When did neurologists and psychiatrists stop talking to each other?

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Patients with epilepsy have a significantly higher prevalence of psychiatric comorbid disorders involving depression, anxiety, psychotic, and attention deficit disorders. Accordingly, one would expect that psychiatrists would be actively involved in the evaluation and management of these patients. This, however, is hardly the case. Patients who undergo temporal lobectomies, for example, are known to experience postsurgical depression and occasionally psychotic disorders. Yet, most epilepsy centers in North America do not include a psychiatric evaluation as part of the presurgical work-up. Collaboration between epileptologists and psychiatrists is often sparse, despite the intimate relationship between psychiatric comorbidities and epilepsy. The purpose of this paper is to highlight this bizarre phenomenon and to identify some of the reasons behind it.

Original languageEnglish (US)
Pages (from-to)597-601
Number of pages5
JournalEpilepsy and Behavior
Volume4
Issue number6
DOIs
StatePublished - Dec 2003
Externally publishedYes

Keywords

  • Anxiety disorders
  • Attention deficit disorders
  • Depression
  • Epilepsy surgery
  • Intractable epilepsy
  • Psychosis
  • Temporal lobe epilepsy

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience

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