Neuropsychiatry

As neuropsychiatrists, we specialize in difficult-to-treat brain disorders like schizophrenia, dementia, and traumatic brain injury.

Who looks outside, dreams; who looks inside, awakes.

– Carl Jung, Swiss psychoanalyst  (1875-1961)

About neuropsychiatry

Neuropsychiatry is the evaluation and treatment of psychiatric problems that are associated with brain disorders. We not only treat treat these problems, we also help clients find "workarounds" when a symptom cannot be reversed or improved. We utilize both medication and therapy to assist clients in achieving the highest level of recovery possible. We also work closely with family members and other healthcare providers so the client has a unified approach to their care.

What is a neuropsychiatrist?

Neuropsychiatrists are medical doctors who understand how the body and the brain work. Most often, they are psychiatrists who have extensive knowledge of psychopharmacology and comprehensive skill in treating the most serious brain disorders. They are usually board certified by the American Board of Psychology and Neurology. 

Dr. Grabois and Dr. Pravder of the Centre for Counseling of Aventura fulfill these requirements.

How can a neuropsychiatrist help?

Generally, a neuropsychiatrists provides solutions to the psychiatric problems that arise due to serious brain disorders and injury. We treat the psychiatric issues associated with a wide range of organic and non-organic brain disorders. For example, we treat the psychiatric and cognitive symptoms associated with brain disease due to alcoholism, dementia, multiple sclerosis, and more.

Can you treat people with traumatic brain injury?

Traumatic brain injury occurs when there is a blow to the head or other physical damage to the brain. The most common causes of traumatic brain injury (TMI) are vehicle accidents, falls, gunshot wounds, sports injuries, and military combat injuries. Serious traumatic brain injury can affect how an individual functions in every aspect of daily life. As neuropsychiatrists, we treat symptoms due to traumatic brain injury, including mood problems, poor concentration, agitation and anxiety, insomnia, paranoia and more. We also work with the families of TMI clients to help them cope more easily with the often dramatic changes that occur as a result of TMI.

Do you treat other forms of brain injury?

Brain damage may occur as the result of illness or disease rather than a blow to the head.  The most common causes of non-traumatic brain injury include stroke, lack of oxygen, tumors, certain cancers, brain infections or inflammation, and some systemic infections. Illnesses such as Alzheimer's and Parkinson's can also produce physical abnormalities in the brain. We treat the symptoms of acquired brain injury in order to help clients regain as much functioning as possible. 

What's the difference between psychiatry and neuropsychiatry?

Psychiatrists focus on a wide variety of psychiatric disorders, but neuropsychiatrists focus on psychiatric disorders arising from neurological (biological) causes. We often see clients who have been referred to us by other psychiatrists. 

What's the difference between neurology and neuropsychiatry?

A neurologist will deal with the underlaying cause of your symptoms, but will not treat your psychiatric symptoms. We deal with the psychiatric component of your illness. A neurologist may help you regain motor function. We will help you overcome symptoms such as depression and lack of motivation that are often associated with brain injury.

Symptoms of traumatic brain injury

Some symptoms can appear immediately following a traumatic event, whereas others may appear weeks later. You should always go to the emergency room right away if you suspect a traumatic brain injury has occurred.

Mild traumatic brain injury
  • Loss of consciousness for up to a few minutes
  • No loss of consciousness, but being dazed or disoriented
  • Headache
  • Nausea or vomiting
  • Fatigue or drowsiness
  • Sleep issues (too much or too little)
  • Vertigo or loss of balance
  • Blurred vision
  • Sensitivity to light or sound
  • Ringing in the ears (tinnitus)
  • Bad taste in mouth
  • Memory or concentration problems
  • Mood changes
  • Depression or anxiety
Moderate to severe traumatic brain injury
  • Loss of consciousness for several minutes to hours
  • Persistent or painful headache
  • Persistent nausea or vomiting
  • Convulsions or seizures
  • Dilation of one of both pupils of the eye
  • Clear fluid draining from nose or ears
  • Inability to wake up from sleep
  • Numbness in fingers or toes
  • Loss of coordination
  • Serious confusion
  • Agitation, anger 
  • Slurred speech
  • Coma or other disorders of consciousness
Traumatic brain injury in children

Infants and young children cannot tell you about their symptoms. Parents and other caretakers have to look for observable changes.

  • Unusual irritability
  • Change in eating/nursing habits
  • Persistent and inconsolable crying
  • Change in sleep habits
  • Seizures
  • Drowsiness
  • Loss of interest in toys and activities
When to see a doctor

Even a mild brain injury can have serious consequences. If you suspect traumatic brain injury has occurred, seek emergency medical care right away.

Find us

21110 Biscayne Blvd., Suite 304
Aventura, FL 33180

Valet parking available

305-932-5500  •  305-935-0466 Fax
Mon-Thur 8am-6pm and Fri 8am-5pm
Closed for lunch 1pm-2pm daily
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