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
>A behavior approach may be useful. Have the client think about depressing
events in their lifes to balance or BLOCK the mania. Ron Blue