and look at this one on epilepsy
http://emedicine.medscape.com/article/1186336-overview
Role of the neurologist in the psychiatric management of patients with epilepsy
As neurologists, we tend to focus on seizure control, and psychiatric comorbidities are often underestimated. Recognizing psychiatric manifestations is an area that needs improvement. Once symptoms are identified, the following questions arise [2]:
- Are the symptoms related to the occurrence of seizures (preictal, ictal, postictal)?
- Are the symptoms related to AEDs?
- Is the onset of symptoms associated with the remission of seizures in patients who had previously failed to respond to AEDs?
Because of the phenomenology of epilepsy, the close association between epilepsy and psychiatry has a long history. The traditional approach to epilepsy care has been to focus on the seizures and their treatment. Concentrating only on the treatment of the seizures, which occupy only a small proportion of the patient's life, does not seem to address many of the issues that have an adverse impact on the quality of life of the patient with epilepsy.
Sackellares and Berent stated that comprehensive care of the epileptic patient requires "attention to the psychological and social consequences of epilepsy as well as to the control of seizures." [3]
Although undoubtedly important in the care of the patient with epilepsy, advances in neurologic diagnosis and treatment tended to obscure the behavioral manifestations of epilepsy until Gibbs drew attention to the high incidence of behavioral disorders in patients with temporal lobe epilepsy.
Neurologists it would seem are just as culpable of holding the door wide open for psychobabbling colleagues to prey on people with epilepsy as well.....as if the stigma of this wasn't bad enough!
Its progress from demon possession and burning for being a witch I suppose.