At times, this needs to include a neurology consult to rule in or rule out any kind of brain trauma or neurological disorders.
Obviously, with many many many patients, this NEVER happens, either due to incompetence (as in your daughter's case, mopinko), professional laziness, and/or just lack of funding in the case of indigent/Medicaid clients.
I've never seen a neurologist, but it wouldn't be a complete waste of time I don't think. None of my doctors or therapists have ever suggested it, but if I had a symptom that could not be reduced or eliminated or treated, I would get a referral to a neurologist.
It's a situation of both/and. If your CNS is in healthy condition, awesome! You can still have psych problems due to your situation or family background, etc. I think it's very obvious that Major Depression, Bipolar Disorder and Schizophrenia (to name a few) are pretty obviously rooted in brain pathology. I think there is no dispute about this. Now, can you have ONE episode of MDD and be perfectly healthy neurologically? Yes. If you have more than one episode, then it's time to seriously consider an organic basis from your family or another cause.
If your CNS is dysfunctional/damaged/diseased, then of course you are going to have psych issues of one kind or another. Then the organically-caused psych issues will tend to cause "functional" issues because society rejects/does not understand you and your symptom(s).
We need vastly increased funding of brain research, brain treatment, and just mental health in general. This is not rocket science. This is really not subject to serious controversy by anyone but the far right ignorant wing.
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