“…Our findings that individuals with pre-existing mental health conditions are more likely to be at risk of MBD ED visits may help to explain potential pathways by which extreme heat may exacerbate MBDs. For instance, inherent conditions related to MBD and effects of psychiatric medications can affect impairment capacities and thermoregulatory control systems (Hwong et al, 2022;Hansen et al, 2008). Studies have shown that specific neurotransmitters related to thermoregulation may be affected during periods of extreme temperatures which affect dopaminergic transmissions and increase exacerbations of schyzophrenic episodes (Hasegawa et al, 1985;Sung et al, 2011).…”