Steven G. Zelenski DO PhD

In this issue of the AADMD Reviews & Reports, Dr Zelenski addresses the complex problem of destructive/maladaptive impulsive behaviors, which often occur in persons with severe cognitive dysfunction. Those of us who work with this patient population are intimately familiar with the various types of aggressive, self-injurious, or ritualistic-like behaviors that at times seem to “come-on-out-of-the-blue” with no obvious reason. Since it is “behavior,” it makes sense to consult with a psychologist or psychiatrist since “behavior management” is what they do; however, as Dr.