Psychiatric symptoms are often present in liver diseases. Recently, the incidence of liver diseases increased among psychiatric patients.
Hepatic encephalopathy is a general term for neuropsychiatric changes, which appear in consequence of a liver disease. It is frequent in patients with hepatic cirrhosis or acute liver failure.
Incidence of viral hepatitis C goes up worlwide. It causes depression by itself or due to the treatment with interferon alpha.
Wilson’s disease in patients with personality changes, affective disorder or psychosis and if there are present abnormal movements, the course is unusual and the patient is young. Alcoholics are often depressed of anxious.
It is recommended not to use tricyclic antidepressant and benzodiazepines in the treatment of these symptoms in patient dependent on alcohol.