How do you manage a patient with severe mental illness whose psychiatric symptoms worsen significantly during inpatient cancer treatment?
For example, how does chemotherapy, radiation, immunotherapy, or high‑dose steroids change your approach to treating psychosis, mania, or suicidality in the hospital?
2 Answers
Mednet MemberInvited Expert
Psychiatry · University of Washington
Answered on
There are many issues to keep in mind, such as not all "mental illness" is necessarily a primary psychiatric disorder. Below are some common problems: For management of steroid-induced psychosis/mania, which typically has an onset within 3–4 days with risk >80 mg/day prednisolone equivalent. I would...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Psychiatry · Wake Forest University School of Medicine
Answered on · Updated on
In addition to what is mentioned above, a few other considerations.
Myelosuppression overlap: Psychotropic medications with bone marrow suppressive effects, particularly clozapine, but also, rarely, phenothiazines and carbamazepine, can compound chemotherapy-induced neutropenia. Given the high risk o...
Join for free or sign in to see the full answer