TY - CHAP M1 - Book, Section TI - Holistic and Sustainable Management of Complex Neuropsychiatric Patients A1 - Fogel, Barry S. A2 - Silbersweig, David A. A2 - Safar, Laura T. A2 - Daffner, Kirk R. PY - 2021 T2 - Neuropsychiatry and Behavioral Neurology: Principles and Practice AB - Neuropsychiatric patients rarely have a single medical diagnosis. Even when they do, their disease may cause functional impairments that require adaptation and/or rehabilitation or entail a complex and demanding treatment regimen. The illness is likely to impact the patient’s family and/or significant others, especially if it involves cognitive or sensory impairment; aggressive, self-injurious, psychotic, or otherwise risky or socially inappropriate behavior; or expensive treatment or care not covered by insurance. Consistent delivery of treatment to a patient might be difficult because of the patient’s functional impairments or social and environmental issues, including challenges accessing health care and/or paying for treatments, and environmental hazards with disproportionate impact on patient’s specific problems. Treatments for neuropsychiatric disorders sometimes have neuropsychiatric or general medical side effects. Finally, there often are illness-related educational, occupational, financial, and/or legal issues, which may be complicated by family conflicts about how best to deal with them. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/29 UR - neurology.mhmedical.com/content.aspx?aid=1178765275 ER -