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Med J Aust ; 183(8): 422-4, 2005 Oct 17.
Article in English | MEDLINE | ID: mdl-16225449

ABSTRACT

An adolescent with autism and intellectual disability presented with severe depression related to menstruation. Because of the complex medical, psychiatric and ethical issues involved, her care was coordinated by a hospital-based adolescent medicine unit. After trials of other therapies over an extended period and interdisciplinary and intersectoral case conferencing, it was decided that hysterectomy was the most appropriate management. This case highlights the complexity of adolescent health care in a tertiary hospital, the importance of intersectoral cooperation between hospital and community, and the integral role of interdisciplinary care of adolescent patients with chronic conditions.


Subject(s)
Adolescent Health Services/ethics , Autistic Disorder/complications , Autistic Disorder/therapy , Depression/etiology , Depression/therapy , Adolescent , Autistic Disorder/psychology , Depression/psychology , Female , Humans , Menstruation Disturbances/etiology , Menstruation Disturbances/psychology , Menstruation Disturbances/therapy , Obsessive-Compulsive Disorder/etiology , Obsessive-Compulsive Disorder/psychology , Obsessive-Compulsive Disorder/therapy , Psychomotor Agitation/etiology , Psychomotor Agitation/psychology , Psychomotor Agitation/therapy , Suicide, Attempted , Therapeutics
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