Published online by Cambridge University Press: 10 August 2021
Moderate to severe traumatic brain injuries commonly present with a wide range of long term emotional and behavioural problems which are often classed as organic neuropsychiatric conditions. These range from mood disorders such as depression, emotional lability, apathy, anxiety disorders such as panic disorder, specific phobia or Post-traumatic stress disorder (PTSD) or long term personality change. These neuropsychiatric co-morbidities influence quality of life and outcomes and cause significant distress to the patient. Hence, accurate and early recognition and appropriate management of these problems is important. Development of post-traumatic epilepsy can further influence neuropsychiatric presentations following moderate to severe brain injury. A range of neuropsychiatric presentations following moderate to severe traumatic brain injury are described and an approach to management is discussed.
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