From my own experience, I'd add "Don't automatically discount environmental influences as 'not sufficient to cause problems', especially if the patient brings them up". I've hallucinated from standard doses of pseudoephedrine, had systemic effects (drowsiness, etc.) from topical Benadryl, am psychotic and suicidal on standard therapeutic doses of Zoloft, have drastic mood reactions to antibiotics, need to consume caffeinated beverages one ounce at a time to prevent panic attacks, etc. (This is another thing that sometimes runs in families.) And an event that seems too minor to really affect someone can still be traumatic if it presses just the right button.
no subject
From my own experience, I'd add "Don't automatically discount environmental influences as 'not sufficient to cause problems', especially if the patient brings them up". I've hallucinated from standard doses of pseudoephedrine, had systemic effects (drowsiness, etc.) from topical Benadryl, am psychotic and suicidal on standard therapeutic doses of Zoloft, have drastic mood reactions to antibiotics, need to consume caffeinated beverages one ounce at a time to prevent panic attacks, etc. (This is another thing that sometimes runs in families.) And an event that seems too minor to really affect someone can still be traumatic if it presses just the right button.