Psychiatry is
differentiated from neurology by a totally arbitrary line, and there is a large
degree of overlap. Generally this line is drawn at the point where a physical
manifestation of the disease is not obvious(psychiatry), versus where there is
a somatic component. Neurology deals with more organic brain
diseases, with more obvious brain pathologies, and generally larger involvement
of sensory and motor systems. Psychiatry on the other hand deals more with
constructs related to emotion, executive function, and beliefs that have less
distinguishable and obvious pathologies.
However,
it has not always been this way, and historically neurology and psychiatry have
been a unified field. However in the 20th century, as schism occured. One
interesting consequence of this is the use of different terms to describe the
same phenomenon, such as aboulia vs avolition
Despite
this, it is becoming more and more clear that neurology and psychiatry are
interrelated. For example, mania, depression, and other “psychiatric”
phenomenon are very common in strokes, largely treated by neurologist.
Manifestation of “psychiatric” symptoms are not uncommon in neurological
disorders, with depression, and anxiety being extremely common, although not
always necessarily pathological, or abnormal. As psychiatry becomes more
evidenced based and a focus on biomarkers of disease develop, neurology and
psychiatry are being integrated.
Reference:
Alexander
Saytsev
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