Epilepsy affects 40 million people worldwide. With appropriate treatment most can become seizure free. For a minority of patients who also suffer from psychiatric comorbidity, however, diagnosis and management may be complicated by uncontrolled seizures, associated stigma or by the treatment of the epilepsy itself.
Written by the world's foremost authorities on the neuropsychiatric manifestations of epilepsy, Psychiatric Comorbidity in Epilepsy is a comprehensive clinical, research, and treatment text for health care professionals -- including psychiatrists, neurologists, and neuropsychologists -- who treat patients with epilepsy and comorbid psychiatric problems. Based on a thorough knowledge of contemporary neuroscience, this book addresses the critical psychosocial and psychiatric issues that can affect patient care, including depression, psychosis, nonepileptic seizure-like events, antiepileptic drug toxicity, and family issues. This book also examines the possible links between the neurobiology of neuropsychiatric illness and the neurobiology of seizures, providing insight into brain behavior relations.
Harry W. McConnell, M.D., F.R.C.P.C., is a neurologist and a psychiatrist. He developed and was the Director of the Behavioral Epilepsy Program, a clinical service for people with epilepsy and psychiatric comorbidity, at the Allegheny Neuropsychiatric Institute and Allegheny General Hospital, Pittsburgh, Pennsylvania. There he was Assistant Professor of Psychiatry and also directed the Neurophysiology Laboratory. Dr. McConnell has specialized in epileptology, with a primary focus on psychiatric and psychosocial aspects. He is currently at the Institutes of Psychiatry and of Epileptology and Maudsley/Kings Hospitals in London, where he is Director of the Epilepsy Educational Initiative. Dr. McConnell has published widely in epileptology and neuropsychiatry. Peter J. Snyder, Ph.D., is Assistant Professor of Neurology and Neuroscience and Director of the Division of Behavioral Neurology, Department of Neurology, at Allegheny University of the Health Sciences and Allegheny General Hospital, Pittsburgh, Pennsylvania. He was awarded the Wilder-Penfield Post-doctoral fellowship in 1992 from the Epilepsy Foundation of America for his work in neuroimaging and epilepsy. Dr. Snyder has publisher widely within the field of epileptology with particular interests in neuropsychology and neuroendocrinology.
Foreword. Preface. Introduction. The shifting paradigm of epilepsy: a review of historical trends and current perspectives. Neural mechanisms of psychiatric disturbances in patients with epilepsy. Diagnosis and classification of the epilepsies: pathophysiological and psychiatric aspects. The clinical neuropsychological examination in patients with epilepsy. Sleep and seizures: a selective review. Mood disorders associated with epilepsy. The psychoses of epilepsy: a neurobiological perspective. Diagnosis and treatment of nonepileptic seizures. Behavioral effects of antiepileptic drugs. Treatment of psychiatric comorbidity in patients with epilepsy. Family systems theory: an approach to therapy for families of patients with epilepsy. Living with epilepsy. Index.