Neuropsychiatric consequences of traumatic brain injury. Causes of head injury. Physical symptoms. Outcome (Thornhill et al, 2001)

Size: px
Start display at page:

Download "Neuropsychiatric consequences of traumatic brain injury. Causes of head injury. Physical symptoms. Outcome (Thornhill et al, 2001)"

Transcription

1 Neuropsychiatric consequences of traumatic brain injury Professor Shoumitro Deb, MD. University of Birmingham & Warwick Medical School, UK. Causes of head injury Fall Assault RTA Deb et al (1999) 42% 27% 22% Thornhill et al (2001) 46% 28% 11% Outcome (Thornhill et al, 2001) GCS N Good outcome % % % Outcome (Thornhill et al, 2001) Mild Moderate Severe Physical 58% 66% 82% Cognitive 43% 49% 76% Mood 47% 48% 78% Disability (home) 22% 28% 42% (outside) 34% 35% 67% Physical symptoms Paralysis Ataxia Co-ordination problem Speech problem Epilepsy Sensory problems Headache, dizziness etc. 1

2 Neuropsychiatric Sequelae Cognitive Psychiatric Behavioural Social Daily Living Skills Carer Burden Neuropsychiatric sequelae of Head Injury Behavioural problems Cognitive deficits Psychiatric Illness Psychiatric illness Psychiatric syndromes Psychological symptoms Depression Anxiety Irritability Sleep problems Controversial concepts Personality change Aggressive Apathetic Child like Post Concussional Syndrome Postconcussional syndrome Physical Headache, dizziness Cognitive Impaired memory, difficulty in concentration and performing mental tasks Psychological Fatigue, irritability, insomnia, reduced tolerance to stress, emotional excitement and alcohol PI one year after TBI (Deb et al,1999) 196 hospitalised patients 164 (120 age yrs) interviewed GHQ-28 CIS-R & PSQ SCAN-1CD-10 diagnosis 2

3 PI in TBI (Deb et al, 1999, AJP) (Deb & Burns, 2007, Brain Injury) PI diagnosis Overall rate Schizophrenia TBI group 32% vs. 16% 0.8% Gen. Pop. 16.4% 0.4% Gender Male (110) 21.6% Female (54) 11.3% Depression* GAD Panic Disorder* Phobia OCD 14% 2.5% 9% 0.8% 1.6% 2% 3% 0.8% 1.1% 1.2% Age* yrs (120) 21.7% Over 64 yrs (44) 9% GCS (134) 17.2% <13 (30) 23.3% History of PI* Present (28) 42.9% Absent (136) 13.2% GOS* Unfavourable (59) 36.8% Favourable (105) 8.6% History of TBI* Present (42) 28.6% Absent (122) 14.8% MMSE* (121) 16.5% <23 (40) 25% Alcohol* Present (122) 21.3% Absent (42) 9.5% Conclusion The rate of PI is similar (age dependent). Depression and Panic significantly more prevalent. Younger age, poor outcome, lower MMSE, history of PI, alcohol consumption and TBI are risk factors. 3

4 The rate of neurobehavioural symptoms (n=146) (Deb et al, BJP 1999; JNNP, 1998) One or more 62% Three or more 40% One or two 22% Three to six 21% More than six 19% The rate of neurobehavioural symptoms (n=146) Disinhibition 3% Planning difficulty 12% Verbal outbursts 15% Lack of initiative 15% Slowness in thinking 18% Mood swings 18% Diminished socialisation 27% The rate of neurobehavioural Deb Gouvier Wales Low mood 19% 12% Tiredness 24% 28-35% 30% Impatience 30% 42-49% Sleep problem 32% 26% Irritability 35% 31-43% 22% Socio-demographic Age Gender Risk factors Pre-morbid Education* Social class* Alcohol Previous head injury Previous psychiatric illness IQ (NART) Severity of head injury Risk factors Outcome factors Clustering of neurobehavioural Factor1 GCS score* PTA length ERSS score* MMSE score CIS-R score* Compensation Difficulty in planning Slowness in thinking Lack of initiative Dependence on others 4

5 Clustering of neurobehavioural Factor 2 Tiredness Low mood Sleep problems Clustering of neurobehavioural Factor 3 Irritability Impatience Mood swings Verbal outbursts Pattern of neurobehavioral Elderly group Younger group Dependence Disinhibition Planning difficulty Poor memory Safety hazard Slowness in thinking Tiredness Sleep problems Higher rate of neurobehavioural symptoms in severe head injury Dependence Depressed mood Planning difficulty Poor memory Mood swings Irritability Conclusion Neurobehavioural symptoms are common one year post TBI. Causal relationship is not established. Lower social class, lower educational achievement, low GCS, poor outcome, psychiatric caseness are the risk factors. The pattern of neurobehavioural symptoms varied between age groups and according to the severity of the TBI. 5

6 P-HIPS (48-items) (Deb et al 2007a) C-HIPS (53-items) (Deb et al 2007b) Patient Head Injury Neurobehavioural Assessment Scale (P-HINAS) Temper/ irritable Lack of motivation Social behaviour Patient version - example Patient Head Injury Community Living Scale (P-HICLS) Mobility Sports activity Leisure activity Patient Head Injury Cognitive Assessment Scale (P-HICAS) Difficulty with group conversation Difficulty with planning/ organisation Patient Head Injury Physical Assessment Scale (P-HIPAS) Pain other than headache Sensitivity to light/ noise References (s.deb@bham.ac.uk) Deb S., Bryant E., Morris P. G., Prior L., Lewis G. & Haque S. (2007) Development and psychometric properties of the Patient-Head Injury Participation Scale (P-HIPS) and the Patient-Head Injury Neurobehavioral Assessment Scale (P-HINAS): patient and family determined outcome scales. Neuropsychiatric Disease and Treatment, 3, 3, Deb S., Bryant E., Morris P. G., Prior L., Lewis G. & Haque S. (2007) Development and psychometric properties of the Carer-Head Injury Neurobehavioral Assessment Scale (C-HINAS) and the Carer-Head Injury Participation Scale (C-HIPS): patient and family determined scales. Neuropsychiatric Disease and Treatment, 3, 3, Deb S. & Burns J. (2007) Neuropsychiatric consequences of traumatic brain injury: a comparison between two age groups. Brain Injury, 21, 3, Deb S., Lyons I, Koutzoukis C., Ali I. & McCarthy G. (1999) Rate of psychiatric illness one year after traumatic brain injury. American Journal of Psychiatry, 156, Deb S., Lyons I. & Koutzoukis C. (1999) Neurobehavioural symptoms one year after a head injury. British Journal of Psychiatry, 174, Deb S., Lyons I. & Koutzoukis C. (1998) Neuropsychiatric sequelae one year after a minor head injury. Journal of Neurology Neurosurgery and Psychiatry, 65,

Long term effects of Acquired Brain Injury. Dr Alyson Norman

Long term effects of Acquired Brain Injury. Dr Alyson Norman Long term effects of Acquired Brain Injury Dr Alyson Norman Overview Consequences of Acquired Brain Injury (ABI): Cognitive (the way people think) Physical Affective (emotional effects) Behavioural Psychosocial

More information

Referral Form PERSONAL DETAILS. Reason for Referral: Please indicate clearly your reason for referral: CONTACT PERSONS Next of Kin 1: Name:

Referral Form PERSONAL DETAILS. Reason for Referral: Please indicate clearly your reason for referral: CONTACT PERSONS Next of Kin 1: Name: Referral Form PLEASE USE BLOCK CAPITALS AND FILL IN AS MUCH DETAIL AS POSSIBLE. PERSONAL DETAILS First Name: Date of Birth: / / Referred for: Surname: Maiden Name: Address: Home Tel Number: Mobile Number:

More information

Emotional Symptoms in Athletes With PCS. David Westerdahl, MD FAAFP Cleveland Clinic Florida 6/24/2012

Emotional Symptoms in Athletes With PCS. David Westerdahl, MD FAAFP Cleveland Clinic Florida 6/24/2012 Emotional Symptoms in Athletes With PCS David Westerdahl, MD FAAFP Cleveland Clinic Florida 6/24/2012 Objectives Discuss Post-Concussion symptoms and functional problems Identify pre-injury factors that

More information

Introduction. Shoumitro Deb 1 Eleanor Bryant 1 Paul G Morris 2 Lindsay Prior 3 Glyn Lewis 4 Sayeed Haque 1 ORIGINAL RESEARCH

Introduction. Shoumitro Deb 1 Eleanor Bryant 1 Paul G Morris 2 Lindsay Prior 3 Glyn Lewis 4 Sayeed Haque 1 ORIGINAL RESEARCH ORIGINAL RESEARCH Development and psychometric properties of the Patient-Head Injury Participation Scale (P-HIPS) and the Patient-Head Injury Neurobehavioral Assessment Scale (P-HINAS): patient and family

More information

A Healthy Brain. An Injured Brain

A Healthy Brain. An Injured Brain A Healthy Brain Before we can understand what happens when a brain is injured, we must realize what a healthy brain is made of and what it does. The brain is enclosed inside the skull. The skull acts as

More information

Mild Traumatic Brain Injury (mtbi): An Occupational Dilemma

Mild Traumatic Brain Injury (mtbi): An Occupational Dilemma Mild Traumatic Brain Injury (mtbi): An Occupational Dilemma William H. Cann, MD MPH Occupational Medicine Trainee Occupational Medicine Trainee University of Washington Disclosures None This presentation

More information

Handling Challenges & Changes after TBI

Handling Challenges & Changes after TBI Handling Challenges & Changes after TBI Quick Facts about Traumatic Brain Injury (TBI) The CDC reports that roughly 2.5 million Americans have a TBI each year The most common causes are: falls, motor vehicle

More information

ANXIETY: SCREENING, DIFFERENTIAL DIAGNOSIS, TREATMENT MONITORING

ANXIETY: SCREENING, DIFFERENTIAL DIAGNOSIS, TREATMENT MONITORING Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences ANXIETY: SCREENING, DIFFERENTIAL DIAGNOSIS, TREATMENT MONITORING DEB COWLEY MD OCTOBER 20, 2016 OBJECTIVES At the

More information

Copyright 2009 ACNN 1

Copyright 2009 ACNN 1 1 The focus of this information is children who have previously been evaluated and have an established diagnosis of concussion. The information contained herein is not intended for acute concussion management.

More information

Client Intake Form. First Name: M.I.: Last Name: Birthdate: Gender: Age: Address: City: State: Zip:

Client Intake Form. First Name: M.I.: Last Name: Birthdate: Gender: Age: Address: City: State: Zip: Client Intake Form First Name: M.I.: Last Name: Birthdate: Gender: Age: Address: City: State: Zip: Tel: Home: Okay to leave message? (Circle one) Yes No Tel: Work: Ext Okay to leave message? (Circle one)

More information

6/22/2012. Co-morbidity - when two or more conditions occur together. The two conditions may or may not be causally related.

6/22/2012. Co-morbidity - when two or more conditions occur together. The two conditions may or may not be causally related. Autism Spectrum Disorders and Co-existing Mental Health Issues By Dr. Karen Berkman Objective To present an overview of common psychiatric conditions that occur in persons with autism spectrum disorders

More information

Dr. Catherine Mancini and Laura Mishko

Dr. Catherine Mancini and Laura Mishko Dr. Catherine Mancini and Laura Mishko Interviewing Depression, with case study Screening When it needs treatment Anxiety, with case study Screening When it needs treatment Observation Asking questions

More information

PTSD and Other Invisible Wounds affecting our Service Members and Veterans. Alan Peterson, PhD, ABPP

PTSD and Other Invisible Wounds affecting our Service Members and Veterans. Alan Peterson, PhD, ABPP PTSD and Other Invisible Wounds affecting our Service Members and Veterans Alan Peterson, PhD, ABPP 1 Alan Peterson, PhD, ABPP Retired USAF Lt Col Clinical Health Psychologist Former Chair, Department

More information

Diagnosis of Dementia: Clinical aspects

Diagnosis of Dementia: Clinical aspects Diagnosis of Dementia: Clinical aspects George Tadros Consultant in Old Age Psychiatry Professor of Old Age Liaison Psychiatry, Warwick Medical School, University of Warwick Visiting Professor of Mental

More information

Review Evaluation of Residuals of Traumatic Brain Injury (R-TBI) Disability Benefits Questionnaire * Internal VA or DoD Use Only*

Review Evaluation of Residuals of Traumatic Brain Injury (R-TBI) Disability Benefits Questionnaire * Internal VA or DoD Use Only* Review Evaluation of Residuals of Traumatic Brain Injury (R-TBI) Disability Benefits Questionnaire * Internal VA or DoD Use Only* Name of patient/veteran: SSN: Your patient is applying to the U. S. Department

More information

DBQ Initial Evaluation of Residuals of Traumatic Brain Injury (I-TBI) Disability

DBQ Initial Evaluation of Residuals of Traumatic Brain Injury (I-TBI) Disability DBQ Initial Evaluation of Residuals of Traumatic Brain Injury (I-TBI) Disability Name of patient/veteran: SSN: SECTION I 1. Diagnosis Does the Veteran now have or has he/she ever had a traumatic brain

More information

S. Deb, M.Thomas & C. Bright. Abstract

S. Deb, M.Thomas & C. Bright. Abstract 506 Journal of Intellectual Disability Research VOLUME 45 PART 6 pp 506 514 DECEMBER 2001 Mental disorder in adults with intellectual disability. 2:The rate of behaviour disorders among a community-based

More information

Working with medically unexplained symptoms. Professor Chris Williams University of Glasgow

Working with medically unexplained symptoms. Professor Chris Williams University of Glasgow Working with medically unexplained symptoms Professor Chris Williams University of Glasgow Overview of session Why Cognitive Behavioural Therapy? Applying CBT to MUS Results of an RCT Working with processes

More information

PSYCHOLOGICAL DISORDERS CHAPTER 13 MEYERS AND DEWALL

PSYCHOLOGICAL DISORDERS CHAPTER 13 MEYERS AND DEWALL PSYCHOLOGICAL DISORDERS CHAPTER 13 MEYERS AND DEWALL OVERVIEW What are Psychological Disorders? Anxiety Disorders, OCD, and PTSD Substance Use and Addictive Disorders Mood Disorders Schizophrenia Additional

More information

Dr Keith Ganasen Department of Psychiatry UCT

Dr Keith Ganasen Department of Psychiatry UCT Dr Keith Ganasen Department of Psychiatry UCT A. Significantly subaverage intellectual functioning: an IQ of approximately 70 or below on an individually administered IQ test B. Concurrent deficits or

More information

Past, Current and Future Concepts in Traumatic Brain Injury

Past, Current and Future Concepts in Traumatic Brain Injury Past, Current and Future Concepts in Traumatic Brain Injury { G. Alexander Hishaw, MD Medical Director of Polytrauma Southern Arizona VA Assistant Professor of Neurology & Psychiatry University of Arizona

More information

Public Affairs Manager or

Public Affairs Manager or Written submission from: Headway the brain injury association Date of submission: 30 November 2017 Contact details: Submission to: Title of inquiry: Dr Clare Mills Public Affairs Manager 0115 824 0800

More information

UDS version 3 Summary of major changes to UDS form packets

UDS version 3 Summary of major changes to UDS form packets UDS version 3 Summary of major changes to UDS form packets from version 2 to VERSION 3 february 18 final Form A1: Subject demographics Updated question on principal referral source to add additional options

More information

Mini Research Paper: Traumatic Brain Injury. Allison M McGee. Salt Lake Community College

Mini Research Paper: Traumatic Brain Injury. Allison M McGee. Salt Lake Community College Running Head: Mini Research Paper: Traumatic Brain Injury Mini Research Paper: Traumatic Brain Injury Allison M McGee Salt Lake Community College Abstract A Traumatic Brain Injury (also known as a TBI)

More information

Traumatic Brain Injury Screening in Correctional Populations. Abby Bernett. Marquette University

Traumatic Brain Injury Screening in Correctional Populations. Abby Bernett. Marquette University TBI in Corrections 1 Traumatic Brain Injury Screening in Correctional Populations Abby Bernett Marquette University TBI in Corrections 2 Introduction The purpose of this paper is to describe the current

More information

IT S ALL IN YOUR HEAD!

IT S ALL IN YOUR HEAD! IT S ALL IN YOUR HEAD! CARING FOR CONCUSSIONS IN YOUR COMMUNITY Stephen K Stacey, DO CPT, MC, USA OUTLINE Definition Epidemiology Diagnosis Evaluation Recovery Sequelae Prevention Resources for providers

More information

Understanding Psychiatry & Mental Illness

Understanding Psychiatry & Mental Illness Understanding Psychiatry & Steve Ellen Mental Illness MB, BS. M.Med. MD. FRANZCP Head, Consultation, Liaison & Emergency Psychiatry, Alfred Health. Associate Professor, Monash Alfred Psychiatry Research

More information

WakeMed Health & Hospitals

WakeMed Health & Hospitals WakeMed Health & Hospitals The Power to Heal. A Passion for Care. WakeMed Health & Hospitals Raleigh, North Carolina Traumatic Brain Injury December 4th, 2012 Laurie Leach, Ph.D., FACPN Director of Neuropsychology

More information

Developmental Disorders also known as Autism Spectrum Disorders. Dr. Deborah Marks

Developmental Disorders also known as Autism Spectrum Disorders. Dr. Deborah Marks Pervasive Developmental Disorders also known as Autism Spectrum Disorders Dr. Deborah Marks Pervasive Developmental Disorders Autistic Disorder ( Autism) - Kanner Asperger Syndrome Pervasive Developmental

More information

Post-Concussion Syndrome

Post-Concussion Syndrome Post-Concussion Syndrome By David Coppel SIGNS AND SYMPTOMS According to the Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-4) an individual with post-concussion disorder experiences

More information

AN OVERVIEW OF ANXIETY

AN OVERVIEW OF ANXIETY AN OVERVIEW OF ANXIETY Fear and anxiety are a normal part of life. Normal anxiety keeps us alert. Intervention is required when fear and anxiety becomes overwhelming intruding on a persons quality of life.

More information

Estimates of Prevalence of Mental Health Problems by Locality

Estimates of Prevalence of Mental Health Problems by Locality Estimates of Prevalence of Mental Health Problems by Locality How can the level of mental illness now and in the future be estimated in order to plan services? It is possible to make estimates by locality

More information

Let s s talk about behaviour

Let s s talk about behaviour Let s s talk about behaviour Common Terms: Coma Restless Agitated Disoriented Confused Disinhibition Disrupted sleep cycle Amnestic Combative Inappropriate Vocalizing Some less accurate terminology Rude

More information

Definitions and epidemiology of TBI

Definitions and epidemiology of TBI Definitions and epidemiology of TBI International collaboration TBI is a global problem Brain Injury TODAY Keystone Symposia on Molecular and Cellular Biology Colorado Feb 26 March 2, 2012 Andrew Maas

More information

Supporting smokers with mental health problems

Supporting smokers with mental health problems Collaboration for Leadership in Applied Health Research and Care South London (CLAHRC South London) Supporting smokers with mental health problems Ann McNeill, Professor of Tobacco Addiction Dr Debbie

More information

HEADS UP ON MENTAL HEALTH CONCERNS IN CHILDREN WITH DEVELOPMENTAL DISABILITIES. CORNELIO G. BANAAG, JR. M.D. Psychiatrist

HEADS UP ON MENTAL HEALTH CONCERNS IN CHILDREN WITH DEVELOPMENTAL DISABILITIES. CORNELIO G. BANAAG, JR. M.D. Psychiatrist HEADS UP ON MENTAL HEALTH CONCERNS IN CHILDREN WITH DEVELOPMENTAL DISABILITIES CORNELIO G. BANAAG, JR. M.D. Psychiatrist MENTAL HEALTH WHO: Health is more than the absence of illness Emotional well being

More information

Homelessness & Brain Injuries: Cause or Effect?

Homelessness & Brain Injuries: Cause or Effect? Homelessness & Brain Injuries: Cause or Effect? Stephen Hwang, MD, MPH Research Scientist, Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St.

More information

TBI Irritability, Aggression & Anger. A New Perspective on Anger and Aggression after TBI. Disclosures 9/13/2018. Grant support:

TBI Irritability, Aggression & Anger. A New Perspective on Anger and Aggression after TBI. Disclosures 9/13/2018. Grant support: A New Perspective on Anger and Aggression after TBI Dawn Neumann, PhD, Indiana University/ RHI Flora Hammond, MD, Indiana University/ RHI Angelle Sander, PhD, Baylor/ TIRR Memorial Hermann Susan Perkins,

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A Abuse alcohol, aggression and, 52 53 substance, aggression and, 52 54 ACE. See Aid to Capacity Evaluation (ACE). AEDs. See Antiepileptic

More information

Slide 1. Slide 2. Slide 3

Slide 1. Slide 2. Slide 3 Slide 1 Eric S. Hart, Psy.D., ABPP-CN Associate Clinical Professor Director of Adult Neuropsychology Associate Chair University of Missouri-Columbia Department of Health Psychology Slide 2 A traumatic

More information

Functional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements

Functional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements Functional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements Paul S. Appelbaum, MD Dollard Professor of Psychiatry, Medicine & Law Columbia University Overview Depression and

More information

Professor Tony Holland, Department of Psychiatry, University of Cambridge

Professor Tony Holland, Department of Psychiatry, University of Cambridge INFORMATION SHEET The Use of Medication for Challenging Behaviour Professor Tony Holland, Department of Psychiatry, University of Cambridge Introduction Challenging behaviours displayed by people with

More information

Aging and Mental Health Current Challenges in Long Term Care

Aging and Mental Health Current Challenges in Long Term Care Aging and Mental Health Current Challenges in Long Term Care Stephanie Saur & Christina Pacheco Acute Care Behavioural Consultants Alzheimer Society Peel What is Mental Health? Mental health includes our

More information

Comorbidity of Substance Use Disorders and Psychiatric Conditions-2

Comorbidity of Substance Use Disorders and Psychiatric Conditions-2 Comorbidity of Substance Use Disorders and Psychiatric Conditions-2 J. H. Atkinson, M.D. Professor of Psychiatry HIV Neurobehavioral Research Programs University of California, San Diego KETHEA, Athens,

More information

GEPIC. An Introduction to Guide for the Evaluation of Psychiatric Impairment for Clinicians. Dr Michael Duke Senior Forensic Psychiatrist

GEPIC. An Introduction to Guide for the Evaluation of Psychiatric Impairment for Clinicians. Dr Michael Duke Senior Forensic Psychiatrist GEPIC An Introduction to Guide for the Evaluation of Psychiatric Impairment for Clinicians Dr Michael Duke Senior Forensic Psychiatrist What is psychiatric impairment? A psychiatric impairment is any loss

More information

Parkinsonian Disorders with Dementia

Parkinsonian Disorders with Dementia Parkinsonian Disorders with Dementia George Tadros Consultant in Old Age Liaison Psychiatry, RAID, Heartlands Hospital Professor of Dementia and Liaison Psychiatry, Aston Medical School Aston University

More information

Piecing the Puzzle Together: Pharmacologic Approaches to Behavioral Management in Autism Spectrum Disorder

Piecing the Puzzle Together: Pharmacologic Approaches to Behavioral Management in Autism Spectrum Disorder Piecing the Puzzle Together: Pharmacologic Approaches to Behavioral Management in Autism Spectrum Disorder Hannah Sauer, PharmD PGY1 Pediatric Pharmacy Resident Mayo Clinic 2015 MFMER slide-1 Objectives

More information

DEPRESSION AFTER STROKE

DEPRESSION AFTER STROKE DEPRESSION AFTER STROKE Research study results and practical suggestions Julie Kidd 1 November 2018 Outline Definition Diagnosis Associations Prevention Treatment Outcomes From a person with stroke Emphasises

More information

spontaneous localises pain withdraws to pain abnormal flexion abnormal extension none > 5 years 2 5 years 0 2 years

spontaneous localises pain withdraws to pain abnormal flexion abnormal extension none > 5 years 2 5 years 0 2 years APPENDIX. GLASGOW COMA SCALES (GCS) For Adults Alert patients have a total score of 5 Eye Opening: to voice to pain Verbal Score: 5 oriented confused but answers questions inappropriate words: recognises

More information

Longest running mental health survey series using consistent methods

Longest running mental health survey series using consistent methods Longest running mental health survey series using consistent methods Adult household Adult household Adult follow-up Adult household Adult household 993 2000 2002 2007 2014 Surveys of specific populations

More information

When is a Psychological Disorder a Disability? Dr. Leigh Ann Ford, PhD, HSP Licensed Psychologist ABVE 2017 Annual Conference. Goals for presentation

When is a Psychological Disorder a Disability? Dr. Leigh Ann Ford, PhD, HSP Licensed Psychologist ABVE 2017 Annual Conference. Goals for presentation When is a Psychological Disorder a Disability? Dr. Leigh Ann Ford, PhD, HSP Licensed Psychologist ABVE 2017 Annual Conference Goals for presentation *To review DSM-V criteria for some of the most frequently

More information

Comparing accuracy of knowledge of functional effects of schizophrenia and brain injury

Comparing accuracy of knowledge of functional effects of schizophrenia and brain injury Comparing accuracy of knowledge of functional effects of schizophrenia and brain injury Author McKendry, Yvette, Ownsworth, Tamara, Bettens, Gemma Published 2014 Journal Title Psychiatry Research DOI https://doi.org/10.1016/j.psychres.2014.05.019

More information

Neuropsychological Testing (NPT)

Neuropsychological Testing (NPT) Neuropsychological Testing (NPT) POLICY Psychological testing (96101-03) refers to a series of tests used to evaluate and treat an individual with emotional, psychiatric, neuropsychiatric, personality

More information

Adult Psychiatric Morbidity Survey (APMS) 2014 Part of a national Mental Health Survey Programme

Adult Psychiatric Morbidity Survey (APMS) 2014 Part of a national Mental Health Survey Programme Adult Psychiatric Morbidity Survey (APMS) 2014 Part of a national Mental Health Survey Programme About the Adult Psychiatric Morbidity Survey (APMS) 2014 The Adult Psychiatric Morbidity Survey (APMS) 2014

More information

Resources: Types of dementia

Resources: Types of dementia 1/5 Dementia is an umbrella term for a number of progressive conditions affecting the functioning of the brain. Different types of dementia have different causes. There are a great number of rare forms.

More information

Introduction to Dementia: Complications

Introduction to Dementia: Complications Introduction to Dementia: Complications Created in March 2005 Duration: about 15 minutes Axel Juan, MD The Geriatrics Institute axel.juan@med.va.gov 305-575-3388 Credits Principal medical contributor:

More information

Sequelae of minor head injury: the natural history of. loss of consciousness and follow-up. post-concussive symptoms and their relationship to

Sequelae of minor head injury: the natural history of. loss of consciousness and follow-up. post-concussive symptoms and their relationship to Journal of Accident and Emergency Medicine 1994 11, 79-84 Correspondence: K. Barrett, Department of Psychiatry, School of Postgraduate Medicine, Thornburrow Drive, Hartshill, Stoke-on- Trent, ST4 70B Sequelae

More information

Plan for Today. Brain Injury: 8/4/2017. Effective Services for People Living with Brain Injury. What is it & what causes it?

Plan for Today. Brain Injury: 8/4/2017. Effective Services for People Living with Brain Injury. What is it & what causes it? Effective Services for People Living with Brain Injury Jean Capler, MSW, LSW Local Support Network Leader The Rehabilitation Hospital of Indiana Department of Resource Facilitation Plan for Today Brain

More information

Management Of Depression And Anxiety

Management Of Depression And Anxiety Management Of Depression And Anxiety CME Financial Disclosure Statement I, or an immediate family member including spouse/partner, have at present and/or have had within the last 12 months, or anticipate

More information

Descriptions and Characteristics

Descriptions and Characteristics Descriptions and Characteristics LD-learning disabled ED-emotionally disabled MiMH-mild mental handicap ASD-autism spectrum disorder Definition-a condition giving rise to difficulties in acquiring knowledge

More information

HDSA Annual Convention June 2013 Behavior Issues: Irritability and Depression Peg Nopoulos, M.D.

HDSA Annual Convention June 2013 Behavior Issues: Irritability and Depression Peg Nopoulos, M.D. HDSA Annual Convention June 2013 Behavior Issues: Irritability and Depression Peg Nopoulos, M.D. Professor of Psychiatry, Neurology, and Pediatrics University of Iowa, Iowa City, Iowa The information provided

More information

Introduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist

Introduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist Introduction into Psychiatric Disorders Dr Jon Spear- Psychiatrist Content Stress Major depressive disorder Adjustment disorder Generalised anxiety disorder Post traumatic stress disorder Borderline personality

More information

These conditions can be short or long term, they can come and go, and there is no way of knowing who will be affected by them.

These conditions can be short or long term, they can come and go, and there is no way of knowing who will be affected by them. NHPA Summary- Mental Health What it is? mental health is defined as a state of wellbeing in which every individual realises his or her own potential, can cope with the normal stresses of life, can work

More information

Stress reduction reduction in challenging behaviours better basis for wellbeing

Stress reduction reduction in challenging behaviours better basis for wellbeing Stress reduction reduction in challenging behaviours better basis for wellbeing By identifying stressors and work with stress reducing strategies in families, where there are children with special needs,

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE. Personality Disorder: the clinical management of borderline personality disorder

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE. Personality Disorder: the clinical management of borderline personality disorder NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Personality Disorder: the clinical management of borderline personality disorder 1.1 Short title Borderline personality disorder

More information

PREVALENCE AND CORRELATES OF ANXIETY IN ALZHEIMER S DISEASE

PREVALENCE AND CORRELATES OF ANXIETY IN ALZHEIMER S DISEASE 166 Chemerinski et al. DEPRESSION AND ANXIETY 7:166 170 (1998) PREVALENCE AND CORRELATES OF ANXIETY IN ALZHEIMER S DISEASE Erán Chemerinski, M.D., 1 * Gustavo Petracca, M.D., 1 Facundo Manes, M.D., 2 Ramón

More information

Highs and Lows. Anxiety and Depression

Highs and Lows. Anxiety and Depression Highs and Lows Anxiety and Depression ANXIETY Anxiety is a normal reaction to stress and can actually be beneficial in some situations. For some people, however, anxiety can become excessive. However a

More information

Brain Injury and PTSD- The Perfect Storm

Brain Injury and PTSD- The Perfect Storm Brain Injury and PTSD- The Perfect Storm Peggy Reisher, MSW Brain Injury Alliance of Nebraska Lori Wardlow, LMSW VA Nebraska Western Iowa Health Care System 2018 Invisible Wounds of War 19% of personnel

More information

ICCAM platform. Introduction. David Nutt November 2011

ICCAM platform. Introduction. David Nutt November 2011 ICCAM platform Introduction David Nutt November 2011 The ICCAM Platform New Drugs to Treat Addiction: Can a Knowledge of Brain Mechanisms Help? An MRC addiction cluster Imperial College London: David Nutt

More information

Neuropsychological and psychosocial consequences of minor head injury

Neuropsychological and psychosocial consequences of minor head injury Journal of Neurology, Neurosurgery, and Psychiatry 1986;49:1227-1232 Neuropsychological and psychosocial consequences of minor head injury SUREYYA DIKMEN, ALVIN McLEAN, NANCY TEMKIN From the Departments

More information

See Through The Masquerade To Avoid Paying Twice

See Through The Masquerade To Avoid Paying Twice See Through The Masquerade To Avoid Paying Twice Vladimir Bokarius, MD, PhD, QME CWCDAA Conference, October, 2018 Las Vegas, NV Agenda Mental Health Mental or Medical? Mental Health Disorders Due to General

More information

H ead injury (HI) is a leading cause of mortality or

H ead injury (HI) is a leading cause of mortality or PAPER Outcomes following childhood head injury: a population study C A Hawley, A B Ward, A R Magnay, J Long... See end of article for authors affiliations... Correspondence to: Dr C Hawley, Principal Research

More information

An Introduction to Traumatic Brain Injury

An Introduction to Traumatic Brain Injury An Introduction to Traumatic Brain Injury Matt Smith Consultant in Rehabilitation Medicine Leeds General Infirmary September 2016 Epidemiology 171,600 admissions/year in UK 70% are male Over 1/3 are under

More information

Language After Traumatic Brain Injury

Language After Traumatic Brain Injury Chapter 7 Language After Traumatic Brain Injury 10/24/05 COMD 326, Chpt. 7 1 1 10/24/05 COMD 326, Chpt. 7 2 http://www.californiaspinalinjurylawyer.com/images/tbi.jpg 2 TBI http://www.conleygriggs.com/traumatic_brain_injury.shtml

More information

The In-betweeners: What to do with problem gamblers with mental health problems. Neil Smith National Problem Gambling Clinic CNWL NHS Trust

The In-betweeners: What to do with problem gamblers with mental health problems. Neil Smith National Problem Gambling Clinic CNWL NHS Trust The In-betweeners: What to do with problem gamblers with mental health problems Neil Smith National Problem Gambling Clinic CNWL NHS Trust Dual Diagnosis Addiction Mental Illness Mental health problems

More information

Neurological and Trauma Impairment Set Version 10

Neurological and Trauma Impairment Set Version 10 Neurological and Trauma Impairment Set Version 10 Admission/Discharge - Neurological + Trauma Impairment Set Version 10 (Please circle reason for assessment) Name: Severity scores - extent to which deficit

More information

Review: Psychosocial assessment and theories of development from N141 and Psych 101

Review: Psychosocial assessment and theories of development from N141 and Psych 101 Unit III Theory and Practice of Psychiatric Nursing REQUIRED READINGS AND ACTIVITIES Related Activities Assignments Review: Psychosocial assessment and theories of development from N141 and Psych 101 Anxiety,

More information

Aging with Bipolar Disorder. Neha Jain, MD, FAPA Assistant Professor of Psychiatry, UConn Health

Aging with Bipolar Disorder. Neha Jain, MD, FAPA Assistant Professor of Psychiatry, UConn Health Aging with Bipolar Disorder Neha Jain, MD, FAPA Assistant Professor of Psychiatry, UConn Health Objectives Define bipolar disorder in the elderly Review comorbidities How does it differ from bipolar in

More information

PATIENTS ILLNESS PERCEPTIONS Do they matter and can we change them

PATIENTS ILLNESS PERCEPTIONS Do they matter and can we change them PATIENTS ILLNESS PERCEPTIONS Do they matter and can we change them Rona Moss-Morris Professor of Psychology as Applied to Medicine Institute of Psychiatry, Psychology and Neuroscience Section of Health

More information

VA/DoD Clinical Practice Guideline for the Management of Concussion/mTBI

VA/DoD Clinical Practice Guideline for the Management of Concussion/mTBI VA/DoD Clinical Practice Guideline for the Management of Concussion/mTBI Chief, Evidence-Based Practice US Army Medical Command Clinical Program Specialist Office of Performance and Quality Improvement

More information

Social recovery during the year following severe head injury

Social recovery during the year following severe head injury Journal of Neurology, Neurosurgery, and Psychiatry, 1980, 43, 798-802 Social recovery during the year following severe head injury MICHAEL ODDY AND MICHAEL HUMPHREY From St Francis Hospital, Haywards Heath,

More information

Mood swings in young people

Mood swings in young people Mood swings in young people Bipolar I & II Disorders are uncommon before puberty; Mood Dysregulation (MD) is very common before puberty Are they the same problem? What are the beginnings of bipolar? What

More information

The Neurofeedback Approach to Attention Deficit Hyperactivity Disorder

The Neurofeedback Approach to Attention Deficit Hyperactivity Disorder The Neurofeedback Approach to Attention Deficit Hyperactivity Disorder Steve Kapusta, Owner - BrainTraining of Hampton Roads, Inc. e - Originally from Pittsburgh, PA; resident of VA Beach for 4 years -

More information

Worksheet 3: Physician Medical Information Worksheet

Worksheet 3: Physician Medical Information Worksheet Worksheet 3: Physician Medical Information Worksheet FOR PHYSICIAN USE The purpose of this worksheet is to assist you in supporting your patient s Social Security Disability Insurance application, in compiling

More information

Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone:

Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone: Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone: Private email address: Student? If yes, where and major? May we leave

More information

Page I

Page I Page 2 How to manage concussion? World Rugby standard: Recognize and Remove Protocol (6Rs). RECOGNIZE - Learn the signs and symptoms of concussion so you understand when an athlete might have a concussion.

More information

Adult Neuropsychological Issues: Impact on Intellectual Functioning and Return to Work. Kenneth Perrine, Ph.D., ABPP-CN Weill Cornell Medical College

Adult Neuropsychological Issues: Impact on Intellectual Functioning and Return to Work. Kenneth Perrine, Ph.D., ABPP-CN Weill Cornell Medical College Adult Neuropsychological Issues: Impact on Intellectual Functioning and Return to Work Kenneth Perrine, Ph.D., ABPP-CN Weill Cornell Medical College Disclosures I receive compensation from the New York

More information

POST CONCUSSION SYMPTOM SCALE

POST CONCUSSION SYMPTOM SCALE CONCUSSION INITIAL VISIT FORM Demographics Patient Name: Date of Consultation: DOB: Sex: Age: Who referred you to our clinic? Primary Care Physician: Pharmacy Name/Address: Your E-mail Address: Preferred

More information

Mild Traumatic Brain Injury in Sports, Daily Life, and Military Service

Mild Traumatic Brain Injury in Sports, Daily Life, and Military Service Mild Traumatic Brain Injury in Sports, Daily Life, and Military Service Grant L. Iverson, Ph.D. Professor, Department of Physical Medicine and Rehabilitation, Harvard Medical School; Director, MassGeneral

More information

Psychopathology Psychopathy (con t) Psychopathy Characteristics High impulsivity Thrill seeking Low empathy Low anxiety What is the common factor? Callous Self-Centeredness N M P Dr. Robert Hare

More information

Common Adolescent Issues How to Identify and Help

Common Adolescent Issues How to Identify and Help Common Adolescent Issues How to Identify and Help Mark Samways School Counsellor Mark.Samways@dubaicollege.org @DCol_wellbeing Dates of all talks Tuesday 21 st November: Screen Time Tuesday 28 th November:

More information

Recovery From Depression

Recovery From Depression Recovery From Depression Optimising Primary Care Management Dr Andrew Smithers Mental Health and LD Lead Coventry & Rugby CCG CLINICAL TRIALS EXCELLENCE THE PHYSICIAN - LED NETWORK Introduction Primarily

More information

PTSD and TBI. Rita Wood, Psy.D. Assistant Chief of VA Police Aaron Yoder

PTSD and TBI. Rita Wood, Psy.D. Assistant Chief of VA Police Aaron Yoder PTSD and TBI Rita Wood, Psy.D. Assistant Chief of VA Police Aaron Yoder Outline Prevalence of Post Traumatic Stress Disorder What is a traumatic event? Acute Stress Disorder (ASD) Risk Factors for PTSD

More information

Brain Injury and Epilepsy

Brain Injury and Epilepsy Slide 1 Brain Injury and Epilepsy Presented by: Paula St. John, MA Education and Community Outreach Manager Minnesota Brain injury Alliance www.braininjurymn.org l 612-378-2742 800-669-6442 Slide 2 Objectives:

More information

Community Pharmacy Dementia Audit

Community Pharmacy Dementia Audit Community Pharmacy Dementia Audit Introduction To comply with the NHS contractual requirements associated with the Clinical Governance Essential Service, pharmacy contractors must perform an annual practice

More information

4. Definition, clinical diagnosis and diagnostic criteria

4. Definition, clinical diagnosis and diagnostic criteria 4. Definition, clinical diagnosis and diagnostic criteria 4.1. Definition Major depression is a mood disorder consisting of a set of symptoms, which include a predominance of the affective type (pathological

More information

11/12/2017. How effective are treatments of psychiatric disorders in children and adolescents?

11/12/2017. How effective are treatments of psychiatric disorders in children and adolescents? How effective are treatments of psychiatric disorders in children and adolescents? Benedetto Vitiello, M.D. Pavia, November 22, 2017 1 Disclosure Benedetto Vitiello, M.D. Professor of Child and Adolescent

More information

Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health

Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health What is anxiety? What causes anxiety? When is anxiety a problem? What is the size of the

More information

Relationship Between Mental Health Problems and Challenging Behaviour in People with Intellectual Disabilities

Relationship Between Mental Health Problems and Challenging Behaviour in People with Intellectual Disabilities Relationship Between Mental Health Problems and Challenging Behaviour in People with Intellectual Disabilities Dr Vikram Palanisamy MD Psych, Dip in Clinical Psych, MRC Psych CCT in Intellectual Disability

More information