Brain Injury Psychiatry Virtual Symposium

Emotional and Behavioural Dyscontrol in Traumatic Brain Injury

Dr. David Arciniegas

Tune in here to view the highly esteemed international keynote speaker Dr David Arciniegas’ session from our hugely popular 2020 Brain Injury Psychiatry Virtual Symposium.

Keynote Session Overview:

Emotional and behavioral dyscontrol are common neuropsychiatric sequelae of traumatic brain injury (TBI) and present substantial challenges to recovery and community participation.

Among the most problematic and functionally disruptive of these types of behaviors are affective lability, pathological laughing and crying, irritability, disinhibition, agitation, and aggression.

Effective care of persons with these problems after TBI requires an understanding of their clinical features, epidemiologies, structural and functional neuroanatomies, clinical assessments, and evidence-informed treatments.

Additionally, a clear understanding of the distinctions between these posttraumatic neuropsychiatric disturbances and the categorical psychiatric disorders with which they often are conflated is necessary for both clinical practice and neurorehabilitation research.

Toward that end, this lecture will identify and define the most common types of emotional and behavioral dyscontrol after TBI.

The presentation will highlight the distinctions between disorders of affect (i.e., affective lability, pathological laughing and crying, posttraumatic irritability) and mood disorders (i.e., major depressive disorder, dysthymic disorder/persistent depressive disorder, bipolar disorder); the distinction between posttraumatic irritability and the sustained and pervasive irritability of manic and hypomanic episodes; and will offer a pragmatic definition of disinhibition and its subtypes as well as the typology of agitation and aggression after TBI.

The frequencies of these conditions among persons with TBI (particularly after moderate-to-severe) and their association with neurocognitive disorder due to TBI will be reviewed. Finally, valid and reliable assessments and evidence-informed treatments of subacute and chronic emotional and behavioral dyscontrol after TBI will be discussed.

Dr David Arciniegas’ Biography

Dr. Arciniegas serves as Director of Research for the Marcus Institute for Brain Health, as the Cooper Neuropsychiatry Scholar in the Department of Psychiatry, and as Clinical Professor of Neurology and Psychiatry at the University of Colorado School of Medicine in Aurora, CO. For more than two decades, his academic endeavors as a subspecialist in Behavioral Neurology & Neuropsychiatry have focused on the cognitive and non-cognitive neuropsychiatric sequelae of traumatic brain injury and other neurological conditions.

His research has been supported since 1996 by more than 35 extramurally supported research projects, including 18 federally funded research grants, as well as 15 educational and programmatic grants and contracts. He has authored more than 130 peer-reviewed journal articles, 40 book chapters, and more than 50 other works communicating to scientific colleagues and the general public; edited seven medical textbooks, including the American Psychiatric Association’s Textbook of Traumatic Brain Injury, Third Edition (2019) and Textbook of Neuropsychiatry and Clinical Neurosciences, Sixth Edition (2018); and has delivered more than 275 lectures in the United States and abroad.

He serves presently serves as Editor of the Journal of Neuropsychiatry and Clinical Neurosciences, is a member of the editorial boards of Journal of Head Trauma Rehabilitation and Brain Injury, and participates regularly on national and international scientific grant review committees. His work has garnered multiple national awards for clinical and research excellence, including the 2015 Mitch Rosenthal Award for Scientific and Clinical Achievement in Brain Injury Rehabilitation (Virginia Commonwealth University and Brain Injury Services, Inc), and the 2016 Innovative Clinical Treatment Award from the North American Brain Injury Society.

In addition to his academic duties and service to the American Neuropsychiatric Association, Dr. Arciniegas also serves as Chairman and CEO of the International Brain Injury Association and regularly contributes his time and effort to governmental and non-governmental organizations striving to improve the lives of persons and families affected by brain injuries.

Dr David Arciniegas’ Profile:

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Want to know more about psychiatric aspects of brain injury? We have developed an online learning module based on our sold out 2019 Psychiatric Aspects of Brain Injury workshop.

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