Eichelman (1988) provides a logical conceptual framework for using drugs to treat aggression. The clinician should consider using an anticonvulsant for “ictal”-flavored aggression with accompanying neurological soft signs, while considering a beta-blocker for violence stemming from chronic organic conditions. Lithium is an alternative for use in patients with underlying mood lability. Antidepressants, particularly the SSRIs, might be considered when there exists an underlying depression or dysthymia.
Ref: - Eichelman, B. (1988) Towards a rational pharmacotherapy for aggressive and violent behaviour. Hospital and Community Psychiatry, 39, 31-39.
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This blog on Clinical Psychopharmacology is maintained by Dr. Shahul Ameen, M.D., Psychiatrist, St. John's Hospital, Kattappana, Idukki, Kerala, India.
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