Neuropsychiatric evaluation in an outpatient setting

T. E. Feinberg, D. M. Roane, C. R. Miner, H. Kaufman, M. Cantillon

Research output: Contribution to journalArticlepeer-review

Abstract

In a retrospective case review of 336 outpatients who underwent neuropsychiatric evaluations, patients were sorted into five groups: I) atypical psychiatric; 2) atypical neurological; 3) prior psychiatric/new-onset neurological; 4) prior neurological/new-onset psychiatric; 5) dementia versus pseudodementia. Cluster analysis of 19 presenting complaints differentiated among groups. Postconsultation changes in preconsultation diagnosis occurred frequently overall, with more new case finding for psychiatric than for neurological disorders. For example, mood disorder diagnoses increased from 7.7% to 16.1%. Overall, dementia was the most common postconsultation diagnosis (32.8%). The authors conclude that suspicion for dementia should be high in neuropsychiatric referrals and that mood disorders may be especially common in neuropsychiatric patients.

Original languageEnglish
Pages (from-to)145-154
Number of pages10
JournalJournal of Neuropsychiatry and Clinical Neurosciences
Volume7
Issue number2
DOIs
StatePublished - 1995
Externally publishedYes

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