Hepatic encephalophathy: management and diagnostic therapeutic assistance path of Ligurian Local Health Company 3 (ASL3).

Hepatic encephalophathy (HE) is a neuropsychiatric syndrome with a prevalence in the cirrhotic population ranging from 20 to 80%. HE is a cause of inappropriate hospitalization, caregiver burdening and increased social costs. There is need to create dedicated care pathways to better manage patients and support family caregivers.

[Addiction disorders: a new management.].

Psychiatry and addiction disorders are closely linked, but the current epidemiological and clinical evidence impose us to effectively define the "dependence medicine" (DM) discipline, and to review its management. The need for change is also suggested indirectly by the new DSM-5 which proposes a partial overcoming of the term 'addiction' by introducing the definitions Substances Use Disorders (SUDs), Alcohol Use Disorders (AUDs), and disorders related to behavioral alterations (behavioral disorders): eating disorders, gambling, etc. These disorders can generate organic diseases, psychic, family and social problems.