Beverina M
Sem Hop. 1983 Sep 22;59(33):2297-302.
There are two obstacles to the use of drugs in the treatment of psychological disorders in adolescence. First, the patient is no longer a child and not yet an adult. The meaning of the symptom is essential: it may reveal a crisis related to his developmental phase, antecedent infantile disease or the offset of adult disease. Secondly, at this age, the prescription of drugs rises questions about pharmacokinetics, possible side-effects, expected therapeutic effects and the way the prescription is experienced psychologically. Neuroleptics, which may be necessary in spite of their side-effects, should be restricted to psychotic conditions. Antidepressants, lithium, tranquilizers are also discussed with respect to their usefulness, risks and indications. But the meaning of any prescription is dependent upon the therapeutic relationship, and this is even more so for adolescents with whom careful listening is essential.
在青少年心理障碍治疗中使用药物存在两个障碍。其一，患者已不再是儿童，但尚未成年。症状的意义至关重要：它可能揭示与他发育阶段相关的危机、既往婴幼儿疾病或成人疾病的发作。其二，在这个年龄段，药物处方引发了关于药代动力学、可能的副作用、预期治疗效果以及处方在心理上的体验方式等问题。尽管有副作用但可能必要的抗精神病药物应仅限于精神病状况。还讨论了抗抑郁药、锂盐、镇静剂的效用、风险和适应症。但任何处方的意义都取决于治疗关系，对于青少年来说更是如此，认真倾听他们的心声至关重要。
