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Frontal lobes and Mania

x011 at Lehigh.EDU x011 at Lehigh.EDU
Mon Jul 31 12:51:42 EST 1995


In article <3vbq4i$2ti at er7.rutgers.edu>, dhe at er7.rutgers.edu (David) writes:
>royster367 at aol.com (Royster367) writes:
>
>>Would anyone have any ideas on possible pharmacologic treatments in a
>>patient who exhibits manic symptamatology which resulted from right
>>frontal lobe damage? Any suggestions would be greatly appreciated.
>
>The usual gang of antimanics and mood stabilizers: Tegretol,
>valproate, or lithium.  So says a review by Harvey Levin and Marilyn
>F. Kraus in the winter '94 issue of _Journal of Neuropsychiatry and
>Clinical Neuroscience_.  They also say that disinhibition (which I'll
>read as roughly equivalent to "manic symptomatology") can be treated
>with SSRIs, buspirone, trazodone, and/or high doses of beta-blockers.
>Perhaps counterintuitively, there have been reports of success with
>dopamine agonists.  Neuroleptics should be avoided, say Levin & Kraus,
>because neuroleptics can exacerbate symptomatology and slow cortical
>recovery.
>
>--David
>
A behavior approach may be useful.  Have the client think about depressing
events in their lifes to balance or BLOCK the mania.  Ron Blue



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