Psychotropic medication in adolescence: psychodynamic and clinical considerations

This study discusses the psychodynamic implications of psychopharmacological treatment in adolescence. A series of clinical situations are presented to illustrate how psychotropic medication may modify the adolescent's relationship with the mental and bodily self, the second separation-individuation process within the family, and the therapeutic relationship between adolescent and psychiatrist. Methodological issues are discussed for fostering a positive treatment outcome. The study suggests that pharmacotherapy should follow a psychopathological evaluation of adolescents and their families.