Recognizing and Treating Psychiatric Comorbidity in Epilepsy

Abstract

Psychiatric illness is significantly overrepresented in persons with epilepsy. Etiology of psychiatric comorbidity is still unclear, but interdisciplinary management from both neurology and psychiatry is often necessary. Depression, anxiety, and attention deficit hyperactivity disorder are particularly common and can be readily identified. Although the evidence is limited regarding treatment for behavioral symptoms associated with epilepsy, successful treatments are available and are similar to those utilized for patients without epilepsy. Most psychiatric medications may be used safely in persons with epilepsy. Clinicians who proactively identify and treat psychiatric comorbidity will find that treatment outcome for epilepsy is improved and overall quality of life is greatly enhanced.