Final Review Chap. 12 & 13

Question 1

factors associated with the post-injury development of a psychiatric disorder

Answer 1

age, gender, injury location and severity,

Question 2

dual dx

Answer 2

the relationship of a set of symptoms, including behaviors, which are or resemble symptoms of a known psychiatric disorder
and co occur with TBI

Question 3

mania caused by TBI versus mania originating from a different cause

Answer 3

mania - of at least 1 week where the individual has a noticeably elevated, expansive, or irritable mood with at least 3 additional symptoms (4 if the mood is only irritable):
Extremely amplified self-esteem
Decreased desire for sleep
Grandiose ideas
Distractibility
Risk activities

TBI mania - very similar but more aggression, irritability, decreased sleep

Question 4

link between injury location and depression

Answer 4

frontal lobe, amygdala, hippocampus, lateral and medial frontal lobe, basal ganglia
usually LEFT HEMISPHERE when it is only depression

Question 5

organic personality d/o

Answer 5

personality change AFTER TBI

Changes that fall into the category of personality disorder: 
Apathy
Affective lability
Uncontrolled emotions
Aggression  

Most frequently reported personality disorders: avoidant; paranoid; and schizoid

Loss of recognition of inappropriate behavior can be an additional obstacle to modifying/improving behavior lead to greater hardships within rehabilitation, daily living, relationships, and independence

Question 6

pseudobulbar affect

Answer 6

uncontrolled crying or laughing due to TBI

Question 7

substance use disorder

Answer 7

involves continued use despite health, psychological, or social consequences

Question 8

screening tools for SUD

Answer 8

CAGE
AUDIT
CRAFFT
ASSIST

Question 9

4 Quadrant Model

Answer 9

1 - low severity TBI, low severity SUD
2- high severity TBI, low severity SUD
3 - low severity TBI, high severity SUD
4 - high severity TBI, high severity SUD

Question 10

misuse before injury

Answer 10

10x more like to return to substance misuse after TBI