Specialist Neuropsychiatric Liaison Service

brain . mind . body integrative health

Liaison Overview

Liaison Neuropsychiatry is the sub-specialty which provides Psychiatric treatment to Patients attending general hospitals, whether they attend out-patient clinics, AE emergency departments or are admitted to in-patient wards. Therefore it deals with the interface between physical and psychological health.

There is now abundant evidence that medical and surgical Patients have a high prevalence of psychiatric disorder which can be effectively treated with psychological or pharmacological methods. One quarter of all Patients admitted to hospital with a physical illness also have a mental health condition which, in most cases, does not receive necessary treatment while the Patient is in hospital.

Liaison Neuropsychiatric input must be considered in the following Patient groups:


Patients suffering epilepsy often experience psychotic symptoms, memory problems and has a 6x increased suicide rate. Parkinson's Patients often hallucinate, Patients diagnosed with brain tumors need input from start to completed post-operative rehabilitation, not to mention the many needs of those who suffered brain injury or trauma, bleeds, dementia or MS.


Systemic illness such as leukemia or lymphoma notoriously affect brain and mind. Memory problems, chemo-related side-effects, fatigue, depression, anxiety or suicide are common complications, whilst rehabilitation after bone-marrow transplant is vital.


Cancer sufferers often need Neuropsychiatric input when battling chronic illness conditions, chemo-related complications such as memory problems, fatigue, eating problems or nausea, whilst terminal situations necessitate the care of families and loved-ones.


Conditions such as Rheumatoid Arthritis, and many other immunological systemic illnesses by definition affect brains detrimentally. SLE Patients often hallucinate, whilst immune suppression therapy such as steroids often cause mind symptoms such as depression, panic and memory problems.


Cardiovascular sufferers such as myocardial infarction (heart attacks) Patients and those with valve lesions or irregular beats (heart flutter) often suffer serious depressive and anxiety complications, and may even end up with vascular dementia. Much can be done to improve function, prevent complications to brain or mind or assist with rehabilitation after cardiac surgery.


Hormonal conditions, female cancers or infectious STD states often require intervention Neuropsychiatrically. Post-natal depression can be treated successfully, whilst brain medication often prove successful for menopausal emotional fluctuations.


Post-operative complications such as delirium (confusion), abnormal pain conditions, depression or medication addiction often necessitate brain or mind input. Multi-trauma victims (Post Traumatic Stress Disorder), those after joint replacement or with resulting weakness benefit from specialized and comprehensive rehabilitation programs.