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Treatment of a Patient With Traumatic Brain InjuryRelated Severe Selfinjurious Behavior

Freeman, Thomas MD; High, Walter M. Jr. PhD

Section Editor(s): Bell, Kathleen R. MD; Hart, Tessa PhD; Caplan, Bruce PhD, ABPP (Senior Editor); Bogner, Jennifer PhD (Associate Editor)

Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0b013e3181a8e11a
Focus on Clinical Research and Practice
Abstract

Objective: Report a case of severe self-injurious behavior (SIB), paying special attention to treatment.

Design: Case report.

Participant: A 26-year-old woman (H.S.) 8 years post–traumatic brain injury with a history of severe SIB.

Methods: H.S. was treated over a 22-week period with combined behavioral and psychopharmacological interventions.

Results: Marked reduction in SIB was noted after the interventions were initiated.

Conclusion: Behavioral treatment and medications may be useful tools in the treatment of SIB after traumatic brain injury.

Author Information

Mental Health Service, Central Arkansas Veterans Healthcare System, Little Rock (Dr Freeman); and Departments of Physical Medicine and Rehabilitation, Neurosurgery, and Psychology, University of Kentucky College of Medicine, Lexington (Dr High).

Corresponding Author: Thomas Freeman, MD, CAVHS Psychiatry Services, Little Rock VAMC, Mail Code: 116T/LR, 4300 W 7th St, Little Rock, AR 72205 (THOMAS.FREEMAN@MED.VA.GOV).

© 2009 Lippincott Williams & Wilkins, Inc.