We present the case of a 42-year-old female with major depressive disorder who received a Roux-en-Y gastric bypass and subsequently decompensated in her depres-sion symptoms and began newly engaging in problematic alcohol use. Top experts in the consultation-liaison field, specifically bariatric surgery psychiatry, provide guid-ance for this commonly encountered clinical case based on their experience and a review of the available litera-ture. Key teaching points include the presurgical psy-chosocial assessment, pertinent perioperative psychopharmacology, and problematic alcohol use after bariatric surgery. (Journal of the Academy of Consultation-Liaison Psychiatry 2023; 64:267-276)
机构:
Yale Univ, Sch Med, Robert Wood Johnson Fdn Clin Scholars Program, New Haven, CT 06520 USA
VA Connecticut Healthcare Syst, West Haven, CT USAYale Univ, Sch Med, Robert Wood Johnson Fdn Clin Scholars Program, New Haven, CT 06520 USA
Wiechers, Ilse R.
Freudenreich, Oliver
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机构:
Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USAYale Univ, Sch Med, Robert Wood Johnson Fdn Clin Scholars Program, New Haven, CT 06520 USA