About Melbourne Neuropsychiatry

The clinicians at Melbourne Neuropsychiatry are consultant clinical neuropsychiatrists with public hospital appointments to the Neuropsychiatry Unit, Royal Melbourne Hospital and with academic links to the Melbourne Neuropsychiatry Centre, a joint centre of the University of Melbourne and Melbourne Health. Drs Walterfang, Velakoulis and Mocellin are experienced in dealing with complex neuropsychiatric, neurodegenerative and dementing disorders in a wide range of settings, and are able to offer this expertise in a range of clinical, research and teaching settings.
What is Neuropsychiatry?

Neuropsychiatry sits at the clinical interface of psychiatry, with neurology and medicine. It is a specialised area of psychiatry committed to understanding brain-behaviour relationships, and to the care of individuals who suffer from neuropsychiatric disorders. It is often see as the "biological face" of mental health disorders. Neuropsychiatry can also be thought of as "organic" psychiatry, or the psychiatry of coarse brain disease.

The modern neuropsychiatrist has a strong understanding of, and clinical experience in neurology and medicine in relation to brain function and behaviour, neuroscience and neurocognition, brain imaging and its applications to psychiatry, neuropharmacology and psychopharmacology, physical treatments in psychiatry movement and cognitive disorders, and how each of these can be utilised in the diagnosis and treatment of mental health problems.

What is a Neuropyschiatric Disorder?

We at Melbourne Neuropsychiatry see adult patients with a wide range of disorders of behaviour, emotion or cognition associated with neurological, neurometabolic or neurodegenerative illness, in addition to patients with combined neurological and psychiatric illness; and patients with treatment-resistant psychiatric illness. These disorders include:

1. Psychiatric illnesses with associated cognitive, behavioural or functional disturbances.
2. Atypical and early-onset dementias with psychiatric and behavioural changes.
3. Psychiatric illness associated with brain insults, or with abnormalities on brain imaging
4. Neurological and medical illnesses with consequent psychiatric symptoms
5. Diagnostically difficult or challenging conditions

We have particular expertise in the diagnosis and management of disorders that often fall "through the gaps" in the health care system. These include younger-onset dementias, movement disorders such as Huntington's and Parkinson's disease, atypical dementing illnesses, the management of patients with incidental findings on neuroimaging, patients with epilepsy and comorbid behavioural or psychiatric disorders, patients with intellectual disability and psychiatric illness, treatment resistant psychiatric illnesses (particularly psychotic illness and obsessive-compulsive disorders), movement disorders associated with psychiatric illness, and diagnostically challenging conditions.