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Treatment of a Patient With Traumatic Brain Injury-Related Severe Self-injurious 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)

The 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.