Practice

54 Saint James Street,
Dynamic Neuropsychology (map)

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Attends to: adults

Adult mental health assesment and treatment

Cognitive behaviour therapy

Family therapy and systemic consultation +10 more

First visit Psychology

First visit Psychotherapy

Home visit Psychology

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Experience

About me

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Services & pricing

Adult mental health assesment and treatment


54 Saint James Street,

No price information

Dynamic Neuropsychology


Cognitive behaviour therapy


54 Saint James Street,

No price information

Dynamic Neuropsychology


Family therapy and systemic consultation


54 Saint James Street,

No price information

Dynamic Neuropsychology


First visit Psychology


54 Saint James Street,

No price information

Dynamic Neuropsychology


First visit Psychotherapy


54 Saint James Street,

No price information

Dynamic Neuropsychology


Home visit Psychology


54 Saint James Street,

No price information

Dynamic Neuropsychology


Home visit Psychotherapy


54 Saint James Street,

No price information

Dynamic Neuropsychology


Mental status tests


54 Saint James Street,

No price information

Dynamic Neuropsychology


Mindfulness


54 Saint James Street,

No price information

Dynamic Neuropsychology


Neuropsychological testing


54 Saint James Street,

No price information

Dynamic Neuropsychology


Subsequent visits Psychology


54 Saint James Street,

No price information

Dynamic Neuropsychology


Subsequent visits Psychotherapy


54 Saint James Street,

No price information

Dynamic Neuropsychology


Treatment of special needs patients


54 Saint James Street,

No price information

Dynamic Neuropsychology

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Questions solved

%{Count} solved patients' doubts in Doctoralia


  • Question about Anxiety disorder

    Hi. 30mg paroxetine + 15mg mirtazapine. Is this a good combination for an anxiety disorder with depression? I have been on venlafaxine and then duloxetine for 6 years, which I understand they belong to a different family of drugs. While I was more or less stable, I never managed to be myself again. Initially it was only anxiety, which has turned into depression over time.Are SSRIs more effective than SNRI when you have both depression and anxiety?

    Paroxetine belongs to a class of medication known as selective serotonin-reuptake inhibitors (SSRIs) and it is licenced in the UK to treat a range of depression and anxiety disorders, including OCD, panic, etc. Which means it targets a range of conditions and not just one. Mirtazapine is a presynaptic alpha2-adrenoreceptor antagonist which increases central noradrenergic and serotonergic neurotransmission, and is licences in the UK to treat major depression. The combination of both medications is seen to help select levels of serotonin which is a neurotransmitter (a messenger chemical that carries signals between nerve cells in the brain), and it is believed to have good influence on mood, emotion and sleep.

    Serotonin-norepinephrine reuptake inhibitors on the other hand completely block both serotonin and norepinephrine neurotransmitter. These class of medications are more appropriate for acute symptoms and not long term issues, because they can cause long term side effects including triggering manic or hypomanic episodes.

    Medication needs to be taken with caution and you need to also take something to help line your stomach, like Omeprazole, because medication can cause gastric problems in the stomach and related organs.

    Also, medication is best used with psychological treatments, to help people identify triggers for the symptoms and better coping mechanisms during relapses.

    Dr. Miguel Montenegro

  • Question about Anxiety disorder

    Hi. I have been suffering from an anxiety disorder for many years which overtime has turned into depression. I have tried CBT several times but I never found it helpful in my situation. Is there any other type of therapy which could be useful? It is interacting with all areas of my life : sick leave, loss of friendships, lack of stable relationships.. Many thanks for your help.

    Most often than not anxiety and depression are hand in hand. The best place to start is checking the NICE guidelines for recommended therapies that meet your needs. CBT is best for mild to moderate cases and for people who have one condition only and not for co-morbidities (multiple conditions, like depression, anxiety, etc).

    What you describe in your questions appears to be geared to a more relational therapy, which can include Acceptance and Commitment Therapy, or even Interpersonal Psychotherapy. However, without a formal assessment of your symptoms and case history it is difficult to suggest a therapy for you. I would recommend you first book an appointment with a clinical psychologist or counselling psychologist to ass your needs.

    Dr. Miguel Montenegro

All the contents published in Doctoralia.co.uk, especially medical question and answers, are informative and in no case must be considered a substitute for medical advice.

Experience

About me

Thank you for looking into my profile. Please feel free to read more about my background, qualifications, experience. Feel free to contact me for more...

Show full description


Specializations

  • Behavioural Therapy
  • Brain Injury
  • Neuropsychologist