You are most likely visiting this page because you are looking for answers for yourself, or are assisting a loved one, or are simply interested in a fresh perspective on psychiatry and neurology. Let’s try to make your time on this site worthwhile.
Some commonly asked questions for psychiatrists and neurologists are:
- “Am I becoming forgetful, or is this something else, like Alzheimer’s disease?”
- “Am I developing a neurological disease, or am I suffering from a medication side effect? How many of these pills do I really need?”
- “Is this a simple tremor, or is it Parkinson’s disease?”
- “What’s my diagnosis? Everyone is telling me something different!”
- “Is there a ‘cure’ for my migraine/my panic disorder/my depression?”
- “Will my traumatic brain injury get better over time? What can we do to speed it up?”
- “What is the best treatment approach for my specific situation?”
- “I’d be interested in exploring other, perhaps ‘softer’ complementary-alternative treatment options. Do we have any?”
- “I think I need psychotherapy. How come so many psychiatrists these days prescribe mostly pills?”
And there are many other questions. For the most part, answers require an ongoing collaborative effort of patient and treating physician to figure out what is going on and what to do about it. For starters, a correct diagnosis is critical to getting a patient on the path to wellness. However, the DSM-type manualized approach has its limits, to put it mildly. The reality is that many people suffering from neurological, psychological or physical distress may well have several diagnoses and often other treatable problems ignored by DSM-type insurance codes. This cluster of conditions together causes the distress, and they need to be addressed together (i.e. Parkinson disease causing depression, or the psychological devastation caused by memory loss).
This approach has been called integrated: The neurologist or psychiatrist understands both your medical and your psychological issues before determining a diagnosis and suggesting a treatment plan. This way of practicing medicine, neurology, and psychiatric care goes beyond the currently prevalent, quite inefficient subspecialty-centered model. Rather, it requires sufficient time and familiarity with the patient to develop an empathic, efficient collaboration to get the patient back on his or her path to wellness.
As one of a small number of physicians worldwide fully trained and Board certified in both psychiatry and neurology, I am specifically qualified to conduct a comprehensive assessment of your situation, whether it turns out to be “primarily” medical, neurological, psychological or environmental. As a private doctor in traditional practice (while teaching at several prestigious academic centers), I also provide the kind of necessary access that hospital-based academic departments are struggling to offer.
You can find out more about clinical services (including teleconsultations) available for international patients here. For the Chinese, Arabic and Portuguese versions, please click on the icons in the right upper corner of this page.
Maurice Preter MD,