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Assessment and certification of neurosurgery for mental disorder

Hanningfields, Warborough Hill, Kenton, Exeter, Devon EX6 8LR

The views expressed are based on experiences of a second opinion appointed doctor and refer to neurosurgery for mental disorder. Here the general issues are sharpened by the necessity to certify informed consent and the likelihood of the alleviation or the prevention of deterioration. In an age of evidence-based medicine the criteria by which these issues are judged are critical and need to be generally agreed. The evidence needed in clinical reports and in certifcation is considered from theoretical and practical viewpoints and suggestions are made in reference to treatment at both new and established centres.