Clinical Senior Lecturer, Department of Psychiatry, University College, Cork, Ireland.
Senior Lecturer, Department of Psychiatry, National University of Ireland, Galway, Ireland.
Ir J Psychol Med. 2021 Mar;38(1):9-15. doi: 10.1017/ipm.2018.49. Epub 2018 Dec 19.
Epilepsy and mental illness have a bidirectional association. Psychiatrists are likely to encounter epilepsy as comorbidity. Seizures may present as mental illness. Equally, the management of psychiatric conditions has the potential to destabilise epilepsy. There is a need for structured epilepsy awareness and training amongst psychiatrists. This paper outlines key considerations around diagnosis, treatment and risk while suggesting practical recommendations.
癫痫和精神疾病之间存在双向关联。精神科医生可能会遇到癫痫作为合并症。癫痫发作可能表现为精神疾病。同样,精神疾病的治疗也有可能使癫痫不稳定。精神科医生需要具备结构化的癫痫意识和培训。本文围绕诊断、治疗和风险提出了一些关键的注意事项,并提出了一些实用建议。