ADHD and traumatic brain injury – Hopes, warnings, medication protocols
A brief overview:
1. Starting with "mild-in-disordered" syndrome, "non-brain-related symptoms" often ignore brain injury.
2. Remember Phineas Gage 1848: You do not have to knock unconsciously.
3. Frequently the patient does not remember the injury until they actually see their brains in the SPECT review process.
4. Brain injury is a significant difference in the process of setting ADHD meds. Those with TBI are very susceptible to medical intervention, particularly stimulant drugs and all psychiatric drugs in any comorbid state such as antidepressants for depression and antiepileptics.
5. Different, more attentive approaches to TBI's drug management goals can significantly improve outcomes. TBI is often associated with ADHD problems and it is often necessary to increase stimulant medications after the temporal lobe [affect] is abnormal.
If the diagnosis appears as ADHD or bipolar disorder, it is important to develop a differential diagnosis of traumatic brain injury [TBI]. If TBI is ignored, stimulant drugs simply do not work efficiently and often make the patients worse.
Seven Tips for TBI and ADHD:
- Ask for Headaches: Clinical evidence and scientific literature contain many references to ADHD symptoms that are similar to brain injury. Often brain injury aggravates existing ADHD as one or more injuries rely on the brain reserves – it is able to compensate and regenerate.
- CAT and MRI results: These tests often lack TBI & # 39; and can not distinguish ADHD: SPECT Functional Brain Imaging is able to measure both series of brain problems. Brain injury is more visible with functional changes than anatomical, structural changes. SPECT and PET functional imaging processes for assessing the anatomical locality of brain dysfunction.
- ADHD Meds exacerbates comorbid TBI: – They contradict each other without physicians taking full account of brain-specific brain problems. Many citations in the literature agree that stimulants can be used with brain injury, but should be used cautiously. Pharmacological titration should always be lower and slower than usual.
- Functional SPECT imaging for setting the plan: SPECT helps to initiate medication – temporal lobe control can significantly control injury and stimulating drugs can exacerbate temporal lobe problems when used alone. Start your temporal lobe with stabilizing interventions and then follow the stimulating therapies.
- Drug Delivery Strategies with ADHD with TBI: It always involves lower and slower doses in cases where they are living with ADHD and brain injury. Start with antiepileptics first and regulate your moods, then with stimulants, if depression is not associated.
- Atypical Reaction Stimulants? – suspect TBI: This observation alone does not mean the diagnosis of brain injury. For various reasons, from refusal to accommodation, the TBI diagnosis is missing first. If TBI is missed, the usual dose of stimulant compositions often causes excessive reactions.
- Reserve: Improves the reserve stimulant, as proper treatment results in fewer injuries, less impulsivity and better judgment. Less damage, more healing. The antidepressants showed a specific cerebral neurotrophic factor growth in rats. The only dopamine re-intake inhibitors [stimulants] used as the only intervention do not adequately cover the long-term recovery process. Specific testing of targeted nutrition and neurotransmitter deficiencies will help deliver more consistent results over time.
Source by sbobet th