bipolar strategies
A brief review:
1. From "post-concussion syndrome, mild" to "no showing symptoms that appear related to the brain," Brain injury can often overlooked.
2. Remember Phineas Gage 1848: You do not have to be unconscious.
3. Often the patient does not remember the injury until actually see his brain in the review process SPECT.
4. Brain injury makes a big difference in the adjustment process of ADHD drugs. People with injury traumatic brain are very sensitive to any medical intervention, particularly stimulant medications, and indeed any psychiatric medications for conditions comorbidities, such as antidepressants for depression, and also epileptic.
5. A different, more caring, the attitude of the goals of treatment TBI with medication can significantly improve the results. TBI's can often have ADHD and the problems often associated with the increased needs of stimulant drugs, after the temporal lobe [affect] is properly addressed deregulation.
If the diagnosis is presented as ADHD or bipolar disorder, it is important The differential diagnosis of traumatic brain injury [TEC]. If overlooked TBI, stimulant drugs simply do not work effectively, and that often make the patient worse.
Seven Tips for TBI and ADHD:
- Ask About head injury: Evidence clinical and scientific literature contains numerous references in relation to ADHD symptoms occurring simultaneously with a brain injury. Often, brain injuries that aggravate pre-existing ADHD, as one or multiple lesions may withdraw funds from the brain reserve – the ability to compensate and regenerate.
- CT and MRI: These studies often Miss' functional aspects of the image of TBI and can not differentiate ADHD: Functional brain SPECT can assess the results of both types brain problems. Brain injury is displayed as the functional changes more clearly that anatomical structural change. SPECT and PET functional procedures to assess the anatomical location of brain dysfunction.
- TBI aggravate comorbid ADHD Meds: – Unless drugs are created in sequence taking full account of the specific issues of the brain, present in the brain injury. Numerous citations in the literature agree that stimulants can be used with brain injury, but should be used with caution. Assessment of medication should always be smaller and slower than usual.
- To establish functional SPECT the plan: SPECT will help establish an order of starting the drugs – the temporal lobes can become significantly deregulation with injuries, and stimulant medication may aggravate the problems of the temporal lobe, on their own. Start with temporal lobe of stabilizing interventions first, then follow with stimulating drugs.
- Dosing strategies ADHD drugs with TBI: Always go lower and slower with the administration situations that coexist with ADHD and brain injury. Start with antiepileptic first and regulate moods, then with stimulants if the depression is not associated.
- Atypical reaction to stimulants? – Alleged TBI: This observation is not the only way to diagnose brain injury. For various reasons, the denial of housing, the diagnosis of TBI is lost at first. If you miss TBI, stimulant drugs are given in standard doses cause profound overreaction.
- Brain Reserve: the Fed is improved with stimulant medications, as appropriate treatment encourages fewer injuries, less impulsivity, the best trial. Less than a new injury, the more healing. Antidepressants have shown increases brain-derived specific Neurotrophic Factor in rats. Inhibitors of dopamine reuptake simple [stimulants] used as the sole intervention does not adequately cover the recovery process long term. Targeted Nutrition and specific tests of neurotransmitters deficiencies encourage more consistent results over time.
Bottom Line: By following simple guidelines and the metaphor of the ‘Therapeutic Window’ you will be more able to adjust dosing correctly, and effectively – so you and yours don’t feel like treatment failures. I invite you to sign up now for announcements regarding my new book “The Patient’s Guide to Stimulant Medications – What To Do When Nothing is Working,” over at http://www.corepsychblog.com – And enjoy the bonus gift on the thank you page for signing up early — simply to express your interest in the book: a 1200 word article on The 10 Biggest Problems With ADD/ADHD Medications, and a 17 min audio review of the article. At CorePsychBlog you can also sign up to keep posted on upcoming ADD/ADHD teleseminars and other training opportunities to further understand ADHD medication challenges.
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