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Psychiatric considerations in the patient receiving organ transplantation: a clinical case conference |
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| Authors: | Huffman Jeff C Popkin Michael K Stern Theodore A |
| Affiliation: | a Massachusetts General Hospital, Boston, MA, USA b McLean Hospital, Boston, MA, USA c Harvard Medical School, Boston, MA, USA d Hennepin County Medical Center, Minneapolis, MN, USA e University of Minnesota Medical School, Minneapolis, MN, USA |
| Abstract: | Psychiatric consultations to evaluate a patient's suitability to receive organ transplantation can require the integration of multiple types and sources of information. A patient's social support network, history of treatment compliance, ongoing Axis I and Axis II disorders, and understanding of the procedure and follow-up required must all be evaluated during such a consultation. This article presents the case of a woman with borderline personality disorder who developed hepatic failure following a drug overdose, and discusses her evaluation for liver transplantation. The discussion frames the pertinent issues in the transplant evaluation and describes the perioperative (transplant) management of the borderline patient. |
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