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JCOM Abstract


J Clin Outcomes Manage 
2013 Sep;20(9):408-418
Traumatic brain injury
Rees AG

Abstract Objective: To review the diagnosis and management of traumatic brain injury (TBI) from the psychiatrist's point of view. Methods: Review of the literature. Results: TBI is defined broadly as a physical or mechanical injury to the brain that results in temporary or permanent impairment of brain function The nature and severity of impairments following TBI depend upon a number of factors, including the patientís age at the time of the injury, the pattern and severity of injury, and the amount of time that has elapsed since the initial trauma, among others. The consequences of brain injury can be divided broadly into cognitive, physical, and emotional/behavioral manifestations, each of which may have profound psychosocial implications. Treatment of TBI may require a multidisciplinary approach involving physical, occupational, speech, and recreational therapy, as well as cognitive and vocational rehabilitation. Psychiatric care may involve cognitive and behavioral therapies, individual, group, and family therapy, and pharmacotherapy. Conclusion: TBI is common and imposes a significant burden on individuals, families, and society. Effective treatment often requires a multidisciplinary approach that accounts for the spectrum of physical, emotional, psychological, and social consequences.

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