Neurosciences · person and context
Changes in memory, movement, sleep or emotional balance can profoundly affect independence and relationships. Our approach considers symptoms, life history and clinical context to provide close, individualised care.
Changes to notice
A persistent or progressive change that affects daily life deserves to be understood, even when there is not yet a defined diagnosis.
Areas of care
The starting point is the symptoms and their impact on the person’s life. The appropriate specialty and investigations are defined from this initial understanding.
Assessment explores changes in memory, attention, orientation, language and the ability to carry out usual activities. When needed, it includes information from family and each person’s medical and emotional context.
Tremor, slowness, stiffness, postural changes or falls can have different causes. Observation of movement and neurological examination help guide diagnosis and follow-up without drawing conclusions before assessment.
Frequency, duration, triggers and associated symptoms help characterise headaches. Sleep changes are assessed for their effect on energy, concentration, mood and quality of life.
Psychiatry and Psychotherapy can help understand emotional difficulties, patterns of thought and behaviour, anxiety, mood changes, grief, burnout and other issues that affect wellbeing and independence.
Neurophysiology investigations will be available at Unosaúde to support assessment of the peripheral and central nervous systems, including electromyography and evoked potentials. Each test will be carried out according to clinical indication.
In specific situations, treatment such as botulinum toxin may be considered for headaches, tremor or dystonia. The indication is defined after clinical assessment, according to symptoms and agreed goals.
Neurological, emotional and cognitive changes can influence one another. When needed, care brings together Neurology, Neurophysiology, Psychiatry, Psychotherapy and other clinical areas while keeping the person at the centre.
Care pathway
We understand what changed, when it began and how it affects the person and family.
The consultation considers symptoms, medical history, medication, emotional context and daily function.
When needed, we coordinate specialties and relevant investigations.
The plan is reviewed over time according to progress and agreed goals.
Team
Dr Nárjara Ribeiro, in Neurology and Neurophysiology, and Dr Vera Camacho, in Psychiatry and Psychotherapy, coordinate their areas to understand each situation and guide the most appropriate care.
Neurology · Memory, movement and sleep
Psychiatry and Psychotherapy