A case series on the use of risperidone for the management of aggression in adults with intellectual disabilities

2010 ◽  
Vol 4 (3) ◽  
pp. 39-44 ◽  
Author(s):  
Shoumitro Deb ◽  
Ajit Gomez
2017 ◽  
Vol 41 (S1) ◽  
pp. S597-S597 ◽  
Author(s):  
K. Courtenay ◽  
S. Jaydeokar ◽  
B. Perera

IntroductionPregabalin is a well-established anti-epileptic drug in the treatment of epilepsy. It is also indicated for the treatment of generalised anxiety disorder and neuropathic pain. In addition, it has mood modulating properties. In people with intellectual disabilities it is used to treat epilepsy. There is little evidence of the use of pregabalin in managing mental health difficulties in people with intellectual disabilities.ObjectivesTo describe the use of pregabalin in adults with intellectual disabilities.MethodA descriptive case series of adults with intellectual disabilities living in the community, under the care of a community psychiatrist, who are prescribed Pregabalin. Outcomes of treatment were measured using the health of the nation outcome scale for people with intellectual disabilities (HoNOS-LD).ResultsFourteen cases were identified in the community service of adults with Intellectual Disabilities. Twelve were men and two were women. The average age of the sample was 29 years. The range in duration of using pregabalin was from 3 to 72 months. Thirteen adults had a diagnosis of Autism of which three also had ADHD. The indications for using pregabalin and numbers were : anxiety (12); liability of mood (2); generalised anxiety disorder (1); epilepsy (1). The daily dose range was from 150 mg to 300 mg The mean change in HoNOS-LD scores was 32%.ConclusionsPregabalin is a useful treatment in people with intellectual disabilities who experience anxiety. It is especially effective among adults with ID and autism to modulate mood and anxiety symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gregg Harry Rawlings ◽  
Kevin Paul Wright ◽  
Keeley Rolling ◽  
Nigel Beail

Purpose Services are increasingly exploring the use of remote conferencing to deliver psychological interventions, which have become particularly important given the COVID-19 pandemic and infection control guidelines. This paper aims to explore the feasibility, acceptability and preliminary effectiveness of delivering psychological therapy remotely to adults with intellectual disabilities (ID). Design/methodology/approach As part of routine practice within an adult ID community health service, this paper develops a six-session programme based on compassion-focused therapy (CFT) and delivered it to six clients. Clients completed the psychological therapy outcome scale for ID 2nd edition, at assessment, pre- and post-therapy, as well as a feasibility and acceptability measure. Findings Six clients engaged in telephone therapy; four clients individually, while the remaining two were supported by their caregiver. Most clients found the intervention helpful, enjoyable and were pleased that they received telephone-delivered psychological therapy. A reduction was observed at post-therapy in distress (g = 0.33) and risk (g = 0.69). No difference was reported in psychological well-being. Five clients were subsequently discharged from psychological therapy. Originality/value To the knowledge, this is the first study examining the use of telephone therapy (including CFT) for individuals with ID. Findings add to the growing evidence suggesting individuals with ID can benefit from receiving adapted psychological therapies. Research is required to further explore the effectiveness of remote-therapies, who would most likely benefit from this approach and how remote treatments could be used within existing pathways.


Author(s):  
Sanjeev Kumar Gupta

This chapter describes the incidence of sexual abuse is often reported in children and adults, but these incidences are not uncommon in the individual with intellectual disabilities (IDs). This heinous behavior carries a negative impact not only on the individual but also on their family. The purpose of the chapter is threefold, first is to present a brief review of the available literature on sexual abuse in children and adults with IDs, second is to discuss preventive, supportive and intervention strategies for clinical practice and third is to report a case series, where five cases are described. The intent is to provide mental health professionals and clinicians' information about consequences of sexual abuse and strategies for prevention and intervention. These strategies have clinical utility and can be incorporated while dealing individual with IDs and their parents or caregivers.


Author(s):  
Sanjeev Kumar Gupta

This chapter describes the incidence of sexual abuse is often reported in children and adults, but these incidences are not uncommon in the individual with intellectual disabilities (IDs). This heinous behavior carries a negative impact not only on the individual but also on their family. The purpose of the chapter is threefold, first is to present a brief review of the available literature on sexual abuse in children and adults with IDs, second is to discuss preventive, supportive and intervention strategies for clinical practice and third is to report a case series, where five cases are described. The intent is to provide mental health professionals and clinicians' information about consequences of sexual abuse and strategies for prevention and intervention. These strategies have clinical utility and can be incorporated while dealing individual with IDs and their parents or caregivers.


2014 ◽  
Vol 19 (1) ◽  
pp. 36-43
Author(s):  
Tracy Lazenby-Paterson ◽  
Hannah Crawford

The literature recognizes the important role of the Speech and Language Pathologist (SLP) in the treatment of communication and swallowing disorders in children with Intellectual Disabilities (ID). However there is also a need to emphasize the importance of specialist SLP input across the lifespan of people with ID, and to recognize the specific, ongoing and changing communication and swallowing needs of adults with ID as they get older.


2020 ◽  
pp. 174462952096194 ◽  
Author(s):  
Femke Scheffers ◽  
Xavier Moonen ◽  
Eveline van Vugt

Background: Persons with an intellectual disability are at increased risk of experiencing adversities. The current study aims at providing an overview of the research on how resilience in adults with intellectual disabilities, in the face of adversity, is supported by sources in their social network. Method: A literature review was conducted in the databases Psycinfo and Web of Science. To evaluate the quality of the included studies, the Mixed Method Appraisal Tool (MMAT) was used. Results: The themes: “ positive emotions,” “ network acceptance,” “ sense of coherence” and “ network support,” were identified as sources of resilience in the social network of the adults with intellectual disabilities. Conclusion: The current review showed that research addressing sources of resilience among persons with intellectual disabilities is scarce. In this first overview, four sources of resilience in the social network of people with intellectual disabilities were identified that interact and possibly strengthen each other.


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