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The role of a neuropsychiatry clinic in a tertiary referral teaching hospital: a 2-year study

  • F. Jabbar (a1), A. Doherty (a1), R. Duffy (a1), M. Aziz (a1), P. Casey (a1), J. Sheehan (a1), T. Lynch (a2) and B. D. Kelly (a1)...
Abstract
Objectives

Mental disorder is common among individuals with neurological illness. We aimed to characterise the patient population referred for psychiatry assessment at a tertiary neurology service in terms of neurological and psychiatric diagnoses and interventions provided.

Methods

We studied all individuals referred for psychiatry assessment at a tertiary neurology service over a 2-year period (n= 82).

Results

The most common neurological diagnoses among those referred were epilepsy (16%), Parkinson’s disease (15%) and multiple sclerosis (8%). The most common reasons for psychiatric assessment were low mood or anxiety (48%) and medically unexplained symptoms or apparent functional or psychogenic disease (21%). The most common diagnoses among those with mental disorder were mood disorders (62%), and neurotic, stress-related and somatoform disorders, including dissociative (conversion) disorders (28%). Psychiatric diagnosis was not related to gender, neurological diagnosis or psychiatric history.

Conclusion

Individuals with neurological illness demonstrate significant symptoms of a range of mental disorders. There is a need for further research into the characteristics and distribution of mental disorder in individuals with neurological illness, and for the enhancement of integrated psychiatric and neurological services to address the comorbidities demonstrated in this population.

Copyright
Corresponding author
Address for correspondence: B. D. Kelly, Associate Clinical Professor of Psychiatry, Department of Adult Psychiatry, UCD School of Medicine and Medical Science, University College Dublin, Mater Misericordiae University Hospital, 62/63 Eccles Street, Dublin 7, Ireland. (Email: brendankelly35@gmail.com)
References
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Carson, AJ, Ringbauer, B, MacKenzie, L, Warlow, C, Sharpe, M (2000). Neurological disease, emotional disorder and disability: they are related: a study of 300 consecutive new referrals to a neurology outpatient department. Journal of Neurology, Neurosurgery and Psychiatry 68, 202206.
Insel, TR, Quirion, R (2005). Psychiatry as a clinical neuroscience discipline. Journal of the American Medical Association 294, 22212224.
Lloyd, GG (2000). Who should treat psychiatric disorders in neurology patients. Journal of Neurology, Neurosurgery and Psychiatry 68, 134135.
Martin, JB (2002). The integration of neurology, psychiatry and neuroscience in the 21st century. American Journal of Psychiatry 159, 695704.
Tellez-Zenteno, JF, Patten, SB, Jetté, N, Williams, J, Wiebe, S (2007). Psychiatric comorbidity in epilepsy: a population-based analysis. Epilepsia 48, 23362344.
World Health Organisation (1992). The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organisation: Geneva.
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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
  • EISSN: 2051-6967
  • URL: /core/journals/irish-journal-of-psychological-medicine
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