TY - JOUR T1 - Human Exposure Assessment and Relief From Neuropsychiatric Symptoms: Case Study of a Hairdresser JF - The Journal of the American Board of Family Practice JO - J Am Board Fam Med SP - 136 LP - 141 DO - 10.3122/jabfm.17.2.136 VL - 17 IS - 2 AU - Stephen J. Genuis AU - Shelagh K. Genuis Y1 - 2004/03/01 UR - http://www.jabfm.org/content/17/2/136.abstract N2 - Human exposure assessment and the results of implementing ‘precautionary avoidance’ suggested a relationship between a hairdresser’s neuropsychiatric symptoms and occupational exposure to potentially hazardous chemicals. A variety of investigations in response to patient complaints of depression, emotional instability and various physical symptoms revealed no objective abnormality; the CH2OPD2 mnemonic (community, home, hobbies, occupation, personal habits, diet and drugs) recommended by the Ontario College of Family Physicians was used as a first-line screening tool to assess potential environmental exposure to toxins. After occupational leave of absence, the patient reported cessation of symptoms. Environmental causes for familiar medical problems are frequently undiagnosed; it is recommended that, where appropriate, a screening tool for evaluation of environmental exposure to toxics be incorporated into primary care assessment and management of patients. ER -