When Mind Meets the Brain: Essentials of Well-Coordinated Management of Psychiatric Disorders in Neurological Diseases

Psychiatric Comorbidities in Neurologic Hospitalizations in Portugal: A Nationwide Retrospective Observational Study

“…1,9 Moreover, drugs used in the treatment of neurological diseases may induce psychiatric manifestations. 1,9,13 Nevertheless, in the available studies, the additional referral of neurologic patients to psychiatric services was low, which may contribute to the under-diagnosis and under-treatment of psychiatric comorbidities and consequently worse quality of life, functionality, lower adherence to treatment, higher risk of suicide, and a significant socioeconomic burden. 1,2,9,13,14 The comorbidities of outpatients and inpatients differ significantly.…”

“…1,9,13 Nevertheless, in the available studies, the additional referral of neurologic patients to psychiatric services was low, which may contribute to the under-diagnosis and under-treatment of psychiatric comorbidities and consequently worse quality of life, functionality, lower adherence to treatment, higher risk of suicide, and a significant socioeconomic burden. 1,2,9,13,14 The comorbidities of outpatients and inpatients differ significantly. To date, few studies have reported hospitalizations due to neurological causes and none has been carried out in Portugal.…”

Modernizing Psychiatry Training for Neurologists—From Off-Service to In-Service

“…5 Approaches to integrate medical care have already begun to include neurology in domains such as dementia. 6 Psychiatry training for the modern neurologist must entail both the ability to triage and treat relevant psychiatric illness and also to practice effectively in novel systems. Implementing models of collaborative neurology-psychiatry service delivery in training settings can prepare learners to operate in future-facing models of care and allow for longitudinal comanagement of and learning about psychiatric disorders.…”

“…Providing integrated care requires an array of skills not traditionally taught to trainees including measurement-based care using validated instruments, advanced communication and coordination skills, and direct patient care under indirect specialty consultants . Approaches to integrate medical care have already begun to include neurology in domains such as dementia . Psychiatry training for the modern neurologist must entail both the ability to triage and treat relevant psychiatric illness and also to practice effectively in novel systems.…”