How should epileptic mental disorder be treated?

summary

As we all know, epilepsy recovery is a long and complex suffering period, in the treatment of patients with epilepsy, we must keep enough patience, combine the surgical treatment and rehabilitation treatment organically, in order to achieve curative effect. In addition, the corresponding rehabilitation methods should be formulated according to the different conditions of different patients. According to the actual situation, surgical treatment and rehabilitation training should be carried out. Then how should epileptic mental disorder be treated? Now let's talk about it.

How should epileptic mental disorder be treated?

Drug treatment: for mental disorders in the process of generalized tonic clonic seizures, absence seizures or after seizures, the corresponding antiepileptic drugs should be used first, and the type and dose of antiepileptic drugs should be adjusted to control seizures. If necessary, taking appropriate psychotropic drugs can achieve better therapeutic effect. For psychomotor seizures mainly manifested by mental symptoms, some targeted antiepileptic drugs can be used. Some literatures have pointed out that sodium valproate is the first choice for schizophrenia like disorder, and carbamazepine is the first choice for chronic depressive mood disorder and paroxysmal emotional instability. When the patient is in delirium, diazepam and phenobarbital can be injected intramuscularly. There is no effective drug for epileptic personality change and dementia. Glutamic acid, r-aminobutyric acid or sodium valproate can be used. With depression and anxiety symptoms, some antidepressants and benzodiazepines can be used.

Psychotherapy: for patients with mental retardation and personality change, education and management should be strengthened and psychotherapy should be carried out. At present, supportive psychotherapy, behavior therapy and cognitive behavior therapy are often used for epilepsy patients.

Surgical treatment: Generally speaking, the purpose of epilepsy surgical treatment is to remove the epileptogenic focus or block the spread of epileptic activity. For patients with intractable epilepsy who have no response to drug therapy and are suitable for brain surgery, surgery can be considered.

matters needing attention

Pay attention to good birth and good breeding, and forbid close relative marriage. During the first three months of pregnancy, we must stay away from radiation to avoid virus and bacterial infection. Regular pregnancy examination, to avoid fetal hypoxia, asphyxia, birth injury, etc. In children with fever should be timely treatment, to avoid children with febrile seizures, brain damage. We should also take good care of children to avoid head injury. Young people, middle-aged people and the elderly should pay attention to ensure a healthy lifestyle in order to reduce the incidence of encephalitis, meningitis, cerebrovascular disease and other diseases.