Epilepsy and concomitant obsessive–compulsive disorder

Epilepsy and concomitant obsessive–compulsive disorder

People with epilepsy (PWE) often suffer psychiatric symptoms which can impact them more than seizures. Affective and psychotic disorders are well recognized as occurring more frequently in PWE than the general population. Less is known about obsessive–compulsive disorder (OCD) in PWE, despite it bei...

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Main Authors: Jacob S. Bird, Emiy Shah, Paul Shotbolt
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:Epilepsy and Behavior Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213323218300124
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spelling doaj-087eb2ce6ad142bc843af662cded3e872020-11-25T00:08:14ZengElsevierEpilepsy and Behavior Case Reports2213-32322018-01-0110106110Epilepsy and concomitant obsessive–compulsive disorderJacob S. Bird0Emiy Shah1Paul Shotbolt2Institute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, Camberwell, London, SE5 8AB, United Kingdom of Great Britain and Northern Ireland; South London and Maudsley NHS Trust, Maudsley Hospital, Denmark Hill, London SE5 8AZ, United Kingdom of Great Britain and Northern Ireland; Corresponding author at: Institute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, Camberwell, London SE5 8AB, United Kingdom of Great Britain and Northern Ireland.Institute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, Camberwell, London, SE5 8AB, United Kingdom of Great Britain and Northern IrelandInstitute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, Camberwell, London, SE5 8AB, United Kingdom of Great Britain and Northern Ireland; South London and Maudsley NHS Trust, Maudsley Hospital, Denmark Hill, London SE5 8AZ, United Kingdom of Great Britain and Northern IrelandPeople with epilepsy (PWE) often suffer psychiatric symptoms which can impact them more than seizures. Affective and psychotic disorders are well recognized as occurring more frequently in PWE than the general population. Less is known about obsessive–compulsive disorder (OCD) in PWE, despite it being as disabling and distressing. We sought to explore the association between epilepsy and OCD with casereports by identifying ten PWE and concomitant OCD. Demographics, seizure classification, neurological, surgical, psychiatric and psychological treatment as well as quality of life were examined. A detailed analysis was performed for three of them, to explore the lived-experience of patients with the two conditions. This is followed by a discussion of how treatment for co-morbid epilepsy and OCD can be appropriately tailored to be patient specific and provide the greatest potential for improvement. Keywords: Epilepsy, Obsessive–compulsive disorder, Cognitive Behavioural Therapy, SSRI, Quality of lifehttp://www.sciencedirect.com/science/article/pii/S2213323218300124
collection DOAJ
language English
format Article
sources DOAJ
author Jacob S. Bird
Emiy Shah
Paul Shotbolt
spellingShingle Jacob S. Bird
Emiy Shah
Paul Shotbolt
Epilepsy and concomitant obsessive–compulsive disorder
Epilepsy and Behavior Case Reports
author_facet Jacob S. Bird
Emiy Shah
Paul Shotbolt
author_sort Jacob S. Bird
title Epilepsy and concomitant obsessive–compulsive disorder
title_short Epilepsy and concomitant obsessive–compulsive disorder
title_full Epilepsy and concomitant obsessive–compulsive disorder
title_fullStr Epilepsy and concomitant obsessive–compulsive disorder
title_full_unstemmed Epilepsy and concomitant obsessive–compulsive disorder
title_sort epilepsy and concomitant obsessive–compulsive disorder
publisher Elsevier
series Epilepsy and Behavior Case Reports
issn 2213-3232
publishDate 2018-01-01
description People with epilepsy (PWE) often suffer psychiatric symptoms which can impact them more than seizures. Affective and psychotic disorders are well recognized as occurring more frequently in PWE than the general population. Less is known about obsessive–compulsive disorder (OCD) in PWE, despite it being as disabling and distressing. We sought to explore the association between epilepsy and OCD with casereports by identifying ten PWE and concomitant OCD. Demographics, seizure classification, neurological, surgical, psychiatric and psychological treatment as well as quality of life were examined. A detailed analysis was performed for three of them, to explore the lived-experience of patients with the two conditions. This is followed by a discussion of how treatment for co-morbid epilepsy and OCD can be appropriately tailored to be patient specific and provide the greatest potential for improvement. Keywords: Epilepsy, Obsessive–compulsive disorder, Cognitive Behavioural Therapy, SSRI, Quality of life
url http://www.sciencedirect.com/science/article/pii/S2213323218300124
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AT emiyshah epilepsyandconcomitantobsessivecompulsivedisorder
AT paulshotbolt epilepsyandconcomitantobsessivecompulsivedisorder
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