David Arciniegas, MD
Speaker at 2015 NABIS Conference on Brain Injury
Session Title 1: Pre-Conference course: Neuropsychiatry of TBI
During this course, the attendee will learn about
1. The neuropsychiatric approach to TBI during inpatient rehabilitation, including the use of appropriate assessments.
2. The role of neuropharmacology in managing the neuropsychiatric sequelae during the subacute and chronic phases of recovery.
3. Recognize the expected neuropsychiatric recovery during the first year after mild TBI.
4. Recognize appropriate neuropsychiatric management of the patient with persistent symptoms after concussion.
Summary: Neuropsychiatric disturbances, including cognitive deficits, emotional dysregulation, and behavioral problems, are common and functionally important consequences of traumatic brain injury. Careful evaluation and effective management of these posttraumatic neuropsychiatric disturbances facilitates rehabilitation and reduces barriers to activities and participation. In this workshop, heuristics for the evaluation, management, and further study of posttraumatic neuropsychiatric disturbances will be reviewed. Clinical case definitions of TBI, the clinical features of acute traumatic encephalopathy, and the neuropsychiatric sequelae of mild and moderate-to-severe TBI will be reviewed. Pre-injury, injury-related, and post-injury factors that influence the development and course of neuropsychiatric symptoms after TBI will be considered, and the importance of carefully considering the differential diagnosis of early and late post-injury neuropsychiatric disturbances will be highlighted. The faculty then will offer four lectures focused on the evaluation and management of the early and late neuropsychiatric features of mild TBI and of moderate-to-severe TBI. Finally, directions for future research that may address productively the challenges to TBI rehabilitation and recovery presented by neuropsychiatric disturbances will be addressed through discussion between faculty and participants.
Session Title 2: Case Study - Severe TBI
1. To understand salient predictors of outcom following severe TBI.
2. To understand predictable and unique recovery patterns assocated with different types and severity of severe TBI necessary to employ evidence informed treatments.
3. To understand how evidence informed rehabilitation treatment is applied across organized system of care necessary for best practices and optimal outcomes.
This presentation will utilize a case presentation format to instruct how the diagnosis and prognosis of severe TBI is conceptualized and necessary to inform best practices of rehabiliation across the continum of time post injury. A nationally recognized interdisciplinary panel of experts will discuss evidence informed evaluation and treatments that are relevant to achieving optimal outcomes. Audience participation and focused Q&A will be encouraged.
Current Company Affiliation: Baylor College of Medicine/TIRR Memorial Hermann
Speaker Bio: Dr. Arciniegas is the Beth K. and Stuart C. Yudofsky Chair in Brain Injury Medicine and Professor of Psychiatry, Neurology, and Physical Medicine & Rehabilitation at the Baylor College of Medicine and Senior Scientist and Medical Director for Brain Injury Research at TIRR Memorial Hermann in Houston, TX. His work focuses on the cognitive and neuropsychiatric rehabilitation of persons with traumatic brain injuries and other acquired neurological disorders. In addition to his academic duties, he is the current Chairman of the International Brain Injury Association and contributes his efforts to governmental and non-governmental organizations striving to improve the lives of persons and families affected by brain injuries.