Neuro-Psychiatric Aspects of Epilepsy (Seizures)

Neuro-Psychiatric Aspects of Epilepsy (Seizures)
Epilepsy is one of the commonest neurological disorders, affecting approximately 75 million people worldwide, and it is now recognized as a disorder of the brain characterized not only by recurrent seizures, but also by its neurobiological, cognitive, psychological, and social consequences.
The nature of the relationship between psychosis and epilepsy has been of great interest to psychiatrists for over a century. Epidemiologic studies point to a bidirectional relationships between epilepsy and neuropsychiatric disorders. People with epilepsy are more likely to develop certain neuropsychiatric disorders, and those with these disorders are more likely to develop epilepsy. This relationship suggests the possibility of shared underlying pathophysiologies.
Mood and anxiety disorders are the most frequently reported psychiatric comorbidities with epilepsy, with a prevalence of 20% to 22%, however, in select populations, the prevalence can reach 50%. Reasons for the association are both biological and psychosocial. Epilepsy is a chronic disorder that brings about a number of social limitations and discriminations that lead to demoralization and poor self-esteem. Moreover, epilepsy and mood disorders seem to share a common neurobiology, with involvement of the limbic structures and the modulation of major neurotransmitter pathways by anticonvulsant medications.
Compared with mood disorders, psychoses seem to be relatively rare in patients with epilepsy but represent serious complications that affect morbidity and mortality. Epidemiological data indicate that the incidence of non-organic, non-affective psychoses, including schizophrenia and related disorders, is generally overrepresented in patients with epilepsy compared with the general population or those with other chronic medical conditions. The relationship between epilepsy and psychoses has strong neurobiological underpinnings related to the involvement of specific brain areas.
Epileptic seizures are characterized not only by the ictal phase but also by a number of behavioral manifestations that may precede or follow the seizure. Such peri-ictal, ictal or post-ictal symptoms may fail to meet temporal DSM criteria when too short-lasting. However, it appears that they are highly responsible for the atypical presentations of psychiatric disorders in epilepsy. The phenomenology of postictal psychoses is polymorphic, but most patients present with abnormal mood and paranoid delusions with mystic and religious content. Consciousness can be variably impaired (eg, from overwhelming confusion to totally clear sensorium). High levels of anxiety with a fear of impending death represent another typical symptom that may precipitate in episodes of violence, self-injury, or suicide if command hallucinations are present.
Postictal psychoses are characterized by spontaneous remission within days or weeks; antipsychotic drug treatment is only required to reduce mortality and morbidity. Finally, it has to be kept in mind that in a minority of cases, postictal psychoses may evolve into chronic interictal psychosis.
In this video, I have made attempt to review the neuropsychiatric aspects of epilepsy, impact of antiseizure medications and therapeutic options for treatment. Diagnosis and treatment involve close collaboration among a multidisciplinary team.

[@ricky00977]

The Only channel in UA-cam for Psychiatry Lectures. Thanks a lot sir. Helps a lot in my residency

[@SureshBadaMath]

Thank you very much for your awesome feedback

[@lalakloo7709]

Thank you for that. It’s a shame that in the UK there is no screening for the neuro-psychiatric comorbidities of epilepsy, neither in the hospital or in the neurology outpatients. For people with a new onset and diagnose of epilepsy and their families it can be shocking and scary and without the knowledge everyone suffers..

[@SureshBadaMath]

Sorry to know about that
Thank you very much for your time and valuable feedback.

[@spiritman-em4qr]

Thank you for this. I'll share it with my wife. It'll help her understand a bit more of what I'm going through.

[@SureshBadaMath]

Thank you very much for sharing your journey boldly. All the best. God bless you

[@cerinjoy6904]

Thank you Doctor May God bless you.very useful lecture. First time i am hearing such a nice one. I loved it

[@SureshBadaMath]

Thank you very much
Please find complete access to copyrighted educational videos on Mental health is available on -
linktr.ee/sureshbadamath

[@goddessvibes2345]

I started having seizures at the age of 35, I am now 36. My medication has been working fine with no side effects and my Neurologist is happy. However, I've started to experience some personality changes, sensory overload, and disassociation on a regular basis. I'm not sure if it's a result of Epilepsy or the medication. My neurologist doesn't believe it's related to Epilepsy or the medication, he said that side effects would have been shown early not a year later. I think he's just glad that the medication has controlled my seizures. Now I'm dealing with a general practitioner to help manage my symptoms but they haven't even diagnosed me. I don't know what's wrong with me. I can't be around people for too long and I defiantly wouldn't be able to have children because of my sensory overload, I would have a breakdown 😢
Please help

[@SureshBadaMath]

Please consult and discuss with your doctor

[@PSYcorns......]

Thank you so much..

[@jimimased1894]

doing gods work thank you

[@SureshBadaMath]

Welcome
Thank you very much for your feedback

[@amitlavekar3331]

Very nice, easy to understand. Practically very useful. Thanks Sir🙏

[@SureshBadaMath]

Welcome Amit

[@adriennew8562]

Thank you.i am wondering if you've worked with a patient who experiences all the types of the seizures you've described and psychosis. My husband fits all this criteria. He has had epilepsy since he was 7 (or earlier) we've been unable to find someone with your level of knowledge. This is silly probably, but he'd be an amazing case study for you. He is currently is a psych ward.

[@shrutijoshi553]

very good presentation & clear information sir. It will help me in understanding more the epilepsy patients comes for counselling and therapy

[@SureshBadaMath]

All the best Shruti

[@Umargaming000]

Awesome presentation sir
Beautifully explained....

[@SureshBadaMath]

Thank you very much for your feedback

[@abhaymatkar214]

Very clearly explained Dr Suresh.

[@SureshBadaMath]

Thank you very much, sir

[@aliyafarheen5230]

Thank you soo much sir for such a clear n classified explanation… sir please make other videos available to us

[@SureshBadaMath]

Please do find more videos on my channel
ua-cam.com/users/sureshbadamath

[@janalam586]

Very beautifully explained.dr.jan Alam psychiatrist

[@SureshBadaMath]

Thank you very much for your feedback

[@dimitrijmaslov1209]

...thanks!

[@SureshBadaMath]

Welcome

[@aravinds6700]

Thankyou somuch sir🙏🙏🙏

[@SureshBadaMath]

Welcome & All the best

[@Anonymous_Anon882]

Unwanted, ego-dystonic sexual arousal can be seen in seizures/epilepsy, misophonia and OCD. That’s a real problem that’s little talked about. But by no means is any of that unusual. Just terribly misunderstood.

[@kumarkancharlapalli1131]

Sir plzz do video on psychiatric aspects of syphilis,

[@SureshBadaMath]

Sure. Thank you very much for your suggestions

[@kumarkancharlapalli1131]

Thanks for helping us by sharing your knowledge and experience.

[@manzoorali9045]

Well defined sir

[@SureshBadaMath]

Thank you very much for your feedback

[@DrCPJha]

very educative lecture.
Please make a lecture on Neurotransmitters

[@SureshBadaMath]

Thank you very much for your suggestions

[@sreety468]

Sir plz make a video about, why body dysmorphic disorder doesn't respond to ect, plzz❤❤❤

[@SureshBadaMath]

Sure
Thank you for your suggestion

[@mathisenarathne8306]

❤❤❤❤❤

[@SureshBadaMath]

Thank you very much for your multiple hearted feedback