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
