Harriet S.MeyerMD, Contributing EditorDavid H.MorseMS, Journal Review EditorRobertHoganMD, adviser for new media
The majority of patients with epilepsy do not suffer from psychiatric problems, but as a group they are at increased risk for a variety of psychiatric disorders. Thus, psychiatric issues pose a frequent problem in the routine management of patients with seizures.
Although the association of epilepsy and psychiatric disease has been recognized since antiquity, there is a paucity of systematic studies investigating this relationship or examining psychiatric treatments in epilepsy. For example, there is only one published controlled study evaluating the efficacy of antidepressant drugs for the treatment of major depression in patients with epilepsy. This lack of information results in many psychiatric complications of epilepsy going untreated or, worse, mistreated.
Epilepsy, PsychiatryPsychiatric Issues in Epilepsy: A Practical Guide to Diagnosis and Treatment. JAMA. 2001;286(19):2470. doi:10.1001/jama.286.19.2470-JBK1121-2-1