Hematologic problems in psychosomatic medicine.
Vitamin B12 deficiency is associated with problems in cognition, mood, psychosis, and less commonly, anxiety. Folate deficiency primarily is associated with problems in mood. Patients who have sickle cell disease, a disease of chronic pain, experience difficulties with depression, anxiety, stigma, and are at risk for substance abuse and dependence. Patients with hemophilia have benefited from advances in treatment; however, their morbidity and mortality were compounded in those who received blood products contaminated with HIV, or hepatitis B and C. Psychiatrists who practice psychosomatic medicine should expect to encounter patients with the above problems, as they are frequently seen in medical settings. Finally, most of the commonly used psychotropic medications have uncommon but potentially important hematologic side effects or may interact with the anticoagulants used in medically ill patients.
Becker
Madeleine
M
Department of Psychiatry, Thomas Jefferson University, Philadelphia, PA, USA.
Axelrod
David J
DJ
Oyesanmi
Olu
O
Markov
Dimitri D
DD
Kunkel
Elisabeth J Shakin
EJ
D000755:Anemia, Sickle Cell / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D002493:Central Nervous System Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D015897:Comorbidity; D003937:Diagnosis, Differential; D005494:Folic Acid Deficiency / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D006801:Humans; D019964:Mood Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D010146:Pain / Q000175:diagnosis / Q000453:epidemiology*; D059408:Pain Management; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D014806:Vitamin B 12 Deficiency / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy