The Neuropsychiatry Program at Sheppard Pratt


6501 North Charles Street
Baltimore, Maryland 21204
phone: 410-938-4981
Medical Director: Vassilis E. Koliatsos, M.D.

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Program

The revolution in the neurosciences the last two decades has had a major impact on the diagnosis and treatment of many neurological conditions that were previously poorly understood. In parallel, the progressive aging of the population has added new problems for medicine in the domain of neurodegenerative diseases. Additional epidemiological burdens have been brought about by high-speed driving and motor vehicle accidents that cause complex types of traumatic brain injury. The Neuropsychiatry Program at Sheppard Pratt is designed as a state of the art response to the cognitive and behavioral problems universally associated with these expanding and increasingly understood conditions. The program assists psychiatrists, neurologists and other physicians in clarifying the neuro-behavioral aspects of illness and establishing a coordinated approach to care for a variety of complex patient types. For care givers and families of brain-injured and neurologically impaired patients, collaborative involvement in a treatment plan that differentiates neurological from psychiatric or psychological mechanisms and results in improved outcomes for both the patient and his or her support system. 

Clinics

The Neuropsychiatry and Behavioral Neurology Clinic is directed by Dr. Vassilis Koliatsos, with assistance from the nurse coordinator Paula Notarangelo, RN. It serves patients with brain injury primarily due to trauma, but also due to anoxia-ischemia, stroke, and all forms of acquired brain injury. The clinic is also a resource for neuropsychiatric consultation for general behavioral neurological and neuropsychiatric cases referred by community generalists, psychiatrists and neurologists. Follow up to consultation cases has averaged about 2:1. The staff works closely with case managers and caregivers from all of the Maryland Traumatic Brain Injury waiver programs, as well as family caregivers with patients at home. In addition, Dr. Koliatsos follows patients with neurodegenerative diseases, intellectual disability, and complex psychotic and mood disorders.

The clinic cases provide a unique opportunity for residents and medical students to become acquainted with all aspects of organic psychiatry including primary neurodegenerative and secondary dementias, organic personalities, developmental/intellectual disabilities, and severe mood and psychotic disorders. Clinical instruction focuses on lobar neurobehavioral syndromes, such as frontal lobe syndromes, right hemisphere syndrome and posterior brain syndrome, as well as diffuse neuropsychiatric entities such as mild cognitive impairment, aggression and chronic impulsivity. Evaluation and treatment of symptoms is based on the most current evidence in the fields of neuroscience, clinical neuropsychiatry, and rehabilitation.

Through the Sheppard Pratt/University of Maryland Residency Training Program, Dr. Koliatsos has provided clinical instruction to nearly 100 residents since the establishment of the clinic in 1997. Each of these residents received 3 hours of direct clinical contact and supervision a week from Dr. Vassilis Koliatsos. In addition to clinical experience, residents through the years have had the opportunity to participate in research projects as well as present in the Neuropsychiatry grand rounds.

The Memory Clinic provides comprehensive assessment and treatment to individuals and their families who are experiencing difficulties related to memory loss; while having a positive impact on their medical, emotional, social, and functional well-being through individualized care planning, and state of the art treatment.

Who we serve:

  • Individuals who have started experiencing mild memory problems.

  • Individuals who have memory loss and or confusion related to medical conditions such as heart disease and diabetes.

  • Individuals who have dementia, including dementia due to Alzheimer’s disease, stroke/cerebrovascular disease, Parkinson’s disease, Lewy Body disease, and frontotemporal degeneration.

  • Interim Director: Vassilis Koliatsos, M.D.

    To inquire about the clinic and its services and how we may be able to serve you, please contact Bill Kerrigan at 410-938-4606.

    Concussion Clinic

    The Concussion Clinic identifies, evaluates and treats individuals and their families impacted by concussion and its neuropsychiatric consequences.

    A concussion is a type of traumatic brain injury that results from a bump, blow, or jolt to the head. Concussions can also result from any event that allows the brain to move quickly back and forth within the skull. Concussions can occur during contact sports, as the result of a fall, motor vehicle accident or other traumatic events.

    The concussion clinic at Sheppard Pratt is organized to assess and treat individuals who have sustained single or multiple concussions, and continue to suffer with ongoing symptoms. A comprehensive approach to the assessment and treatment of concussion, which includes a neuropsychiatric evaluation, is pivotal in recovery.

    Who we serve

    The Concussion Clinic at Sheppard Pratt serves individuals who have sustained a concussion in the context of a sports injury, car accident, fall, or other similar event. Neuropsychiatric problems may follow such injuries and include mood and cognitive problems, changes in personality, sleep disturbances, and difficulties in relationships, school or work.

    Director: Margo Lauterbach, M.D.

    To inquire about our services/clinic and how we may be able to serve you, please call Bill Kerrigan at 410-938-4606 for more information.

    Developmental Neuropsychiatry Clinic

    The Developmental Neuropsychiatry Clinic offers a comprehensive approach to the evaluation and treatment of ongoing or chronic neuropsychiatric symptoms in individuals with a diagnosis of Autism Spectrum Disorder and other neuro-developmental disorders.

    Who we serve

    Our program provides comprehensive outpatient assessment and treatment for individuals with a variety of diagnoses such as:

    Autism Spectrum Disorders
    Intellectual Disabilities
    Neuropsychiatric syndromes associated with genetic conditions such as Down Syndrome, Fragile X, Velocardiofacial Syndrome/22q11.2 Deletion Syndrome, Prader Willi Syndrome, Williams Syndrome.

    Patients referred for assessment in the Developmental Neuropsychiatry Clinic may receive:

    Complete clinical assessment, including physical and neurological examination and referral for diagnostic studies such as EEG, MRI, PET scans, sleep lab and blood studies.
    Consultation and referral to related medical specialists such as neurologists, endocrinologists and physiatrists.
    Coordination with other specialists and individuals involved with the care of the patient.
    Specialized services for transition age youth.

    Clinical Director of Child and Adolescent Program within the Neuropsychiatry Program: Juanita Lynn Taylor, M.D.

    Patient Population

    Staffed by physicians trained in behavioral neurology and psychiatry, the program provides comprehensive outpatient assessments of patients in a number of diagnostic categories including:

  • Dementia and Movement Disorders -including memory disorders such as Alzheimer's Disease; psychiatric complications of Parkinson's Disease; movement disorders caused by psychotropic medications and patients with neuropsychiatric morbidities arising from substance abuse or AIDS.

  • Brain Injury, Stroke and Demyelinating Diseases such as Multiple Sclerosis

  • Autism and other Neurodevelopmental Conditions -including childhood onset movement disorders such as Tourette's Disease and OCD-Sydenham variants.

  • Paroxysmal Disorders -including epilepsy and other disorders involving seizures or pseudoseizures

  • Sleep Disorders

  • Neurodevelopmental Conditions -including childhood onset movement disorders such as Tourette's Disease and OCD-Sydenham variants.

    Services

    Patients referred for assessment receive:

  • Clinical assessment, including physical and neurological examination and subsequently scheduled diagnostic studies such as EEG, CT scans, MRI, SPECT, sleep lab, and blood analyses.

  • Neuropsychological testing, by psychologists specializing in neurologically impaired patients

  • Psychosocial services, including comprehensive psychosocial assessments of patients and families; interventions to help patients and relatives understand and cope with their conditions; individual and family counseling; and case management services, including utilization of in- home support and other community resources, coordination with other providers, and planning for long term needs

  • Consultation and referral to related medical specialties, such as psychiatrists, neurologists, internists, endocrinologists, urologists, and gynecologists.

  • Written report to referrer and family with analysis of professional findings and recommendations for ongoing care.

  • Psychopharmacological recommendation, including assessment of current patient medication regimen and, as appropriate, prescription of alternative pharmaceutical treatment, cognitive enhancers, including anticholinesterases and hormones; novel anticouvulsanies and analgesics

  • Diagnostic follow-up and ongoing medication management, consisting of subsequent visits at intermittent intervals to assess patient progress against diagnostic findings and treatment plan and to monitor and titrate psycho-pharmacological therapy.

  • Expert referral to appropriate therapy, based upon the patient's individual behavioral symptomatology and capacity for management and/or rehabilitation. For patients experiencing acute symptoms either at the time of assessment or at later points in their treatment, referral to an inpatient neuropsychiatric track of Sheppard Pratt Hospital may be recommended.

    Meet Our Sheppard Pratt PA Clinicians:
    Nicola Cascella, M.D. Elizabeth Galik, Ph.D, M.D.
    Efigenia Geocadin, M.D. Vassilis Koliatsos, M.D.
    Margo Lauterbach, M.D. Sarah Loeffler, LCSW-C
    Matthew Mee, M.D. Anne Seiler, LCSW-C
    Juanita Lynn Taylor, M.D. Andrew Warren, M.D.
    Robert Wisner-Carlson, M.D.


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    Click on the map for more information

    6501 N. Charles St.
    Baltimore, Maryland 21285

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    Directions:
    Sheppard Pratt is inside the Baltimore Beltway (Interstate 695) off of Exit 25. After you are on the ramp for Exit 25, follow the signs for Charles Street. Proceed south on Charles Street approximately 2 & 1/2 miles. You will see a sign designating a left turn into the Sheppard Pratt campus. Proceed on Gatehouse Drive to the second stop sign, making a left onto Friends Lane. The Neuropsychiatry Program is located on the first floor of the Gibson Building just ahead.



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    Last modified: Tuesday, April 22, 2014

    Sheppard Pratt Health System
    6501 N. Charles Street
    Baltimore, MD 21285
    410-938-3000
    info@sheppardpratt.org

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