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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: July/August 2009 - Volume 24 - Issue 4 - p 292–296
doi: 10.1097/HTR.0b013e3181a8e11a
Focus on Clinical Research and Practice

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.

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.