Mental disorders in epilepsy

In addition to a variety of paroxysmal-convulsive disorders, epilepsy peculiar mental disorders manifested by changes in the entire structure of the personality of the sick, and various psychotic States.
Personality changes with epilepsy characterized by irritability, fault-finding, inclination to quarrel, outbursts of rage, accompanied often dangerous aggressive actions.
Along with these explosive features of epilepsy there are also diametrically opposite qualities of character - the shyness and timidity, the propensity to Somoniyen deliberately exaggerated courtesy, reaching to llevaste and subservience, the excessive reverence and affection in circulation. The mood of patients subject to frequent fluctuations - from sullenly-low with a sense of irritation, resentment and hopelessness to value-careless or just a few instituted without noticeable gaiety. So changeable and intellectual abilities of patients with epilepsy. They complain about the sluggishness of thought, inability to focus, reduced efficiency, or, on the contrary, become too active, talkative, capable of performing the work, which until recently seemed to them invincible. Intermittency of psychic phenomena in the sphere of mood and mental abilities is one of the most important traits in the character of patients with epilepsy. Epilepsy patients inherent slowness and stiffness of thought processes ("heaviness of thinking", in the words of P. B. Gannushkina). This is manifested in thoroughness and verbosity of their speech, and the inclination to talk to detail, jam on insignificant and the inability to allocate the main thing, the difficulties of transition from one circle of view to another. Characterized by poverty of speech, the frequent repetition of already mentioned, the use of template florid turns of diminutive, definitions, containing affective evaluation - "the good, the beautiful, the bad, and the ugly", as well as words and expressions of a religious nature (so-called divine nomenclature). Speech patients with epilepsy is melodious in nature. Self epilepsy patients pay special attention. Therefore, at the forefront of their interests and statements always worth the personality of the patient and the disease, as well as relatives, about which the patient says underlined reverence and praise at every opportunity. People with epilepsy are always advocates of truth, justice, order, especially when it comes to the everyday trifles. Characterized by their love of treatment, the belief in the possibility of recovery, optimistic attitude towards the future (epileptic optimism).
When these symptoms are expressed only partially blurred and there is no disorder patients to normal life conditions, talk about the epileptic nature. A clear their manifestation, followed by varying in depth changes in memory, allows to speak about the presence of epileptic dementia. The rate of increase of personality changes, and changes in the memory depends on many factors, including the duration of the disease itself, the nature of paroxysmal disorders and their frequency.
Against the background described changes of personality in some cases in connection with pripotocni States (before or after the onset of them), in other without visible external causes epilepsy deployed a variety of psychotic disorders. They are characterized by the following common features: as a rule, the suddenness of the beginning and the end, the similarity of the clinical picture (on the type of "cliches"), short duration or tranzithornoe (from several minutes to several days).