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An Overview of Psychiatric Issues in Liver Disease for the Consultation–Liaison Psychiatrist

Received January 17, 2005; revised September 7, 2005; accepted October 10, 2005. From the Inova Transplant Center, Falls Church, VA, and the Georgetown Univ. Medical Center; the 121st General Hospital, Seoul, Korea; and the Univ. of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic, Pittsburgh, PA. Send correspondence and reprint requests to Dr. Crone, Inova Transplant Center, Inova Fairfax Hospital, Falls Church, VA. e-mail: cathy.crone{at}inova.com
© 2006 Academy of Psychosomatic Medicine

Liver disease is a common cause of morbidity and mortality in the United States and elsewhere. Arising from infectious, hereditary, or toxin-induced sources, the detection of liver disease often requires a high index of suspicion. Clinical presentations are highly variable and are often accompanied by neuropsychiatric symptoms. This fact, along with an increased incidence of liver disease among patients with primary psychiatric disorders and the presence of varied drug use, complicates the tasks of providing care to patients with liver disease. To assist the consultation–liaison psychiatrist, the authors present the first of a two-part series focused on psychiatric issues in liver disease.

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