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Predatory aggression

Posted by Robin Dickson, M.A., Behavior Specialist on June 30, 1999, at 18:59:02

I am interested in finding out about medications/treatments for predatory aggression (aggression without anger/rage or warning). The patient is a man in his 30's with progressive hearing loss and severe mental retardation. He does not communicate very well and so cannot explain why he attacks others--mostly his peers. He grabs, bites and kicks others, and seems to look for opportunities for aggression(transitions, decreased staffing, for ex.). The patient normally is slow moving and lethargic, but attacks with extreme quickness and ferocity. He has had extensive treatment with mood stabilizers (not lithium), some SSRI's, and antipsychotics (except clozapine). A 24 hour EEG was normal. He grew up in his family home without trauma/neglect, with the onset of his attacks in adolescence. Thanks to all who reply.




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