Treatment of violent behavior in patients with Combined psychiatric illness and cognitive impairment: A case series

John C. Lyskowski, Anthony A. Menditto, John G Csernansky

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Some individuals with intellectual disabilities exhibit aggressive and self-injurious behaviors. When such behaviors are associated with an underlying psychiatric disorder marked by mood dysregulation, it may be quite difficult to obtain a specific psychiatric diagnosis and initiate specific and successful treatment. In this article, three case reports are presented in which a poly-pharmaceutical approach targeting aspects of mood dysregulation resulted in dramatic decreases in aggression and self-injurious behaviors. There were improvements in participation in other psychosocial treatments for these three individuals with extremely challenging behaviors residing in high-security psychiatric hospital settings. Implications for future practice and research are discussed.

Original languageEnglish (US)
Pages (from-to)8-16
Number of pages9
JournalMental Health Aspects of Developmental Disabilities
Volume12
Issue number1
StatePublished - Jan 1 2009

Keywords

  • Aggression
  • Antipsychotic
  • Intellectual disability
  • Mood disorder
  • Pharmacotherapy
  • Psychiatric
  • Restraint

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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