Coalescence of psychiatry, neurology, and neuropsychology: from theory to practice.
In a climate of renewed interest in the synergy between neurology and psychiatry, practitioners are increasingly recognizing the importance of exchange and collaboration between these two disciplines. However, there are few working models of interdisciplinary teams that freely share expertise in real time, while providing clinical and academic training to future physicians who specialize in the central nervous system. Over the past 11 years, the McLean Hospital Neuropsychiatry and Behavioral Neurology service has provided proof-of-principle for such collaboration, demonstrating that a team comprising psychiatrists, neurologists, and neuropsychologists can function effectively as a unit while maintaining the autonomy of these three disciplines and also synthesizing their combined knowledge. In addition to delivering enhanced patient care and promoting medical research, this clinical service has provided enriched cross-specialty training for fellows, residents, and medical students. The practical functioning of the team is described, and case vignettes are presented to illustrate the team's collaborative synergism in practice.
Cunningham
Miles G
MG
Department of Psychiatry, Harvard Medical School, USA. mcunningham@mclean.harvard.edu
Goldstein
Martin
M
Katz
David
D
O'Neil
Sarah Quimby
SQ
Joseph
Anthony
A
Price
Bruce
B
D000328:Adult; D003299:Cooperative Behavior; D003937:Diagnosis, Differential; D004569:Electroencephalography; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008279:Magnetic Resonance Imaging; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D008875:Middle Aged; D009422:Nervous System Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D009462:Neurology / Q000193:education / Q000639:trends*; D009483:Neuropsychological Tests; D009484:Neuropsychology / Q000193:education / Q000639:trends*; D009488:Neurosciences / Q000639:trends; D010348:Patient Care Team; D010818:Practice Patterns, Physicians'; D011570:Psychiatry / Q000193:education / Q000639:trends*; D012017:Referral and Consultation; D014481:United States