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FLENI Institute in Buenos Aires is a third-level hospital specializing in clinical neuroscience services. It is well-recognized as a regional reference center for treatment-resistant or difficult-to-diagnose neurological, neurosurgical, and psychiatric disorders. Its strong commitment with research is revealed by being a true “neuroscience site of firsts”; FLENI used the first computed tomographer in Argentina, is the first and only ADNI (Alzheimer's Disease Neuroimaging Initiative) site in Latin America, and was the first and only place where a deep-brain stimulation device in the subgenual cingulum was used in the successful treatment of severe, treatment-refractory depression, to name a few achievements. In particular, psychiatric symptoms and conditions that have no adequate response to standard treatments constitute a frequent public health concern that distorts patients’ quality of life, implies high-cost medication, a feeling of frustration, academic failure, and reduced performance at work.
Approximately 30% of prevalent behavioral disorders present with some degree of treatment resistance. These include anxiety disorders, obsessive-compulsive disorder, sleeping disorders, depression, bipolar disorder, schizophrenia, and addictions/substance use disorders. At times, an undiagnosed psychiatric condition explains treatment refractoriness.
Treatment resistant psychiatric disorders not only show a more severe presentation but they also represent pathologies with distinctive clinical features. A frequent cause of refractoriness is an undiagnosed clinical, neurological, toxic, or even pharmacological condition that may be interfering with treatment response.
Other causes include lack of treatment compliance, psychological factors, and family or social issues not easily addressed by physicians or psychologists. At times, when all these factors are ruled out, psychiatric disorders might need to be understood from a different neurobiological perspective and treatments need to be tailored to each particular situation.
Frequently, in treatment resistant conditions psychological and biological factors play complementary roles regarding results. Multidisciplinary reevaluation might thus be beneficial to uncover clinical, neurobiological, and psychosocial factors conferring resistance to treatment, and consequently changing mental illness course and prognosis.
FLENI`s Adult Psychiatry offers patients and their families a comprehensive 48-hour evaluation, in attention to either urgent clinical situations, or for patients from other parts of the country and abroad. Diagnostic work up includes detailed psychiatric assessment performed by American Board of Psychiatry & Neurology-certified service chief, complete clinical and neurological evaluations, neuroimaging studies (usually magnetic resonance imaging, complemented by computerized tomography if needed), and behavioral, intellectual, and personality tests.
Evaluation ends with a wrap-up meeting in which diagnosis and treatment recommendations are given to patient and family. A written report is then given to the patient and the referring psychiatrist (if the patient has one in his/her area of residence) with whom we partner to facilitate the treatment process.
Who can benefit from our Center for Expert Assessment and Second Opinion on Treatment Resistant Psychiatric Disorders?
• Patients with unclear diagnosis.
• Lack of results after standard pharmacological and psychological treatments of well known efficacy.
• Suspected medical or neurological underlying condition.
• Comorbid addiction or substance dependence (including either alcohol, illegal drugs, or medication – especially sedatives/hypnotics/anxiolytics).
• Initial clinical presentation with severe emotional or behavioral symptoms that require urgent diagnosis and treatment.
For further information about our Center for Expert Assessment and Second Opinion on Treatment Resistant Psychiatric Disorders and scheduling evaluation meetings with our professionals, please contact:
Mrs. Veronica Barletta
+54 11 5777 3200, extension 2531
Monday to Friday from 9 to 15 hours (GMT -3h).
Existen diferentes variaciones de los presentes estudios cuya preparación y requisitos varían. Comuníquese con el departamento para más información.