Neurology - Psychiatry - Neuropsychiatry - Psychotherapy - Preventative Brain and Mind Medicine

Clinical Approach Neurology - Psychiatry - Neuropsychiatry - Psychotherapy - Preventative Brain and Mind Medicine “There are, in truth, no specialties in medicine, since to know fully many of the most important diseases a man must be familiar with their manifestations in many organs.” —William Osler, The Army Surgeon, Medical News, Philadelphia, 64:318, 1894. Effectively helping a suffering patient requires an integrated understanding of how the mind, the brain, the body, and personal life history and current circumstances interact and influence a disease or distress-causing problem. This principle guides my clinical work as a fully trained and Board-certified neurologist, fully trained and Board-certified psychiatrist, neuropsychiatrist, psychopharmacologist, and engaged and passionate practitioner of psychotherapy. My multi-specialty, integrated method for diagnosis and treatment follows a structured approach. First to be addressed are fundamental, sometimes rather easily treated physiological disturbances and illnesses affecting your immediate and long-term well-being, impairing the day-to-day functioning of the mind and the brain, and that cause or exacerbate distress: a sleep disorder, a thyroid imbalance, vitamin D and other nutritional deficiencies, the unwanted effects of multiple, perhaps improperly dosed, sometimes entirely unnecessary medications. We then strive to understand how these fundamentals interact with your unique psychological and life situation. The following are examples of neurological and psychiatric diseases and emotional problems that I have a long-standing interest in, and where an integrated understanding of biology and psychology, of the brain and the mind is helpful. Anxiety And Panic Disorder (click here for my panic disorder scientific review written together with Donald F. Klein) Depression And Bipolar Disorder (manic depression) Psychological Trauma, Grief Reactions After Loss (Click here for a cultural perspective on massive trauma) Migraine headaches (click here for an interesting exchange in the journal, Neurology) Chronic Pain And Fatigue Syndromes Insomnia Dementia/Forgetfulness/Minimal Cognitive Impairment Epilepsy Parkinson disease Unusual, “psychogenic” movement disorders Stroke (click here for my article on sinus venous thrombosis) Traumatic Brain Injury Attention Deficit Disorder and its mimics 1. •Diagnostic uncertainty and clarification of diagnosis in medically and neurologically unexplained symptoms 1. •Full ancillary testing and diagnostic work-up (MRI, EEG, bloodwork, neuropsychological report) as clinically indicated (out-referral) 1. •Special emphasis is given to long-term brain and mind health, preventative neurology, anti-aging and rejuvenation measures An eclectic, non-dogmatic approach that uses the entire range of available treatments and preventative measures 1. •Individual, psychodynamically oriented psychotherapy 1. •Neurological and psychopharmacological medications, based on a thorough assessment of the potential risks and benefits of these medications in a given situation 1. •Promising, new and old compounds (e.g., essential, polyunsaturated Omega-3 (“PUFAs”) for the treatment of mood disorders/bipolar depression; N-Acetyl-Cysteine; Low-Dose Naltrexone; Rhodiola Rosea, benfotiamine trials for peripheral neuropathy, and others). 1. •Promising, novel non-drug modalities such as Transcranial Magnetic Stimulation (currently done as out-referral after full diagnostic work-up) 1. •Preventative Neuropsychiatry through control of biochemical (e.g., homocysteine) and life-style related risk factors (e.g., chronic insomnia or sleep medication overuse) 1. •Dietary recommendations, specifically vegan and sattvic diets, as part of my treatment and life style recommendations for several disabling symptoms and diseases. These include chronic body pain, migraine headache and neurodegenerative diseases such as MCI and Alzheimer’s disease. Home Comprehensive CV Contact Google Google Scholar Links Video Mind-Brain Medicine Blog Tweets Terms of Use Copyright Maurice Preter MD 2012