Which statement about behavioral modifying medications is true?

• A. They can be ordered on a PRN basis.
• B. They require no behavioral plan.
• C. They must be part of a behavioral plan.
• D. They do not require physician oversight.

Answer: (C)

Behavioral modifying medications are intended to support a broader plan for change, not to be used in isolation. They should be included in a formal behavioral plan that specifies the targeted behaviors, triggers, and nonpharmacologic strategies, plus clear goals, monitoring methods, and criteria for continuing, adjusting, or stopping the medication. Physician oversight is essential to review effectiveness and safety, manage side effects, and ensure appropriate dosing over time.

Using these meds on a PRN basis or without a structured plan increases the risk of inappropriate use, inconsistent outcomes, and safety problems. Both the expectation of ongoing physician supervision and the presence of a documented plan help ensure the medication is used only as part of a coordinated treatment approach.