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Semin Neurol 2022; 42(02): 182-191
DOI: 10.1055/s-0042-1742582
Review Article

Neuropsychiatric Treatments for Epilepsy: Nonpharmacological Approaches

Maria Raquel Lopez 
1   Division of Epilepsy and Comprehensive Epilepsy Center, Department of Neurology, University of Miami, Miller School of Medicine, Miami, Florida
2   Department of Neurology. Division of Epilepsy, Epilepsy Center of Excellence, Miami VA Medical Center, Miami, Florida
,
Andres M. Kanner
1   Division of Epilepsy and Comprehensive Epilepsy Center, Department of Neurology, University of Miami, Miller School of Medicine, Miami, Florida
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Abstract

Neuropsychiatric conditions are frequently found in patients with epilepsy (PWE). These entities can be as disabling as epilepsy resulting in a significant negative impact on the quality of life of this population if not addressed and treated appropriately. In this article, we provide an overview of non-pharmacological treatments currently available to these patients—and review their effect on mood and anxiety disorders as well as epilepsy. These treatment strategies will allow the practitioner to optimize clinical care during the initial evaluation, which begins with the recognition of the neuropsychiatric condition followed by the appropriate individualized psychotherapeutic approach and/or neuromodulation therapy. To plan a comprehensive treatment for PWE, practitioners must be familiar with these therapeutic tools. Additional clinical research is needed to further create a multidisciplinary team in the assessment and management of neuropsychiatric disorders in PWE.

Keywords

neuropsychiatry - neuromodulation - psychotherapy - vagus nerve stimulation - transcranial magnetic stimulation - electroconvulsive therapy


Publication History

Article published online:
25 February 2022

© 2022. Thieme. All rights reserved.

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