ASSESSMENT OF DEPRESSION IN PATIENTS WITH GENERALIZED TONICCLONIC SEIZURES

Abstract

Depression is the most Common psychiatric comorbidity in epilepsy, It may mimic primary depressive disorders, but in a significant percentage of patients, Depression presents with atypical pleomorphic characteristics. Diagnosis cannot be established by the sole use of screening self-rating scales, but with additional, in-depth evaluation. Timely recognition and treatment of depression is of the essence in epilepsy management. Neurologist should be well trained to provide psychopharmacologic treatment for major depressive episodes, dysthymic disorders, and minor depression as they are the health care provider to initiate treatment. However, patients with suicidal ideation, psychotic symptoms, or bipolar disorders should be referred immediately to the care of a psychiatrist.