Psychiatric comorbidities go unrecognized in patients with epilepsy: “You see what you know”

Maria R. Lopez, Steven C. Schachter, Andres M Kanner

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Patients with epilepsy (PWE) have a significantly higher prevalence of psychiatric comorbid disorders involving depression, anxiety, psychotic, and attention-deficit disorders compared with the general population or patients with other chronic medical conditions. Currently, there is no systematic approach in the evaluation and management of psychiatric comorbidities in these patients. In addition, neurologists are not trained to recognize these disorders, and consequently, they remain undertreated. Despite the high prevalence of psychiatric comorbidities in patients evaluated for epilepsy surgery, most epilepsy centers in North America do not include a psychiatric evaluation as part of the presurgical work-up. Despite the intimate relationship between psychiatric comorbidities and epilepsy, collaboration between epileptologists and psychiatrists is sparse at best and nonexistent at worse. The purpose of this paper was to highlight and try to understand the causes behind the persistent lack in communication between neurologists and psychiatrists, the gap in the training of neurologists on psychiatric aspects of neurologic disorders and vice versa and to propose new initiatives to fix the problem.

Original languageEnglish (US)
JournalEpilepsy and Behavior
DOIs
StatePublished - Jan 1 2019

Fingerprint

Psychiatry
Comorbidity
Epilepsy
Attention Deficit Disorder with Hyperactivity
North America
Nervous System Diseases
Anxiety
Communication
Depression
Population
Neurologists

Keywords

  • Anxiety
  • Depression
  • Education
  • Neurology
  • Psychiatry

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience

Cite this

Psychiatric comorbidities go unrecognized in patients with epilepsy : “You see what you know”. / Lopez, Maria R.; Schachter, Steven C.; Kanner, Andres M.

In: Epilepsy and Behavior, 01.01.2019.

Research output: Contribution to journalArticle

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