Psychiatric issues in solid organ transplantation

Thomas W. Heinrich, Michael Marcangelo

Research output: Contribution to journalReview articlepeer-review

55 Scopus citations

Abstract

The identification and treatment of psychiatric comorbidity in patients undergoing solid organ transplantation present a unique opportunity for psychiatric involvement in the care of medically complex patients. The burden of psychiatric illness in patients awaiting transplant and following transplant is significant and associated with potential morbidity and mortality. Possibilities for psychiatric liaison with our colleagues in transplant medicine and surgery start with the comprehensive psychiatric evaluation that is often performed with potential organ recipients and donors. The vital role of the psychiatrist continues following transplantation, as adjustment is often a stressful experience with associated psychiatric comorbidity. The treatment of psychiatric illness in patients following transplantation requires an understanding of the immunosuppressant medications that patients may be taking, coupled with an awareness of the associated risks of adverse effects and drug-drug interactions.

Original languageEnglish (US)
Pages (from-to)398-406
Number of pages9
JournalHarvard Review of Psychiatry
Volume17
Issue number6
DOIs
StatePublished - Dec 15 2009

Keywords

  • Anxiety
  • Depression
  • Immunosuppressant medications
  • Organ transplantation
  • Psychiatry

ASJC Scopus subject areas

  • Psychiatry and Mental health

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