the severity of posttraumatic cognitive impairments and their effects on everyday function, as compared to the initial severity of TBI. They conclude that this approach is likely to improve the evaluations of persons with TBI by mental health professionals, including differential diagnosis.

TBI initiates a cascade of neuromodulatory damage that blurs distinctions between physical and psychological medicine, say Nadia E. Webb, Brittany Little, Stephanie Loupee-Wilson, and Elizabeth M. Power. They point out that monitoring endocrine function is critical to avoid misdiagnosing and mistreating clinical symptoms such as depression, fatigue, diminished concentration, irritability, and overall cognitive decline. Wider adoption of consensus guidelines on the detection and monitoring of endocrine abnormalities post-TBI may diminish the severity of functional impairment and improve quality of life.

Ryan McQueen and Gregory J. O'Shanick note that acute rehabilitation following neurotrauma has evolved over the past 30 years to include the common use of drugs to promote synaptogenesis and improve recovery potential. However, little guidance exists for similar strategies in post-acute or community re-entry phases ABI. They draw on the existing scientific literature, models of pharmacologic intervention in promoting stability in other disease states, and their own collective clinical experience to provide a potential structure to create a stable physiologic platform to facilitate proactive behavioral intervention.

Anthony Lequerica and Denise Krch explore how issues of cultural diversity and staff perceptions affect treatment outcomes. "As the general population in the US becomes increasingly diverse, it becomes more important to provide culturally sensitive treatment. This is especially relevant when working with minority populations who have a higher ri
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Contact: Daphne Watrin
d.watrin@iospress.com
31-206-883-355
IOS Press
Source:Eurekalert

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