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| Neurology supplements are not peer-reviewed. Information contained in Neurology supplements represent the opinions of the authors and are not endorsed by nor do they reflect the views of the American Academy of Neurology, Editor-in-Chief, or Associate Editors of Neurology. |
From the Department of Neurological Science, Clinical Science Centre for Research and Education, University of Liverpool, Liverpool, United Kingdom.
Address correspondence and reprint requests to Dr. Gus A. Baker, Department of Neurological Science, Clinical Science Centre for Research and Education, University of Liverpool, Lower Lane, Fazakerley, Liverpool, UK L9 7LJ; email: g.baker{at}LIV.ac.uk
Depression and other disorders are underdiagnosed and undertreated in young people with epilepsy. Signs of depression are often dismissed as "normal" reactions, even though depression is a life-threatening disease and a risk factor for suicide. A strong correlation between epilepsy and depression has been demonstrated in a variety of studies; etiological factors include neurologic, genetic, and iatrogenic factors. At the time of the initial diagnostic evaluation, the physician who is managing the patient with seizure disorder should make a psychiatric and psychosocial assessment to identify the patients risk for depression. This approach enables the physician to assess the impact of epilepsy on the patient and to detect gross signs of psychiatric disorder. Effective treatment options include both somatic and nonsomatic therapies as well as combinations thereof.
Publication of this supplement was supported by an educational grant from UCB Pharma Inc. The sponsor has provided the author with an honorarium for his participation in this project, plus he has received grant support from the sponsor during his career.
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