Sections
Introduction | Reference | Suggested Readings
Excerpt
In our daily practices of neuropsychiatry, our patients (when
they are able), and especially their families, often communicate
to us the following: "Life was hard enough before this
condition descended upon us. Before the illness, like most people,
we struggled to get by on a day-to-day basis: working hard at our
occupations, managing our finances, caring for our family took just
about everything we had to give. We never anticipated or were prepared
for anything that would be so disruptive or devastating to our everyday
lives." The very nature of most neuropsychiatric disorders
is that there have been prolonged periods of time that preceded
the neurological condition wherein the individual had experienced
a satisfactory level of functioning in most of the important dimensions
of his or her life. Most often the onset of neuropsychiatric conditions appears to
patients and their families to be sudden, as manifested by stroke,
traumatic brain injury, seizure disorders, and brain tumors. Because
of these conditions' long-term implications, the diagnosis
of even those neuropsychiatric disorders that have subtle, progressive
onsets—such as Parkinson's disease, Alzheimer's
disease, Huntington's disease, multiple sclerosis, and
many others—is equally shocking and overwhelming to patients
and their families alike. Very few other medical conditions are
as disabling to so many vital dimensions of life as the neuropsychiatric
conditions covered in this section, which so prominently affect
attention, orientation, cognition, memory, mood, motivation, and
control of impulse.