Assessment and Treatment Approaches for Behavioral Disturbances Associated With Dementia in the Nursing Home: Self-Reports of Physicians' Practices

2008 ◽  
Vol 9 (6) ◽  
pp. 406-413 ◽  
Author(s):  
Jiska Cohen-Mansfield ◽  
Barbara Jensen
Keyword(s):  
Nursing Home ◽  
Behavioral Disturbances ◽  
Treatment Approaches ◽  
Self Reports ◽  
Assessment And Treatment

The Assessment and Treatment of Trichotillomania

2012 ◽  
Author(s):  
Gary A.-H. Christenson
Keyword(s):  
Behavioral Treatment ◽  
Habit Reversal ◽  
Hair Pulling ◽  
Psychiatric Interview ◽  
Treatment Approaches ◽  
Time Treatment ◽  
Habit Reversal Therapy ◽  
Situational Characteristics ◽  
Assessment And Treatment ◽  
Additional Support

The successful treatment of trichotillomania necessitates an initial clinical evaluation of the cognitive, emotional, behavioral, and situational characteristics contributing to an individual’s hair pulling. Assessment also requires a comprehensive psychological/psychiatric interview to assess for comorbid illness, which may either contribute to hair pulling or require separate attention. Several instruments have been designed to assist in quantifying the core symptoms of trichotillomania and can be useful for monitoring treatment progress over time. Treatment approaches include medication, hypnosis, and behavioral therapies, especially modifications of habit reversal therapy. Controlled studies are few in number and are limited to only a few behavioral treatment approaches and medication classes. Research suggests that variations of habit reversal therapy have the greatest efficacy of the interventions investigated thus far. There is additional support for treatment with clomipramine, N-acetylcysteine, and olanzapine, in contrast to multiple other drugs that have been studied or suggested as useful for trichotillomania.

Life Charting of Affective Disorders

CNS Spectrums ◽  
1998 ◽  
Vol 3 (5) ◽  
pp. 21-37 ◽  
Author(s):  
Gabriele S. Leverich ◽  
Robert M. Post
Keyword(s):  
Mental Health ◽  
Affective Disorders ◽  
Background Information ◽  
Effective Management ◽  
Treatment Approaches ◽  
Bipolar Illness ◽  
Longitudinal Course ◽  
Assessment And Treatment ◽  
Number Frequency ◽  
Chronic Course

AbstractThe recurrent and frequently chronic course of affective disorders requires careful delineation of the number, frequency, and pattern of prior and current episodes and their response to pharmacotherapies to help develop optimal assessment and treatment approaches for these Potentially lethal medical illnesses. To better track and monitor the longitudinal course of unipolar and bipolar illness and to promote more effective management, we developed the retrospective and prospective National Institute of Mental Health Life Chart Methodology (NIMH-LCM). The principles of retrospective and prospective life charting are the focus of this article. Following introductory background information on affective disorders, the influence of Kraepelin's work and his use of life charts are reviewed as the basis and framework for the NIMH-LCM. The use of life charting both retrospectively and prospectively is discussed, with examples of its utility and benefits.

Violent women: treatment approaches and psychodynamic considerations

2018 ◽  
Vol 4 (2) ◽  
pp. 124-135 ◽  
Author(s):  
Annette McKeown ◽  
Ellen Harvey
Keyword(s):  
Treatment Effectiveness ◽  
Female Offenders ◽  
Well Being ◽  
Staff Retention ◽  
Treatment Approaches ◽  
Content Type ◽  
Client Group ◽  
Female Violence ◽  
Assessment And Treatment ◽  
The Impact

Purpose Some psychodynamic approaches conceptualise female violence as a communication of experiences too difficult to think about. As practitioners, understanding what may be too painful to be thought about is incredibly important in assessment and treatment of forensic populations. Incorporating psychodynamic concepts such as splitting, transference, projection and counter-transference into formulation can be extremely helpful in understanding and formulating women’s risk of violence. The purpose of this paper is to introduce how psychodynamic concepts can be incorporated into understanding, assessment, formulation and treatment with this complex client group. This paper will also outline treatment approaches with this population. Design/methodology/approach This paper will review existing psychodynamic literature and apply this knowledge to working with violent female offenders. Translating theory into reflective practice will be presented. Findings This paper presents the value of incorporating psychodynamic considerations into existing strategies of understanding and working with violent female offenders. Ways forwards and research directions are proposed. Research limitations/implications This paper is focussed primarily on psychodynamic approaches to understanding this population Practical implications Psychodynamic concepts can add an additional dimension to formulation, supervision and treatment approaches with this population. Examining the meaning of violence perpetrated by women as well as enactments can improve practitioner’s depth of understanding. Empirical research examining the benefits of psychoanalytic supervision would be extremely useful to explore the impact on formulation, treatment approaches, treatment effectiveness, staff well-being and staff retention. Originality/value There is a lack of literature considering the application of psychodynamic constructs to help formulation of complex female offenders in the Offender Personality Disorder Pathway for women.

Antipsychotic Treatment in Outpatients With Dementia

1997 ◽  
Vol 8 (S3) ◽  
pp. 355-361 ◽  
Author(s):  
D. P. Devanand
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Antipsychotic Treatment ◽  
Controlled Trials ◽  
Neuroleptic Drugs ◽  
Behavioral Disturbances ◽  
Double Blind ◽  
Double Blind Placebo ◽  
The Past

Uncontrolled reports suggest that 25% to 75% of patients with behavioral disturbances of dementia respond to conventional neuroleptic drugs. Yet during the past 20 years, results from only four randomized, double-blind, placebo-controlled trials of neuroleptics in dementia have been published. These studies were conducted in hospitalized inpatients or nursing home residents.

Racial Differences in Neuropsychiatric Symptoms Among Dementia Patients: A Comparison of African Americans and Whites

2000 ◽  
Vol 12 (S1) ◽  
pp. 395-402 ◽  
Author(s):  
Carl I. Cohen
Keyword(s):  
African American ◽  
Nursing Home ◽  
African Americans ◽  
Racial Differences ◽  
Neuropsychiatric Symptoms ◽  
Psychotic Symptoms ◽  
Sociodemographic Variable ◽  
Behavioral Disturbances ◽  
Dementia Patients ◽  
Nursing Home Patients

Race is a critical sociodemographic variable that may serve as a marker for genetic, clinical, cultural, and socioeconomic factors. There have been several studies that found differences between African Americans and Whites in the neuropsychiatric symptoms of dementia. There have been fairly consistent findings that psychotic symptoms—hallucinations and delusions—are more prevalent among African American patients with dementia (Cohen & Carlin, 1993; Cooper et al., 1991, Deutsch et al., 1991; Fabrega et al., 1988), and that depression is higher among Whites than among African Americans (Fabrega et al., 1988; Walker et al., 1995). One study by Class and colleagues (1996) also suggested that behavioral disturbances might be higher among White than among African American nursing home patients, a majority of whom had dementia.

Sign in / Sign up

Export Citation Format

Share Document