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Cutting through stigma: psychiatry and neurosurgery working together

AI Summary
  • Functional neurosurgery modulates pathological brain circuits that underlie psychiatric symptoms.
  • For select disorders it is safe, precise and evidence based, and for others it offers real therapeutic promise.
  • Referrals remain strikingly low relative to the burden of refractory illness and closer psychiatry and neurosurgery collaboration could address this gap.
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Br J Psychiatry. 2026 Jun 29:1-4. doi: 10.1192/bjp.2026.10710. Online ahead of print.

ABSTRACT

Functional neurosurgery can modulate the pathological brain circuits that underlie psychiatric symptoms. For select disorders it is safe, precise and evidence-based; for others, it holds real promise. Nevertheless, referrals remain strikingly low relative to the burden of refractory illness – a gap that could be meaningfully addressed by closer psychiatry-neurosurgery collaboration.

PMID:42367038 | DOI:10.1192/bjp.2026.10710

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