Neuropsychiatry

Neuropsychiatry

The Neuropsychiatry service is part of the Greater Manchester Neurosciences Centre. The service is led by two Consultant Neuropsychiatrists – Dr Richard Hackett and Dr Rachel Thomasson. Our regional out-patient clinic is based at Salford Royal Hospital. We also run a peripatetic outreach service to provide neuropsychiatric consultations for inpatients at Salford Royal Hospital, regional general hospitals and psychiatry inpatient units.

We have particular expertise in:

  • Assessment and management of neuropsychiatric complications of known or suspected neurological disease. 

  • Undertaking diagnostic work where psychiatric presentations have atypical qualities and are suspected to be associated with organic disease. Investigations may occur on an outpatient basis or patients may be invited to our day case investigation unit if a lumbar puncture or particular scanning arrangements are required.

Common symptomatic presentations include psychosis, cognitive decline, mood disturbances and anxiety, apathy, challenging behaviour and medically unexplained neurological symptoms. 

Our primary remit includes diagnostic clarification, symptom management, medication optimisation and assessment of patients scheduled for neurosurgical procedures such as deep brain stimulation for Parkinson’s disease.  

The range of conditions we regularly encounter include, but are not limited to:

  • Acquired brain injury (trauma, cerebrovascular disorders, neoplastic disease)
  • Epilepsy
  • Movement disorders (Parkinson’s disease, Tourette syndrome, functional motor disorders)
  • Inherited metabolic disorders in collaboration with the Mark Holland Unit
  • CNS infection (examples include neuropsychiatric sequelae of HIV, meningitis and septicaemia)
  • Neuro-inflammatory disease (neuropsychiatric sequelae of CNS vasculitis, autoimmune encephalitis, Multiple Sclerosis and other auto immune diseases affecting the nervous system)

We also run monthly Sleep Neurology clinics as part of the Multidisciplinary Regional Sleep Service at Salford Royal Hospital
Referrals are welcome from primary and secondary care and other tertiary services both within our catchment region and from other regions that do not have neuropsychiatry service provision.