Disinhibition

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Clinic

  • It is a lack of restraint manifested in disregard of social conventions, impulsivity, and poor risk assessment.
  • Disinhibition affects motor, instinctual, emotional, cognitive, and perceptual aspects with signs and symptoms similar to the diagnostic criteria for mania
  • Hypersexuality, hyperphagia, and aggressive outbursts are indicative of disinhibited instinctual drives.
  • It range from mildly inappropriate social behavior, lack of control over one's behavior to the full-blown mania
  • Behavioral changes would be its best synonym in viral miasms.


Signs / Symptoms

It is an entity with these signs and symptoms

  • Impulsivity
  • personality changes: Disregard for others and social norms
  • Aggressive outbursts
  • Misconduct and oppositional behaviors
  • Disinhibited instinctual drives including risk taking behaviors and hypersexuality.
  • Diffuse cognitive impairment, with more prominent deficits in the rate of Information processing, Attention, memory, Cognitive flexibility, and Problem solving.


Causes

  • TBI (Traumatic Brain Injury) or lesions, particularly to the frontal lobe and primarily to the orbitofrontal cortex.
  • The neuropsychiatric sequelae following brain injuries could include
  • Tumors / Strokes / Epilepsy


Related entities

  • Cognitive impairments such as
    • Visuospatial functions
    • Somatosensation
    • Spatial memory
  • Impaired motoric, instinctive, affective, and intellectual behaviors.

Related Diseases

  • Mania-like manifestations in old age with lesions to the orbito-frontal and basotemporal cortex involving limbic and frontal connections (orbitofrontal circuit), especially in the right hemisphere.
  • ADHD, hyperactive/impulsive subtype
  • Conduct disorder
  • Anti-social personality disorder
  • Substance abuse / Alcohol consumption
  • CNS depressants drugs, e.g., benzodiazepines that disinhibit the frontal cortex from self-regulation and control.