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On recognition of HSD, a multidisciplinary approach, including propranolol for autonomic dysfunction, pregabalin for pain and anxiety, and lisdexamfetamine for cognitive impairment, significantly improved her condition. Early identification and tailored management of HSD in psychiatric settings can optimise treatment outcomes by addressing both physical and psychiatric symptoms. This case underscores the need for psychiatrists to incorporate physical health assessments into their diagnostic processes when treating complex psychiatric presentations.<\/jats:p>","DOI":"10.1136\/bcr-2024-264159","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T02:38:47Z","timestamp":1742956727000},"page":"e264159","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Managing hypermobility spectrum disorder in a psychiatric setting"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6789-6372","authenticated-orcid":false,"given":"Hilary","family":"Stevenson","sequence":"first","affiliation":[{"name":"Psychiatry, SSM Health Saint Louis University Hospital, St Louis, Missouri, USA"},{"name":"Psychiatry, Pine Rest Christian Mental Health Services, Grand Rapids, Michigan, 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