Forced normalization and psychosis
Introduction Epilepsy is associated with a wide range of psychiatric manifestations. Forced normalization occurs when the establishment of improved seizure control in a patient with previous uncontrolled epilepsy leads to the emergence of psychiatric symptoms, which include, among others, psychoti...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821006301/type/journal_article |
| _version_ | 1797616583591329792 |
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| author | M.T. Valadas R. Mota Freitas |
| author_facet | M.T. Valadas R. Mota Freitas |
| author_sort | M.T. Valadas |
| collection | DOAJ |
| description |
Introduction
Epilepsy is associated with a wide range of psychiatric manifestations. Forced normalization occurs when the establishment of improved seizure control in a patient with previous uncontrolled epilepsy leads to the emergence of psychiatric symptoms, which include, among others, psychotic phenomena.
Objectives
We aim to review the literature regarding the phenomenon of forced normalization and its association with psychosis.
Methods
We performed an updated review in the PubMed database using the terms “forced normalization” and “psychosis”. The included articles were selected by title and abstract.
Results
Psychosis is the most common behavioural disturbance in forced normalization, usually manifested as delusions and hallucinations. Forced normalization is more frequent in young female patients with drug‐resistant focal epilepsy. Antiepileptic drug treatment and epilepsy surgery are the most common triggers. Institution of antipsychotics and management of antiepileptic drugs are part of the treatment. Prognosis seems to be better in women, children and patients with generalized epilepsy, among other factors.
Conclusions
Forced normalization is an overlooked entity, the pathophysiology of which remains largely uncertain. The recognition of forced normalization by psychiatrists is crucial for adequate patient treatment including pharmacological management and consultation with a neurologist
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| first_indexed | 2024-03-11T07:42:14Z |
| format | Article |
| id | doaj.art-79e0cd4b3cea4f30a09fd46ec2691730 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:42:14Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-79e0cd4b3cea4f30a09fd46ec26917302023-11-17T05:08:16ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S235S23510.1192/j.eurpsy.2021.630Forced normalization and psychosisM.T. Valadas0R. Mota Freitas1Serviço De Psiquiatria, Unidade Local de Saúde do Baixo Alentejo, Beja, PortugalDepartamento De Psiquiatria E Saúde Mental, Hospital do Espírito Santo de Évora, Évora, Portugal Introduction Epilepsy is associated with a wide range of psychiatric manifestations. Forced normalization occurs when the establishment of improved seizure control in a patient with previous uncontrolled epilepsy leads to the emergence of psychiatric symptoms, which include, among others, psychotic phenomena. Objectives We aim to review the literature regarding the phenomenon of forced normalization and its association with psychosis. Methods We performed an updated review in the PubMed database using the terms “forced normalization” and “psychosis”. The included articles were selected by title and abstract. Results Psychosis is the most common behavioural disturbance in forced normalization, usually manifested as delusions and hallucinations. Forced normalization is more frequent in young female patients with drug‐resistant focal epilepsy. Antiepileptic drug treatment and epilepsy surgery are the most common triggers. Institution of antipsychotics and management of antiepileptic drugs are part of the treatment. Prognosis seems to be better in women, children and patients with generalized epilepsy, among other factors. Conclusions Forced normalization is an overlooked entity, the pathophysiology of which remains largely uncertain. The recognition of forced normalization by psychiatrists is crucial for adequate patient treatment including pharmacological management and consultation with a neurologist https://www.cambridge.org/core/product/identifier/S0924933821006301/type/journal_articlepsychosisEpilepsy |
| spellingShingle | M.T. Valadas R. Mota Freitas Forced normalization and psychosis European Psychiatry psychosis Epilepsy |
| title | Forced normalization and psychosis |
| title_full | Forced normalization and psychosis |
| title_fullStr | Forced normalization and psychosis |
| title_full_unstemmed | Forced normalization and psychosis |
| title_short | Forced normalization and psychosis |
| title_sort | forced normalization and psychosis |
| topic | psychosis Epilepsy |
| url | https://www.cambridge.org/core/product/identifier/S0924933821006301/type/journal_article |
| work_keys_str_mv | AT mtvaladas forcednormalizationandpsychosis AT rmotafreitas forcednormalizationandpsychosis |