Neurosurgery and neuromodulation for mental disorder: Part 1

by Dr David Christmas, Professor Keith Matthews, Professor Douglas Steele and Mr Bob MacVicar

 

Neurosurgery and neuromodulation for mental disorder: Part 1The first in a two-part series, this module introduces a number of interventions which can be considered for individuals with chronic and treatment-refractory depression and/or obsessive-compulsive disorder when all other options have been tried and failed, and symptoms are persistent and disabling.

 

Part 1 looks at the history of development of some of these treatments. Patient selection, the operative procedure, and post-operative recovery are covered. This part also outlines the legislative framework in the UK.

 

The second module in this series, Neurosurgery and neuromodulation for mental disorder: Part 2, covers outcomes from anterior cingulotomy (ACING) and ‘reversible’ neuromodulation strategies, namely vagus nerve stimulation (VNS), and deep brain stimulation (DBS). For each intervention, the evidence supporting their use will be considered.

 

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We have adopted the term ‘neurosurgery for mental disorder’ (NMD) to describe a range of neurosurgical interventions for psychiatric illness. When reviewing historical developments, the term ‘psychosurgery’ is used to describe older and usually obsolete procedures.

 

If you like this module, you may also be interested in:

 

Neurosurgery and neuromodulation for mental disorder: Part 2

by Dr David Christmas, Professor Keith Matthews, Professor Douglas Steele and Mr Bob MacVicar

 

The pharmacological treatment of resistant depression – an overview

by Professor Philip J. Cowen

 

Physical healthcare in severe mental illness by Dr Steve Brown

 

Advances in Psychiatric Treatment: related articles for CPD Online

 

 

Related Advances articles

 

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© 2014 Royal College of Psychiatrists