Ritalin as a possible treatment for TBI?
Complicated brain functions like planning, judgment calls and decision making are the responsibilities of the frontal lobes. These functions are often referred to as “executive functions,” and when an individual’s frontal lobes are compromised by injury, he frequently has trouble making decisions and initiating activity. Emotions are also regulated and inhibited by the frontal lobes, so TBI survivors with damage to the frontal lobes can be impulsive, moody, short-tempered and poor at making decisions. This limited impulse-control and increased level of anxiety and frustration can make these individuals very vulnerable to problems with substance abuse.
TBI survivors with frontal lobe damage have some symptoms that overlap those of patients with Attention Deficit and Hyperactivity Disorder, including difficulty concentrating, trouble focusing and poor decision-making abilities. Popular treatments for ADHD include Ritalin and drugs similar to Ritalin that stimulate the frontal lobes of the brain. These drugs help those with ADHD control their impulsiveness and increase their abilities to plan and make careful decisions.
Because of similarities between the characteristics of ADHD and the symptoms seen in TBI survivors with frontal-lobe injuries, studies have been conducted to find out if medication used to treat ADHD can also help patients with TBI. These studies have found evidence that Ritalin can help some TBI survivors increase their levels of self-control and decrease their impulsiveness. Improvements in concentration and ability to focus have also been found in TBI survivors treated with Ritalin.
The University of Washington, which is one of the main centers for the treatment of TBI in the United States, is pioneering a study on the effects of Ritalin on short-term memory in TBI survivors. If this study supports previous research on the benefits of Ritalin for those with frontal lobe injuries, the medication could become a simple and cost-effective treatment that boosts the efficiency of traditional, rehabilitation-focused TBI treatment.
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