Psychiatric Controversies in Epilepsy

1st Edition

Print ISBN: 9780123992734
eBook ISBN: 9780080559599
Imprint: Academic Press
Published Date: 26th June 2008
Page Count: 344
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This edited reference addresses controversial clinical issues of the psychiatric aspects of epilepsy. The book explores the reasons behind the poor communication between psychiatrists and neurologists and suggests potential remedies to this important problem, and two chapters are devoted to examining whether psychiatrists and neurologists are properly trained to recognize and treat conditions that both disciplines commonly encounter in clinical practice. Identification of the causes behind the high rate of comorbidity between epilepsy and mood, anxiety, psychotic and attention deficit disorders is given high priority in the volume, and a specific review of the evidence of common pathogenic mechanisms that may be operant in epilepsy and these psychiatric disorders is included. Recently identified bidirectional relationship between mood disorders and epilepsy and its implication in the course and response to treatment of the seizure disorder are also explored. Several chapters are devoted to rectify common misunderstandings of the use of psychotropic drugs in patients with epilepsy, including the use of antidepressant and central nervous system stimulants. Finally, one chapter explores the possibility of organic causes of psychogenic non-epileptic seizures.

Key Features

  • Compiles into one source the important controversial issues of the psychiatric aspects of epilepsy, which have significant implications in clinical practice
  • Authors are internationally recognized authorities in the field of psychiatric aspects of epilepsy


Neurologists, epileptologists, psychiatrists, child and adolescent psychiatrists, neuropsychologists, clinical psychologists, nurses, social workers, medical students, residents in neurology and psychiatry, neuroscientists

Table of Contents

Preface Contributors 1 Prevalence of Psychiatric Disorders in Patients with Epilepsy: What We Think We Know and What We Know 2 Why Do Neurologists and Psychiatrists Not Talk to Each Other? 3 Are NeurologistsTrained to Recognize andTreat the Psychiatric Comorbidities of Epilepsy? 4 The Challenge of Teaching Psychiatry Residents about Psychopathology in Patients with Epilepsy 5 What DoWe Know about Mood Disorders in Epilepsy? 6 Is Depression in Epilepsy the Expression of a Neurological Disorder? 7 Are Anxiety and Depression Two Sides of the Same Coin? 8 Does Psychosis of Epilepsy Differ from Primary Psychotic Disorders? 9 Are the Psychoses of Epilepsy a Neurological Disease? 10 Is ADHD in Epilepsy the Expression of a Neurological Disorder? 11 Are Psychogenic Non-epileptic Seizures an Expression of “ Neurologic ” Pathology? 12 Are Psychiatric Disorders a Risk for the Development of Neurological Disorders? 13 Do Peri-ictal Psychiatric Symptoms Account for the Differences between Depressive Disorders in Patients with and without Epilepsy? 14 Can Psychological Testing Replace Psychiatric Evaluations in Patients with Epilepsy? Or Can Psychiatric Evaluations Replace Psychological Testing in Patients with Epilepsy? 15 Should the Screening for Depression, Anxiety, Attention Deficit – Hyperactivity Disorder and Learning Disorders Be Part of Neurological Evaluations of All Patients with Epilepsy? 16 Should a Psychiatric Evaluation Be Included in Every Pre-surgical Work-up? 17 Do Antidepressants Improve or Worsen Seizuresin Patients with Epilepsy? 18 Do Central Nervous System Stimulants Lower Seizure Threshold? 19 The Psychotropic Effects of Vagus NerveStimulation in Epilepsy 20 Do Psychological Therapies Alleviate Epileptic Seizures? Index


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"...this book would be a valuable addition to the libraries of all physicians treating patients with epilepsy. It neatly summarizes the available research on many difficult neuropsychiatric topics and prods the reader to consider whether the improved patient care that results from answering controversial questions is a more vital issue than simpel inter-professional collaboration."--Psychosomatics (April 1, 2010)