Figure 21.1 Antipsychotic treatment algorithm. Following several unsuccessful atypical antipsychotic monotherapy trials, a trial with a conventional antipsychotic or with clozapine is recommended. High-dose monotherapy may also be considered for…
Figure 9.1 Heterogeneity of aggression. Identifying the type of aggression a patient is displaying may help guide the selection of appropriate treatments that target the underlying dysfunctional circuits. However, violence…
Figure 28.1 SAMHSA components and principles of recovery for individuals and organizations. Trauma-Informed Perspective There is growing recognition that trauma is widespread, and that the experience of trauma has far-reaching…
Figure 25.1 Forensic‐focused treatment plan cycle. Forensic case formulation Integrating forensic data into a case formulation can prove challenging, but there is some guidance in the literature [2–5,10–12]. In particular,…
Figure 22.1 Relationship between plasma fluphenazine levels and estimated probability of improvement (gray line) and disabling side effects (black line) [20]. Figure 22.2 The relationship between plasma haloperidol and the…
Figure 17.1 Flowchart of patient disposition. The exclusion of data for all 33 patients from one site was caused by concern about the integrity of data from that site. Patients…
Figure 15.1a Amygdala BOLD responses to social threat (angry faces) before and after 12 weeks of treatment with placebo (n = 10) vs. fluoxetine (n = 3) or divalproex (n…
Figure 11.1 Maladaptations of the reward pathway can shift behavior from normal to impulsive to compulsive. Under normal conditions, if a salient stimulus causes a favorable outcome, this behavior will…
Figure 13.1 Amygdala: functional subdivisions and basic organization of flow of information. The amygdala is not a unitary structure, and consideration of its anatomical subdivisions and circuitry is essential. (A)…
No history of self-harm.Index offense: extremely violent murder.OlanzapineD25–29Antisocial-paranoid personality disorder19/24286Numerous assaults, violence toward animals, strangulation, and stabbing.Citalopram, fluoxetine, quetiapine, sertraline, mianserinE50–54Antisocial personality disorder with borderline traits19/24*1848Multiple sexual assaults, violent assaults,…
