title: The challenges of clinical psychopharmacological management.
abstract: Collaboration among health care providers in the treatment of mental health patients with comorbid medical and neurological conditions can be very challenging, especially with pharmacotherapy management where medications are prescribed by multiple providers. An individual example of a patient with a number of comorbid conditions taking multiple concurrent medical and psychotropic medications is described to highlight how challenging such situations can be. Medical conditions or medical medications might trigger or exacerbate symptoms of mental disorders. Psychotropic drugs may cause adverse effects that come to the attention of medical providers. Accurate communication among providers-and between the patient and providers-is important to avoid misinformation or misunderstandings in the care of patients with complicated problems.
authors.affiliation: University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania 15213, USA. HowlandRH@upmc.edu
authors.forename: Robert H
authors.initials: RH
authors.lastname: Howland
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use*; D002908:Chronic Disease / Q000451:nursing*; D003156:Community Mental Health Services; D015897:Comorbidity; D003299:Cooperative Behavior; D004347:Drug Interactions; D005260:Female; D005687:Galactorrhea / Q000139:chemically induced* / Q000451:nursing*; D006801:Humans; D006966:Hyperprolactinemia / Q000139:chemically induced / Q000451:nursing; D033183:Interdisciplinary Communication; D009422:Nervous System Diseases / Q000451:nursing*; D010348:Patient Care Team; D011618:Psychotic Disorders / Q000188:drug therapy* / Q000451:nursing*; D018967:Risperidone / Q000009:adverse effects* / Q000627:therapeutic use*
chemical_list: D014150:Antipsychotic Agents; D018967:Risperidone