Clinical Approach and Treatment Philosophy

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Psychiatrist Neuropsychiatrist Neurologist Dr. Maurice Preter

Psychiatrist Neuropsychiatrist Neurologist Expert Dr. Maurice Preter

You may benefit from a consultation with Dr. Preter, if:

▪  You are wondering about psychotherapy with a psychologist vs psychiatrist and want to  explore therapy with an medical/M.D. therapist rather than a non-medical therapist (e.g., a psychologist or social worker)

▪  You are looking for a psychiatrist with a broad international perspective on diagnosis and treatment integrating German, French and British-American training and schools of thought

▪  You are looking for a neurologist with a broad international perspective on diagnosis and treatment integrating German, French and British-American training and schools of thought

▪  You are interested exploring “CAM” (complementary alternative medicine) and “functional medicine” approaches

▪  Specifically, you are interested in the Dementia Protocol developed by Dr. Preter (the Protocol can also be helpful in TBI/mTBI/brain injury).

▪  You feel (and/or your current psychologist vs psychiatrist/psychotherapist) that you are in a treatment impasse and may benefit from a second opinion using an broad, integrated perspective

▪  You are concerned about psychiatric or neurological medication failures and/or have questions about your current medication

▪  You are suffering from “medically” or “neurologically unexplained symptoms”, or were told there is diagnostic uncertainty in your situation and you are looking for clarification of diagnosis

▪  You are concerned about currently being over-medicated (or more rarely, under-medicated)

▪  You are looking for a differential diagnosis of neurological illness (such as memory loss and possible dementia) versus adverse effects of medication/polypharmacy interactions

▪  You are looking for a psychiatrist who speaks French and German fluently and practices in these languages, including psychotherapy

▪  You are looking for a neurologist who speaks French and German fluently

More specifically, you suffer from one of the following and need help:

 

What exactly is neuropsychiatry?

It is well known that effectively restoring (and/or promoting) health requires an integrated understanding of how mind, brain, body, personal history and current life circumstances interact with each other. All these factors contribute to a person’s illness experience; their interaction often represents an opportunity for a change for the better. Neuropsychiatry is the application of this integrative principle in clinical neurology and psychiatry. It has for the past decades guided my clinical work as Board-certified neurologist, Board-certified psychiatrist, neuropsychiatrist, psychopharmacologist, and practitioner of psychotherapy.

A stepwise approach to diagnosis pays off: First come fundamental, sometimes easily treated physiological disturbances that can affect a person’s immediate emotional, cognitive and general well-being, and threaten health later in life. A sleep disorder, a thyroid imbalance, vitamin D and other nutritional deficiencies, the unwanted effects of multiple, perhaps improperly dosed, sometimes entirely unnecessary medications all impair the day-to-day functioning of the mind and the brain, and can cause or exacerbate illness and distress. Why would anyone wait to treat them? However, just as important as these biological, pharmaceutical and nutritional “basics” is a longer-term, psychologically informed perspective that helps us to make sense of a person’s unique experience. This often forces us to look beyond simple diagnostic labels and requires a scientifically informed reassessment and integration of often isolated pieces of information: Biographic information, memories, but also imaging data, medication lists, blood tests, neuropsychological test reports etc.

A customized, eclectic treatment approach that integrates standard biological, complementary-alternative and psychotherapeutic techniques

  • Psychodynamic Psychotherapy

  • Special attention to long-term brain and mind health, preventative neurology, healthy aging and cognitive rejuvenation measures

  • Neurological and psychopharmacological medications, based on a thorough, result-oriented assessment of the risks and benefits of these medications in a given situation.

  • Promising old and novel compounds (e.g., polyunsaturated Omega-3 (“PUFAs”) for the treatment of mood disorders/bipolar depression; N-Acetyl Cysteine for Depressive Symptoms in Bipolar Disorder and obsessive-compulsive disorder; Rhodiola Rosea, benfotiamine and others).

  • Promising, novel non-drug modalities such as Transcranial Magnetic Stimulation (currently done as out-referral after full diagnostic work-up). I am currently testing portable electrical devices such as the Fisher-Wallace device.

  • Preventative Neuropsychiatry through control of biochemical and life-style risk factors

  • The Preter Protocol – a program using the ketogenic diet developed at Johns Hopkins as part of an overall treatment plan for disabling illnesses such as chronic body pain, migraine headache and neurodegenerative diseases (mild cognitive impairment/MCI, Alzheimer’s disease, Parkinson disease).

In addition, our patients also benefit from an ultra-efficient network of world-class, private doctors who can provide other specialty consultations (and many of whom are located within walking distance). Our patients have priority access to any ancillary services such as MRI, MRA, PET imaging, EEG, private blood draws at their residence, neuropsychological testing, polysomnography/sleep study, as might be required by their unique, individual situation.

This practice does not accept insurance – please read first 

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