“…What little research is available provides some support for clinical assumptions that patients with certain personality disorders, substance use disorders, poor coping skills, poor compliance, and poor social supports can have worse posttransplant outcomes. Nevertheless, case reports have demonstrated that even some patients who might seem inappropriate for transplant (e.g., patients with active psychosis or with severe personality disorders) (Carlson et al 2000;DiMartini and Twillman 1994) can undergo transplantation and maintain adequate compliance after the procedure. Such patients should be carefully assessed pretransplant with optimization of their pretransplant condition and ongoing psychiatric monitoring and treatment posttransplantation.…”