The neurological examination adapted for neuropsychiatry
Department of Psychiatry
Medical Education | Mental and Social Health | Neurology | Neuroscience and Neurobiology | Psychiatry | Psychiatry and Psychology
The neuropsychiatric examination includes standard neurological and cognitive examination techniques with several additional observations and tasks designed to capture abnormalities common among patients with neuropsychiatric disorders or neurocognitive complaints. Although useful as a screening tool, a single standardized rating scale such as the Mini Mental State Examination (MMSE) or the Montreal Cognitive Assessment (MoCA) is insufficient to establish a neuropsychiatric diagnosis. Extra attention is paid to findings commonly seen in the setting of psychiatric disorders, dementias, movement disorders, or dysfunction of cortical or subcortical structures. Dysmorphic features, dermatologic findings, neurodevelopmental signs, signs of embellishment, and expanded neurocognitive testing are included. The neuropsychiatric clinician utilizes the techniques described in this article to adapt the examination to each patient's situation, choosing the most appropriate techniques to supplement the basic neurological and psychiatric examinations in support of diagnostic hypotheses being considered. The added examination techniques facilitate diagnosis of neurocognitive disorders and enable neuropsychiatric formulation.
DOI of Published Version
CNS Spectr. 2018 Jun;23(3):219-227. doi: 10.1017/S1092852918000925. Epub 2018 May 23. Link to article on publisher's site
Benjamin S, Lauterbach MD. (2018). The neurological examination adapted for neuropsychiatry. Psychiatry Publications. https://doi.org/10.1017/S1092852918000925. Retrieved from https://escholarship.umassmed.edu/psych_pp/894