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1 Department of Neurology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
2 Department of Psychiatry, Royal Victoria Infirmary
Correspondence to:
Correspondence to:
Dr Margaret J Jackson
Department of Neurology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK; margaret.jackson@ncl.ac.uk
Keywords: anxiety; depression; epilepsy
| The first 150 words of the full text of this article appear below. |
Epilepsy, anxiety, and depression are all common disorders. It is therefore not surprising that the conditions coexist in a significant number of patients. Indeed, some authors estimate the lifetime prevalence of depression in association with epilepsy to be as high as 55%. Despite this there has been remarkably little research into the mechanism of depression and anxiety in epilepsy, and even less of its treatment. Most epilepsy clinics are overloaded with referrals and the consultation naturally tends to focus on the patients seizures and treatment thereof; but it is vitally important that doctors treating people with epilepsy are able to recognise the symptoms of anxiety and, in particular, those of depression. Depression lowers quality of life significantly yet it is an eminently treatable condition. Depression can directly increase seizure frequency through the mechanism of sleep deprivation; failure to recognise depression or inadequate treatment can lead to suicide. Depression also often
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