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Research, Epilepsy and Psychosis!

By Brenda Marshall posted 07-12-2020 11:09 AM

  

Welcome to the APNA research blog.  I’m Brenda Marshall, a PMHNP  and a university professor – and a life long lover of evidence!  I hope you will join us each month for this blog on research in Psychiatric Nursing.   You might be asking, "Why should we, the psychiatric nurses of America, care so much about research?".  The answer is because it is the only way we can assure our patients/clients receive the best care with the greatest capacity for recovery.  Take for example the subject of seizures and psychosis.  Most people are not aware that between 6-10% of people with epilepsy have postictal psychosis sometime  during the seven days past seizure (Epilepsy foundation) and people with epilepsy are 8Xs more likely to develop schizophrenia than those without epilepsy.   I recall a patient I had who had schizophrenia, but also appeared to be having partial complex seizures.  Persons with schizophrenia are six times more likely to develop epilepsy and the symptoms might be masked as symptoms of their psychiatric diagnosis delaying treatment.  It's hard to get a person with delusions and hallucinations to undergo a 24 or 48 hour EEG, but understanding what medications can be used to decrease seizure activity can help our patients on their way to recovery.  With my patient, I held a journal club and provided three articles on epilepsy in persons with schizophrenia, which started a conversation and eventually led to the patient receiving Lamotrigine and being able to control the seizure activity that was seriously impeding his pathway to recover.  Research matters, curiosity matters – “Knowing” can sometimes be the enemy of “learning”.  Research helps us learn.  Welcome to the APNA research blog!

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