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Research ArticleRegular Articles

A Proposed Algorithm for the Pharmacotherapy of Impulsive Aggression

Alan R. Felthous and Matthew S. Stanford
Journal of the American Academy of Psychiatry and the Law Online December 2015, 43 (4) 456-467;
Alan R. Felthous
Dr. Felthous is Professor and Director of the Forensic Psychiatry Division, Department of Neurology and Psychiatry, Saint Louis University School of Medicine, St. Louis, MO. Dr. Stanford is Professor of Psychology, Department of Psychology and Neuroscience, Baylor University, Waco, TX.
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Matthew S. Stanford
Dr. Felthous is Professor and Director of the Forensic Psychiatry Division, Department of Neurology and Psychiatry, Saint Louis University School of Medicine, St. Louis, MO. Dr. Stanford is Professor of Psychology, Department of Psychology and Neuroscience, Baylor University, Waco, TX.
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Abstract

A rational algorithm for effective pharmacotherapy for impulsive aggression takes into account five factors: sufficiently defined and characterized aggressive behavior; availability of agents studied by trials of sufficient quality; risks, side effects, and contraindications; severity of aggressive outbursts; and co-occurring mental and medical conditions. Clinicians in forensic and correctional treatment centers, indeed in any treatment setting, should be able to optimize their effectiveness in treating impulsive aggression by using methods that consider these five factors.

Footnotes

  • Disclosures of financial or other potential conflicts of interest: None.

  • © 2015 American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 43 (4)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 43, Issue 4
1 Dec 2015
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A Proposed Algorithm for the Pharmacotherapy of Impulsive Aggression
Alan R. Felthous, Matthew S. Stanford
Journal of the American Academy of Psychiatry and the Law Online Dec 2015, 43 (4) 456-467;

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A Proposed Algorithm for the Pharmacotherapy of Impulsive Aggression
Alan R. Felthous, Matthew S. Stanford
Journal of the American Academy of Psychiatry and the Law Online Dec 2015, 43 (4) 456-467;
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  • Article
    • Abstract
    • Defining and Characterizing Aggressive Behavior
    • Risks, Side Effects, and Contraindications of AIAAs
    • Severity of Aggressive Outbursts
    • Co-occurring Conditions
    • Psychopharmacotherapy History
    • Affordability and Availability
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