What does a neuropsychiatrist do practically?

[Littlemantate]

So I read the links that are stickied on the fellowship threads and I saw the ciriculum and all of doing a neuropysch fellowship, which I am interested in possibly because I love neurology and psych but not enough to be double boarded.

But in what setting would this person work? In a hospital or private practice-what would they do that a neurologist could not do? Seems like they deal with every neurological problem that neurology does according to the ciriculum-so would a neuropsych person be able to treat a variety of neuro patients and psych patients in a private office-if that was the case I think a pretty cool niche could be carved out-I mean it makes sense-how many alzhemiers patients are depressed, or depression is blurring the alzhemiers picture etc-much room for investigation.

[solumanculver]

Does nobody really know? Is there even such thing as a neuropsychiatrist?

[BrianUM]

I'm really interested as well.

It would be cool to work in a hospital setting as a professor, doing rounds with stroke or head trauma patients and having a cash private practice general psychiatry practice on the side. Just my 2 cents

[sga430]

what i heard it was is u see patients with parkinson's and tourettes and deal with their psych probs. i was always confused of the overlap of neuropsych and behavioral neurologist. i worked with behavioral neurologist that see mainly alzeimers pts. but wouldnt that be covered by a geri psychiatrist??

[Anasazi23]

I've worked with a couple neuropsychiatrists [closely], and have had exposure to many others.

Their practices were similar. The both did private practice along with hospital-based medicine. In many cases, the hospital practice fed their private practice.

They tended to specialize in diseases and syndromes that overlap the so-called boundaries between neurology and psychiatry. A common day was to do rounds on patients on the floors in the AM, and in one case, run rounds on the geri psych unit after regular rounds, which normally occurred on the medical floors, neuro floor, psych floor, and all of the above.

When going to the practice, we'd see patients such as post TBI patients, parkinson's patients, huntington's, post-concussive syndromes, more conventional neuro patients, and conventional psych patients, which would include everything from addiction to anorexia. At night, we'd go to the house where we'd read both emg's and eegs that were done by the techs during the day.

In the case of one practice, we'd spend some time doing botox injections for muscle tension headaches and similar problems. Both docs tended to see lots of seizure disorder/psych patients as outpatients. They would manage anti-seizure meds and conduct neuro exams, while dealing with concomitant psychiatric manifestations of the disease [I did lots of reading on the epileptoid personality].

[halal meat]

How about Family Practice/Psych?

[BrianUM]

Originally Posted by Anasazi23

I've worked with a couple neuropsychiatrists [closely], and have had exposure to many others.

Their practices were similar. The both did private practice along with hospital-based medicine. In many cases, the hospital practice fed their private practice.

They tended to specialize in diseases and syndromes that overlap the so-called boundaries between neurology and psychiatry. A common day was to do rounds on patients on the floors in the AM, and in one case, run rounds on the geri psych unit after regular rounds, which normally occurred on the medical floors, neuro floor, psych floor, and all of the above.

When going to the practice, we'd see patients such as post TBI patients, parkinson's patients, huntington's, post-concussive syndromes, more conventional neuro patients, and conventional psych patients, which would include everything from addiction to anorexia. At night, we'd go to the house where we'd read both emg's and eegs that were done by the techs during the day.

In the case of one practice, we'd spend some time doing botox injections for muscle tension headaches and similar problems. Both docs tended to see lots of seizure disorder/psych patients as outpatients. They would manage anti-seizure meds and conduct neuro exams, while dealing with concomitant psychiatric manifestations of the disease [I did lots of reading on the epileptoid personality].

Now THAT is awesome

If I may ask, how did they complete their training? Did they complete a psych residency followed by a Behavioral Neurology and Neuropsychiatry fellowship? Thanks

[Anasazi23]

Originally Posted by BrianUM

Now THAT is awesome

If I may ask, how did they complete their training? Did they complete a psych residency followed by a Behavioral Neurology and Neuropsychiatry fellowship? Thanks

One completed two separate residencies in psychiatry and neurology. The other which whom I worked closely I believe did a combined residency.