I kind of owe an apology to Dr. Douglas and his colleagues in that I made it sound as if psych is not a huge part of treatment for the veterans or anybody with a brain injury. I think it's because psych is a place where people immediately turn. I wanted to emphasize what I think is being missed more so.
I really feel strongly that Dr. Douglas's mention about needing strong case management in these cases is part of the solution. It would be a “down the road“ step in terms of getting the information we need to find out about mefloquine toxicity—how it is intertwined and how much of it is intertwined with PTSD or other psych diagnoses that go along with mefloquine toxicity versus straight neurologic or neuro-optometric symptoms that aren't being masked. When I'm working with patients with brain injuries, veterans or not—most of mine are not veterans—it's really important to have a multidisciplinary approach. In fact, our book is titled Vision Rehabilitation: Multidisciplinary Care of the Patient Following Brain Injury.