Anger and it's management for survivors of acquired brain injury

Huntington’s disease is a disorder that results in motor, cognitive, and psychiatric problems. The symptoms often take different forms and the presence of disturbances of the psychic sphere reduces patients’ autonomy and quality of life, also impacting patients’ social life. It is estimated that a prevalence between 33% and 76% of the main psychiatric syndromes may arise in different phases of the disease, often in atypical form, even 20 years before the onset of chorea and dementia. We present a narrative review of the literature describing the main psychopathological patterns that may be found in Huntington’s disease, searching for a related article in the main database sources (Medline, ISI Web of Knowledge, Scopus, and Medscape). Psychiatric conditions were classified into two main categories: affective and nonaffective disorders/symptoms; and anxiety and neuropsychiatric features such as apathy and irritability. Though the literature is extensive, it is not always convergent, probably due to the high heterogeneity of methods used. We summarize main papers for pathology and sample size, in order to present a synoptic vision of the argument. Since the association between Huntington’s disease and psychiatric symptoms was demonstrated, we argue that the prevalent and more invalidating psychiatric components should be recognized as early as possible during the disease course in order to best address psychopharmacological therapy, improve quality of life, and also reduce burden on caregivers.

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“…It has been described in HD, traumatic brain injury [57,58], dementias [59], and Parkinson’s disease [60]. …”

Section: Clinical Features In Hd and Psychiatric Disordersmentioning

confidence: 99%

Neuropsychiatric Burden in Huntington’s Disease

et al. 2017

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“…From the handful of empirical studies that have investigated treatments for anger and aggression after ABI, it appears that cognitive behavioural therapy (CBT), used alone or in conjunction with supplemental strategies (eg. psycho-education, problem solving, self-monitoring), is the most widely used and successful behavioural treatment approach (Demark & Gemeinhardt, 2002;Hart, Vaccaro, Hays, & Maiuro, 2012;Medd & Tate, 2000;Walker et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Perspective training to treat anger problems after brain injury: Two case studies

Winegardner

Keohane

Prince

et al. 2016

NRE

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“…Non-pharmacological interventions to treat neurobehavioural symptoms should also be employed in conjunction with pharmacological agents, as drug intervention alone will not resolve behaviour in the majority of cases [12,13]. Meticulous multi-disciplinary historical, clinical and neuropsychological assessments of complex neurobehavioural presentations post-ABI are required to devise appropriate intervention strategies.…”

Section: Discussionmentioning

confidence: 99%