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The facilitation and evocation of seizures
The British Journal of Psychiatry : the Journal of Mental Science
|February 1, 1992
Summary
Environmental factors, particularly psychological triggers, are crucial in epilepsy but often overlooked. This review highlights reflex epilepsy and psychological interventions to complement drug treatments for better seizure management.
Area of Science:
- Neurology
- Psychiatry
- Behavioral Medicine
Background:
- Environmental factors significantly influence seizure genesis in epilepsy.
- Clinical education and patient management services have historically neglected these environmental influences.
Observation:
- Reflex epilepsy, characterized by seizures triggered by specific stimuli, is a key area where environmental factors are prominent.
- Psychological states and stimuli are identified as significant triggers for seizures in individuals with epilepsy.
Findings:
- A review of the history and literature on reflex epilepsy reveals a gap in clinical attention.
- Psychological interventions show potential as complementary treatments alongside pharmacotherapy for epilepsy management.
Implications:
- Integrating psychological interventions into epilepsy care can enhance patient management.
- Increased clinician awareness and education regarding environmental triggers are necessary for comprehensive epilepsy care.