Behavioral Neurology and Psychiatry

June 2018, Volume 24, Issue 3
BROWSE ISSUE

Behavioral Neurology and Psychiatry

June 2018, Vol.24, No.3

Editor-in-Chief:

STEVEN L. LEWIS, MD, FAAN;

ISSN: 1080-2371

Online ISSN: 1538-6899

Review Articles
Bedside Approach to the Mental Status Assessment
Tang-Wai, David F.; Freedman, Morris
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 672-703
doi: 10.1212/CON.0000000000000617
Clinical Assessment of Prefrontal Lobe Functions
Henri-Bhargava, Alexandre; Stuss, Donald T.; Freedman, Morris
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 704-726
doi: 10.1212/CON.0000000000000609
Memory Dysfunction
Gliebus, G. Peter
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 727-744
doi: 10.1212/CON.0000000000000619
Primary Progressive Aphasia and Stroke Aphasia
Grossman, Murray; Irwin, David J.
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 745-767
doi: 10.1212/CON.0000000000000618
Apraxia, Neglect, and Agnosia
Coslett, H. Branch
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 768-782
doi: 10.1212/CON.0000000000000606
Aggression and Agitation in Dementia
Wolf, M. Uri; Goldberg, Yael; Freedman, Morris
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 783-803
doi: 10.1212/CON.0000000000000605
Mood Disorders
Rakofsky, Jeffrey; Rapaport, Mark
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 804-827
doi: 10.1212/CON.0000000000000604
Obsessive-Compulsive Disorder
Richter, Peggy M. A.; Ramos, Renato T.
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 828-844
doi: 10.1212/CON.0000000000000603
Psychosis
Schrimpf, Lindsey A.; Aggarwal, Arpit; Lauriello, John
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 845-860
doi: 10.1212/CON.0000000000000602
Conversion Disorder
Feinstein, Anthony
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 861-872
doi: 10.1212/CON.0000000000000601
Assessment and Management of Posttraumatic Stress Disorder
Ellis, Janet; Zaretsky, Ari
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 873-892
doi: 10.1212/CON.0000000000000610
Diagnosis and Management of Anxiety Disorders
Giacobbe, Peter; Flint, Alastair
CONTINUUM: Lifelong Learning in Neurology
June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry - p 893-919
doi: 10.1212/CON.0000000000000607
Editor's Preface
Articles
Key Points
Abbreviations
Appendix
Issue Overview
STEVEN L. LEWIS, MD, FAAN;

Editor-in-Chief:

STEVEN L. LEWIS, MD, FAAN;

Reversing Neglect and Amnesia for Cognitive, Behavioral, and Psychiatric Disorders

CONTINUUM: Lifelong Learning in Neurology June 2018 - Volume 24 - Issue 3, Behavioral Neurology and Psychiatry -p 668-670 doi: 10.1212/01.CON.0000534992.31986.2e

This issue of Continuum is devoted to the diagnosis and management of our patients with psychiatric, cognitive, and behavioral disorders, the latter two of which in particular pique the interest of so many of us early on, likely leading to many of our career choices. Nonetheless, these common, fascinating, and often devastating syndromes are arguably underemphasized in our educational curricula. To help alleviate this problem, Guest Editor Morris Freedman, MD, FRCPC, FAAN, has created a volume to inform us about the many disorders of cognition and behavior that we may encounter and the psychiatric disorders that may occur (or overlap with neurologic disorders) in patients presenting to us.

The issue begins with an overview of the bedside approach to the mental status assessment by Drs David F. Tang-Wai and Morris Freedman, an article that serves as an important introduction to the articles on behavioral neurology that follow. Next, Drs Alexandre Henri-Bhargava, Donald T. Stuss, and Morris Freedman discuss the prefrontal lobes (clarifying the distinction between prefrontal lobe and other frontal lobe functions) and the clinical assessment of their functions and syndromes of dysfunction.

Dr G. Peter Gliebus reviews the various aspects of memory and the relevant anatomy, methods of testing, and syndromes of memory dysfunction. Drs Murray Grossman and David J. Irwin then discuss the aphasias, using the examples of the primary progressive aphasias and stroke aphasias to clarify the clinical, anatomic, and examination distinctions between these syndromes. Dr H. Branch Coslett then reviews apraxia, neglect, and agnosia, fascinating clinical syndromes that the author notes led to the realization by founding neurologists that brain-based, rather than psychiatric, explanations for these behavioral syndromes were necessary.

The management of aggression and agitation in our patients with dementia is an important aspect of many neurologic practices, and the article by Drs M. Uri Wolf, Yael Goldberg, and Morris Freedman will be of immense help in creating the safest and most effective approach to these distressing behaviors.

Next, the issue moves from behavior to more classic “pure” psychiatric disorders. This section begins with the article by Drs Jeffrey Rakofsky and Mark Rapaport, who review the diagnostic criteria and management of the mood disorders, including major depressive disorder and bipolar disorder. Drs Peggy M. A. Richter and Renato T. Ramos then discuss the diagnosis and management of obsessive-compulsive disorder, symptoms of which often overlap with neurologic disorders. Drs Lindsey A. Schrimpf, Arpit Aggarwal, and John Lauriello next review the diagnosis and management of psychosis, another psychiatric syndrome that can be seen in neurologic settings and in neurologic patients.

Dr Anthony Feinstein reviews the diagnostic criteria, current etiologic theories, and management of our patients with conversion disorder. Drs Janet Ellis and Ari Zaretsky then review the assessment and management of posttraumatic stress disorder, a syndrome that is not uncommon in neurologic practices and to which we need to be highly attuned diagnostically. In the final review article of the issue, Drs Peter Giacobbe and Alastair Flint review the diagnostic criteria, pathophysiology, and management of the various anxiety disorders.

In the Ethical and Medicolegal Issues article, Drs Joshua J. Rodgers and Joseph S. Kass use a theoretical case to illustrate the assessment of medical decision-making capacity in patients with dementia. In the coding article, Drs Raissa Villanueva and Bruce H. Cohen update us on coding for behavioral neurology and psychiatry.

I would like to thank Dr Freedman for so skillfully and diligently creating and honing this volume and for inviting such a remarkable group of expert contributors from the fields of behavioral neurology and psychiatry to make us more attentive, reminded, and updated with regard to the diagnosis and management of psychiatric disorders and disorders of behavior and cognition in our patients.

Also, a reminder of the recent increase in the maximum number of CME credits available for readers of Continuum. After reading the issue and taking the Postreading Self-Assessment and CME Test written by Drs James W. M. Owens Jr and Allison L. Weathers, you may earn up to 20 AMA PRA Category 1 CreditsTM toward self-assessment and CME or, for Canadian participants, a maximum of 20 hours toward the Self-Assessment Program (Section 3) of the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. Additional credit can be obtained by listening to Continuum Audio interviews associated with this and other Continuum issues, now available to all subscribers, and completing tests on the new Continuum Audio web platform or app. Beginning with this issue, Continuum Audio is also accredited by the Royal College of Physicians and Surgeons of Canada.

Now that you have seen our newly redesigned print version of Continuum, watch for our new dynamic user-friendly website launching in mid-June at ContinuumJournal.com.

I would like to thank Dr Freedman for so skillfully and diligently creating and honing this volume and for inviting such a remarkable group of expert contributors from the fields of behavioral neurology and psychiatry to make us more attentive, reminded, and updated with regard to the diagnosis and management of psychiatric disorders and disorders of behavior and cognition in our patients.

STEVEN L. LEWIS, MD, FAAN

EDITOR-IN-CHIEF

© 2018 American Academy of Neurology