Pseudobulbar affect: Difference between revisions
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'''Pseudobulbar affect''' (PBA) is a form of '''emotional liability''' that causes sudden, inappropriate, uncontrollable laughing or crying which does not usually reflect the person's mood.<ref name="psychtimes" /> It is sometimes referred to as '''involuntary emotional expression''', '''emotional incontinence''', or '''uncontrollable laughing and crying'''.<ref name=RipleyCh11> | '''Pseudobulbar affect''' (PBA) is a form of '''emotional liability''' that causes sudden, inappropriate, uncontrollable laughing or crying which does not usually reflect the person's mood.<ref name="psychtimes" /> It is sometimes referred to as '''involuntary emotional expression''', '''emotional incontinence''', or '''uncontrollable laughing and crying'''.<ref name="RipleyCh11">{{Cite journal|last=Ripley|first=David L.|last2=Driver|first2=Sangeeta|last3=Stork|first3=Ryan|last4=Maneyapanda|first4=Mithra|date=2019-01-01|editor-last=Eapen|editor-first=Blessen C.|editor2-last=Cifu|editor2-first=David X.|title=Chapter 11 - Pharmacologic Management of the Patient With Traumatic Brain Injury|url=http://www.sciencedirect.com/science/article/pii/B9780323544566000116|language=en|publisher=Elsevier|pages=133–163|isbn=978-0-323-54456-6}}</ref> PBA is a [[neurological disorder]] that is often mistaken for [[depression]].<ref name="psychtimes">{{Cite web|url=https://www.psychiatrictimes.com/article/pseudobulbar-affect-versus-depression-issues-diagnosis-and-treatment|title=Pseudobulbar Affect Versus Depression: Issues in Diagnosis and Treatment|last=Lochhead|first=Jeannie D.|authorlink=|last2=Maguire|first2=Gerald A.|authorlink2=|date=2018-07-31|website=Psychiatric Times|language=en|archive-url=|archive-date=|dead-url=|access-date=2019-12-04|last3=Nelson|first3=Michele A.}}</ref> | ||
==Causes== | ==Causes== | ||
Pseudobulbar affect is typically caused by neurological diseases or injuries including [[multiple sclerosis]], stroke, [[amyotrophic lateral sclerosis]] (ALS), traumatic brain injury (a head injury causing loss of consciousness), or [[Parkinson's disease]].<ref name="psychtimes" /><ref name="emotionaloutburstsinMS">https://mss-web-prod-cd.azurewebsites.net/care-and-support/resources-and-publications/publications-search/anger-laughter-and-tears-understanding-emotional-outbursts-in-ms</ref><ref>{{Cite web|url=https://mss-cdn.azureedge.net/-/media/2f4dac6b8cfb48989927e079d95f092b.pdf?sc_revision=1c2ff0edff3b4ac59a297308fe9c2bec|title=Anger, laughter and tears: Understanding emotional outbursts in MS|last=Multiple Sclerosis Society|first=|authorlink=|last2=|first2=|authorlink2=|date=Jul 2015|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref> The emotional outbursts caused by PBA may last up to several minutes, and are different from how the person would normally have responded.<ref name="psychtimes" /> | Pseudobulbar affect is typically caused by neurological diseases or injuries including [[multiple sclerosis]], stroke, [[amyotrophic lateral sclerosis]] (ALS), traumatic brain injury (a head injury causing loss of consciousness), or [[Parkinson's disease]].<ref name="psychtimes" /><ref name="emotionaloutburstsinMS">https://mss-web-prod-cd.azurewebsites.net/care-and-support/resources-and-publications/publications-search/anger-laughter-and-tears-understanding-emotional-outbursts-in-ms</ref><ref>{{Cite web|url=https://mss-cdn.azureedge.net/-/media/2f4dac6b8cfb48989927e079d95f092b.pdf?sc_revision=1c2ff0edff3b4ac59a297308fe9c2bec|title=Anger, laughter and tears: Understanding emotional outbursts in MS|last=Multiple Sclerosis Society|first=|authorlink=|last2=|first2=|authorlink2=|date=Jul 2015|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref> The emotional outbursts caused by PBA may last up to several minutes, and are different from how the person would normally have responded.<ref name="psychtimes" /> | ||
Revision as of 16:36, September 17, 2020
Pseudobulbar affect (PBA) is a form of emotional liability that causes sudden, inappropriate, uncontrollable laughing or crying which does not usually reflect the person's mood.[1] It is sometimes referred to as involuntary emotional expression, emotional incontinence, or uncontrollable laughing and crying.[2] PBA is a neurological disorder that is often mistaken for depression.[1]
Causes
Pseudobulbar affect is typically caused by neurological diseases or injuries including multiple sclerosis, stroke, amyotrophic lateral sclerosis (ALS), traumatic brain injury (a head injury causing loss of consciousness), or Parkinson's disease.[1][3][4] The emotional outbursts caused by PBA may last up to several minutes, and are different from how the person would normally have responded.[1]
Treatment
Nuedexta was approved by the FDA in 2010, and certain antidepressants may also be helpful, for example SSRIs and TCAs.[1][5]
Learn more
- Pseudobulbar Affect Versus Depression: Issues in Diagnosis and Treatment
- PBA Treatment - drugs.com
- Anger, laughter and tears: Understanding emotional outbursts in MS - Multiple Sclerosis Society
See also
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Lochhead, Jeannie D.; Maguire, Gerald A.; Nelson, Michele A. (July 31, 2018). "Pseudobulbar Affect Versus Depression: Issues in Diagnosis and Treatment". Psychiatric Times. Retrieved December 4, 2019. Cite has empty unknown parameter:
|dead-url=(help) - ↑ Ripley, David L.; Driver, Sangeeta; Stork, Ryan; Maneyapanda, Mithra (January 1, 2019). Eapen, Blessen C.; Cifu, David X. (eds.). "Chapter 11 - Pharmacologic Management of the Patient With Traumatic Brain Injury". Elsevier: 133–163. ISBN 978-0-323-54456-6. Cite journal requires
|journal=(help) - ↑ https://mss-web-prod-cd.azurewebsites.net/care-and-support/resources-and-publications/publications-search/anger-laughter-and-tears-understanding-emotional-outbursts-in-ms
- ↑ Multiple Sclerosis Society (July 2015). "Anger, laughter and tears: Understanding emotional outbursts in MS" (PDF). Cite has empty unknown parameter:
|dead-url=(help) - ↑ "Pseudobulbar affect Disease Reference Guide". Drugs.com. Retrieved August 28, 2020.
