Lesson: Epilepsy comorbidity with mental illness(Vinhean)

Objective: Student be able to recognize symptoms of epilepsy associated with mental health problem and be able know the proper treatment. Senario 19-A 19 years old boy, stopped study at grade 6, accompanied by his mother because of convulsion 1- 2times/ months and followed by unconscious for 5-6 minutes. He told the therapist that he felt uncomforted before the convulsion. He had convulsion for nearly 5 years. In the previous 6 months, he changed behavior such as irritable, destroyed things, cried without any reason and sometimes he spoke to himself. He has no history of head trauma. 1- What is the main psychiatric symptom should be considered?
A- Guilty symptoms
B- Hallucination
C- Euphoric symptoms
D- Anxiety symptoms
2- What is the main symptom of convulsion could be considered?
A- Partial seizure
B- General seizure
C- Anxiety attack
D- Absence seizure
3- What is the mental health disorder comorbidity with convulsion symptoms of this patient?
A- Convulsion with Panic disorder
B- Convulsion with Anxiety disorder
C- Convulsion with depressive disorder
D- Convulsion with Psychotic disorder
4- What is the following medication should be given to this patient?
A- Valproate acid with antipsychotic
B- Valproate acid with antidepressant
C- Valproate acid with Anxiolytic
D- Valproate acid with Benzodiazepine
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