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Medical Psychiatry Services

Sejal Shah, MD, Speaks at Events Commemorating Boston Marathon Bombing

“Resilient, proud, supportive, strong, hopeful, these are words that one would not immediately associate with the wake of a horrible tragedy. But these were, indeed, the utterances heard throughout the hallways of Brigham and Women’s Hospital in the week following April 15th, 2013. We were witness to the extremes of human emotion one year ago and have been fortunate to experience the strength that has been born in the Brigham family. The Brigham family rose with no hesitation. Let us continue to do so in this celebration of hope and healing. Let us continue to be: resilient, proud, supportive, strong, hopeful.” - Sejal Shah, MD

Inpatient Medical Psychiatry Services at Brigham and Women's Hospital

The Division of Medical Psychiatry provides consultation-liaison services for inpatients suffering from both psychiatric and medical disorders. Our psychiatrists specialize in the treatment of illness at the interface of medicine and psychiatry. As such, we focus on the evaluation and treatment of patients with neuropsychiatric symptoms that may result from medical, surgical, gynecologic and oncologic illness, as well as patients with primary psychiatric illness complicated by medical disease. Additionally, we treat patients struggling to cope with medical illness as well as end-of-life issues. We provide comprehensive psychiatric assessments of medical and surgical inpatients at Brigham and Women's Hospital along with treatment recommendations including psychopharmacologic and psychodynamic therapies.

The Division provides subspecialty psychiatric expertise in numerous areas of medicine and surgery such as epilepsy, cardiac transplantation, lung transplantation, burn/trauma, oncologic illness, palliative care/end-of life issues, and women's health including infertility and pregnancy related disorders. We also provide consultation services regarding alcohol and substance-related disorders including the management of acute substance intoxication and withdrawal as well as referral services for outpatient substance abuse treatment. Finally, we provide psychiatric consultation services to the BWH emergency department.

The service team includes eight attending psychiatrists, all subspecialty trained in the field of psychosomatic medicine (medical psychiatry). The division is the home of the Brigham Consultation Liaison Fellowship which trains five PGY-5 psychosomatic medicine fellows per year. In addition, the service is a core training site for PGY-3 residents from the Harvard Longwood Residency Training Program as well as students from Harvard Medical School. Finally, our clinical team includes a psychiatric social worker and an addictions social worker, both of whom are able to provide support and referral services to patients in need.

We are proud to announce the new addition of the BWH Medical Psychiatry Complex Diagnostic Evaluation Service as part of the medical psychiatry division of the Department of Psychiatry at the Brigham and Women's Hospital.

This innovative service provides the highest level of diagnostic services to patients with complicated medical presentations in which concerns for co-morbid psychiatric issues arise. These conditions at the medicine-psychiatry interface include but are not limited to patients with gastro-intestinal problems such as IBS, rheumatologic disorders including fibromyalgia and chronic fatigue syndrome endocrine disorders with associated emotional conditions and neurologic patients with conversion symptoms.

The goal of the service is to provide the patient and referring physician with a thorough medical-psychiatric diagnostic evaluation and synthesis of the case. The clinical team will be in close contact with the referring physician and or primary care doctor in the patient's care to provide an expert treatment plan. The patient will be given the opportunity to discuss the findings of the evaluation and to review the recommended treatment plan.

The director of the service is Dr. Michael Mufson who has over 30 years experience in medical psychiatry at the Brigham and Women's Hospital. He is joined by the extensive group of clinicians and leaders in the field of psychosomatic medicine from the division of medical psychiatry with its national reputation of excellence in clinical work and training of psychosomatic fellows. Read more about our Complex Diagnostic Evaluation Service.

Appointments are scheduled by contacting the Psychiatry Office at 617-732-6753.



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