Purpose To highlight how psychological factors can complicate OOKP assessment , surgical outcome and adaptation to living with OOKP and to demonstrate how these issues can be addressed.
Methods Single case studies will be used to illustrate the clinical presentation of psychological issues and how these may have impacted on medical progress and adjustment post surgery.
Results Cases will illustrate how a previous psychological trauma history, mood disorder and identity issues can impact on physical, psychological and social adjustment to OOKP. The case studies will also illustrate interventions which addressed these.
Conclusion For some patients ,the identification of psychological problems and their appropriate management is important for succesful outcome and adaptation in OOKP surgery.