TY - JOUR
AU - M. Gandy
AU - G. Baslet
AU - S. Bennett
AU - H. M. Munger Clary
A1 - 
AB - Mental health comorbidities are highly prevalent and problematic in epilepsy, making it important for neurologists to be equipped to manage their patients' mental health concerns. This article explores the paradigm shift toward integrated mental health care approaches, aiming to educate early-career neurologists on their role within epilepsy care. We focus on depression and anxiety, how they present in epilepsy, and the role of integrated mental health care in managing these comorbidities. Key areas include the neurologist's role in identifying mental health issues through patient discussions and screening tools, and the basics of neurologist-led management. This covers the selection and adjustment of antiseizure medications and the use of psychopharmacology. Additionally, we emphasize the importance of providing psychoeducation and promoting healthy lifestyle choices that support mental well-being. Finally, we discuss the neurologist's role in facilitating referrals to mental health specialists, including information about the role of psychological interventions and psychiatry. This article aims to provide foundational knowledge to encourage early-career neurologists to actively engage in integrated mental health care approaches with their patients. This care can be flexible in how it incorporates different modalities and is tailored to local resources. It does not have to be extensive but should be meaningful enough to identify mental health concerns and facilitate patient access to appropriate resources and care.
AD - The School of Psychological Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia. Electronic address: milena.gandy@mq.edu.au.; Bruce W. Carter Department of Veterans Affairs, Miami, FL, USA; Brigham and Women's Hospital, Department of Psychiatry and Harvard Medical School, Boston, MA, USA.; Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.; Department of Neurology, Wake Forest University School of Medicine, USA.
AN - 40088858
BT - Epilepsy Behav
C5 - Education & Workforce
DA - May
DO - 10.1016/j.yebeh.2025.110368
DP - NLM
ET - 20250314
JF - Epilepsy Behav
LA - eng
N2 - Mental health comorbidities are highly prevalent and problematic in epilepsy, making it important for neurologists to be equipped to manage their patients' mental health concerns. This article explores the paradigm shift toward integrated mental health care approaches, aiming to educate early-career neurologists on their role within epilepsy care. We focus on depression and anxiety, how they present in epilepsy, and the role of integrated mental health care in managing these comorbidities. Key areas include the neurologist's role in identifying mental health issues through patient discussions and screening tools, and the basics of neurologist-led management. This covers the selection and adjustment of antiseizure medications and the use of psychopharmacology. Additionally, we emphasize the importance of providing psychoeducation and promoting healthy lifestyle choices that support mental well-being. Finally, we discuss the neurologist's role in facilitating referrals to mental health specialists, including information about the role of psychological interventions and psychiatry. This article aims to provide foundational knowledge to encourage early-career neurologists to actively engage in integrated mental health care approaches with their patients. This care can be flexible in how it incorporates different modalities and is tailored to local resources. It does not have to be extensive but should be meaningful enough to identify mental health concerns and facilitate patient access to appropriate resources and care.
PY - 2025
SN - 1525-5050
SP - 110368
ST - Providing integrated mental health care as a neurologist
T1 - Providing integrated mental health care as a neurologist
T2 - Epilepsy Behav
TI - Providing integrated mental health care as a neurologist
U1 - Education & Workforce
U3 - 10.1016/j.yebeh.2025.110368
VL - 166
VO - 1525-5050
Y1 - 2025
ER -