RT Book, Section A1 Fogel, Barry S. A2 Silbersweig, David A. A2 Safar, Laura T. A2 Daffner, Kirk R. SR Print(0) ID 1178765275 T1 Holistic and Sustainable Management of Complex Neuropsychiatric Patients T2 Neuropsychiatry and Behavioral Neurology: Principles and Practice YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781260117103 LK neurology.mhmedical.com/content.aspx?aid=1178765275 RD 2024/09/08 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.