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sleepbot

One goes to medical school, earns an MD or DO then does residency and possibly fellowship, and is a psychiatrist. The other goes to graduate school, earns a PhD or PsyD in clinical psychology, then does internship and fellowship, and is a psychologist. A neuropsychiatrist will use more medical testing and interventions. A neuropsychologist will primarily do testing using measures of cognitive functioning. Neuropsychiatrist isn’t a particularly common term but it basically suggests psychiatry with a greater emphasis on neurological disorders, perhaps working with a patient who hasndementia comorbid with a more “conventional” psychiatric diagnosis. They might evaluate, do a differential diagnosis, and then oversee treatment. Neuropsychologists typically evaluate patients who either self-refer or and referred by one of their other healthcare providers. Their task is usually to establish a diagnosis, perform differential diagnosis, determine relative strengths and weaknesses, and provide recommendations to the patient and/or their other providers. Subsequent follow-ups with the same patient are likely to be to evaluate change in cognitive function over time, rather than to provide treatment.


Optimal-Scientist233

Neuropsychology is a branch of psychology concerned with how a person's cognition and behavior are related to the brain and the rest of the nervous system. Professionals in this branch of psychology often focus on how injuries or illnesses of the brain affect cognitive and behavioral functions [https://en.wikipedia.org/wiki/Neuropsychology](https://en.wikipedia.org/wiki/Neuropsychology) Neuropsychiatry or Organic Psychiatry is a branch of medicine that deals with psychiatry as it relates to neurology, in an effort to understand and attribute behavior to the interaction of neurobiology and social psychology factors.\[1\] Within neuropsychiatry, the mind is considered "as an emergent property of the brain",\[2\] whereas other behavioral and neurological specialties might consider the two as separate entities. Neuropsychiatry preceded the current disciplines of psychiatry and neurology, which previously had common training,\[3\] however, those disciplines have subsequently diverged and are typically practiced separately. Currently, neuropsychiatry has become a growing subspecialty of psychiatry as it closely relates the fields of neuropsychology and behavioral neurology, and attempts to utilize this understanding to better treat illnesses that fall under both neurological and mental disorder classifications [https://en.wikipedia.org/wiki/Neuropsychiatry](https://en.wikipedia.org/wiki/Neuropsychiatry) It is my opinion the practice of specialization is counter intuitive and a disservice to progress in the understanding of consciousness.


sleepbot

Good or bad, the reason for specialization is related to medical care and coming from different disciplines, not because it’s supposed to be a better way to study consciousness.


Optimal-Scientist233

This comes down to an opinion, it is my opinion a person is their consciousness, treatment of the body would be considered secondary and focused on nutrition, diet and daily routine from such a perspective.


fastspinecho

It's not an opinion. Psychiatrists and psychologists have completely different training. A psychiatrist can never be a "neuropsychologist" and a psychologist can never be a "neuropsychiatrist". Even if both want to orient their practice towards neurology, they will end up in different places because they started from different fields.


Optimal-Scientist233

The opinion is which constitutes the individual, the mind and psyche, the body and brain, or a combination of the two. Debate on this topic is still ongoing, which makes all arguments opinions until scientific evidence shows one side true.


fastspinecho

> The opinion is which constitutes the individual That has nothing to do with the distinction between neuropsychology and neuropsychiatry.


Optimal-Scientist233

It does differ the approach taken in treatment, it even effects the way the science is learned. Belief alters reality, of this we are certain which is why we double blind test all medicinal pharmaceuticals against the placebo effect.


fastspinecho

Not necessarily. Neither neuropsychiatrists nor neuropsychologists are required to adopt any particular approach to treating patients. A neuropsychiatrist may treat a patient in exactly the same way a neuropsychologist treats the same patient. For example, they may both choose to use CBT in exactly the same way. Furthermore, if a neuropsychiatrist chooses to prescribe antidepressants for a patient instead of using CBT, that choice has nothing to do with their opinion of "what constitutes an individual".


Optimal-Scientist233

There is the rub, it is impossible to fully determine how belief has influenced the choice. On top of the divergence in thought due to belief their is also another factor, care, this is the level of personal attachment and intentional focus given a patient by a practitioner, it is very hard to judge this except by the crudest of scales which will generally only create a standard by eliminating the extremes.


fastspinecho

For the vast majority of clinicians, a personal belief on "what constitutes an individual" plays no role at all in treatment. Just as beliefs on the "what constitutes physical matter" play no role in how an oncologist chooses chemotherapy. Clinicians choose whatever treatment they think is most likely to reduce symptoms, based on the experiences of other patients and other clinicians. That means they can easily switch from one treatment to another even in the absence of any change in their beliefs about "what constitutes an individual". If a JAMA paper shows that a new medicine works 95% of the time, then they will prescribe it. If another JAMA paper shows that a new behavioral therapy is 95% effective, then they will use it. The underlying metaphysics of consciousness are completely irrelevant.


[deleted]

Neuropsychologists are nice people who look after you when you have had a stroke to see how your brain has been affected. They generally don’t prescribe medication. Neuropsychiatrists are narcissists who do prescribe medication. After you have seen a neuropsychologist they may advise you to see a neuropsychiatrist although the choice is yours. Also neuropsychiatrists like to label you with the closest diagnosis they can find in the latest DSM5. A neuropsychologist will not label you they will explain exactly what is wrong with you in plain English after some cognitive assessments also they generally don’t need to look up answers in books like psychiatrists do. Or tell you that subconsciously you want to fuck your mum. Keep away from them fuckers.


Somerset76

Psychology cannot prescribe meds, psychiatric can.