Abstract

Drug therapy plays a crucial role in the treatment of mental disorders. Analogously, driving a motor vehicle plays a key factor in full reintegration into occupational and social life. In a professional assessment of driving ability, the specific drug involved is less important than as comprehensive an evaluation as possible of all traffic-medicine-relevant factors. Among others, the individual's driving history, the impact of the underlying psychiatric condition, effects and side effects in different stages of therapy, possible effects of combination with other drugs, and possible substance use need to be taken into account. Experience shows, however, that a positive appraisal of driving ability is almost always possible thanks to use of an appropriate, safe medication. As only a few specific studies have been conducted, in the individual assessment, the extensive experience and opportunities of a recognized traffic medicine institute should be drawn upon, in order to obtain additional legal coverage and to safeguard the confidentiality of the doctor-patient relationship.