caa a22 4500 445304545 CHVBK 20180317142608.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10880-011-9227-6 doi (NATIONALLICENCE)springer-10.1007/s10880-011-9227-6 The Use of Psychoeducation for a Patient with Hepatitis C and Psychiatric Illness in Preparation for Antiviral Therapy: A Case Report and Discussion [Elektronische Daten] [Barry Hong, Carol North, David Pollio, Anna Abbacchi, Christine Debold, Sunday Adewuyi, Mauricio Lisker-Melman] The standard of care treatment for chronic hepatitis C viral infection (HCV) is a combination of pegylated interferon alfa and ribavirin for 24-48weeks according to the virus genotype. This therapy is known to have multiple neuropsychiatric side effects. A major concern when evaluating a patient for HCV treatment with a known history of a psychiatric disorder is the risk that the patient's psychiatric disorder will flare or become unmanageable. The possibility of precipitating depression, confusion, mania, psychosis, hallucinations, or suicidal ideation or attempt is frequently an obstacle to treatment. We present the case of a 50year-old man with HCV and an extensive psychiatric history involving alcoholism, depression, and suicidality who participated in a psychoeducation group to help prepare him for treatment with pegylated interferon alfa/ribavirin therapy. Though the patient derived much benefit from the psychoeducation group, by the time of evaluation for HCV treatment two months after the group ended he had relapsed back into a depressive episode with suicidal thoughts. His acute psychiatric status made him unacceptable for pegylated interferon alfa/ribavirin therapy. Psychoeducation groups show promise for helping patients with chronic medical illness to be ready for and endure intensive medical treatment that has substantial psychiatric side effects. The challenge is to help patients overcome barriers to treatment, particularly psychosocial problems, because available treatments are increasingly effective. Springer Science+Business Media, LLC, 2011 Psychoeducation nationallicence Hepatitis C nationallicence Psychiatric illness nationallicence Antiviral therapy nationallicence Hong Barry Department of Psychiatry, Washington University, School of Medicine, 660 S. Euclid Avenue, Campus Box 8134, 63110, St. Louis, MO, USA aut North Carol VA North Texas Health Care System, Departments of Psychiatry and Surgery/Division of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA aut Pollio David School of Social Work, University of Alabama, Tuscaloosa, AL, USA aut Abbacchi Anna Department of Psychiatry, Washington University, School of Medicine, 660 S. Euclid Avenue, Campus Box 8134, 63110, St. Louis, MO, USA aut Debold Christine Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA aut Adewuyi Sunday Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA aut Lisker-Melman Mauricio Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA aut Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/1(2011-03-01), 99-107 1068-9583 18:1<99 2011 18 10880 https://doi.org/10.1007/s10880-011-9227-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10880-011-9227-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hong Barry Department of Psychiatry, Washington University, School of Medicine, 660 S. Euclid Avenue, Campus Box 8134, 63110, St. Louis, MO, USA aut NATIONALLICENCE 700 1- North Carol VA North Texas Health Care System, Departments of Psychiatry and Surgery/Division of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA aut NATIONALLICENCE 700 1- Pollio David School of Social Work, University of Alabama, Tuscaloosa, AL, USA aut NATIONALLICENCE 700 1- Abbacchi Anna Department of Psychiatry, Washington University, School of Medicine, 660 S. Euclid Avenue, Campus Box 8134, 63110, St. Louis, MO, USA aut NATIONALLICENCE 700 1- Debold Christine Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA aut NATIONALLICENCE 700 1- Adewuyi Sunday Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA aut NATIONALLICENCE 700 1- Lisker-Melman Mauricio Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA aut NATIONALLICENCE 773 0- Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/1(2011-03-01), 99-107 1068-9583 18:1<99 2011 18 10880 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer