title: Emotional and behavioral dyscontrol after traumatic brain injury.
abstract: Emotional and behavioral dyscontrol are relatively common neuropsychiatric sequelae of traumatic brain injury and present substantial challenges to recovery and community participation. Among the most problematic and functionally disruptive of these types of behaviors are pathologic laughing and crying, affective lability, irritability, disinhibition, and aggression. Managing these problems effectively requires an understanding of their phenomenology, epidemiology, and clinical evaluation. This article reviews these issues and provides clinicians with brief and practical suggestions for the management of emotional and behavioral dyscontrol.
authors: Beth K. and Stuart C. Yudofsky Division of Neuropsychiatry, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA; Brain Injury Research Center, TIRR Memorial Hermann, Houston, TX, USA; Neuropsychiatry Service, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address: david.arciniegas@bcm.edu.
authors: David B
authors: DB
authors: Arciniegas
authors: Beth K. and Stuart C. Yudofsky Division of Neuropsychiatry, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA; Neuropsychiatry Service, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA; VISN 19 MIRECC, Denver Veterans Medical Center, Denver, CO, USA.
authors: Hal S
authors: HS
authors: Wortzel
mesh_terms: D000342:Affective Symptoms / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000374:Aggression; D001930:Brain Injuries / Q000150:complications* / Q000523:psychology; D003448:Crying; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D007175:Impulsive Behavior / Q000175:diagnosis / Q000209:etiology*; D007266:Inhibition, Psychological; D007508:Irritable Mood; D007845:Laughter; D019964:Mood Disorders / Q000209:etiology; D011795:Surveys and Questionnaires
keywords: Affective lability; Aggression; Assessment; Disinhibition; Irritability; Management; Pathological laughing and crying; Traumatic brain injury