Anxiety and school avoidance in an 8-year-old child with epilepsy

Anxiety is ubiquitous in school age children. Co-occurring medical illness adds to the complexity of identifying pathologic anxiety as opposed to that of typical development such as with social interactions or academic pressures. Anxiety may also occur in the context of cognitive difficulties or ina...

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Main Authors: Jay Salpekar, D. Dilara Ertenu
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Epilepsy & Behavior Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589986424000169
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author Jay Salpekar
D. Dilara Ertenu
author_facet Jay Salpekar
D. Dilara Ertenu
author_sort Jay Salpekar
collection DOAJ
description Anxiety is ubiquitous in school age children. Co-occurring medical illness adds to the complexity of identifying pathologic anxiety as opposed to that of typical development such as with social interactions or academic pressures. Anxiety may also occur in the context of cognitive difficulties or inattention, both of which may be exacerbated by epilepsy or by anti-seizure medicines themselves. Treatment strategies may require patience and long-term observations to account for the typical range of stressors that may be expected with disease progression or with development through childhood. This section illustrates the challenge of diagnosis and management of anxiety in the context of epilepsy in a school aged child and addresses nuances that neurology clinicians need to consider. Practical strategies for management including stepwise options for pharmacologic treatment will be emphasized.
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spelling doaj.art-e3cd7dd3ceb541379451b14e1382090a2024-03-20T06:11:04ZengElsevierEpilepsy & Behavior Reports2589-98642024-01-0126100659Anxiety and school avoidance in an 8-year-old child with epilepsyJay Salpekar0D. Dilara Ertenu1Corresponding author.; Neuropsychiatry Center, Kennedy Krieger Institute, Psychiatry and Neurology, Johns Hopkins University School of Medicine, 1741 Ashland Ave., Baltimore, MD 21205, United StatesNeuropsychiatry Center, Kennedy Krieger Institute, Psychiatry and Neurology, Johns Hopkins University School of Medicine, 1741 Ashland Ave., Baltimore, MD 21205, United StatesAnxiety is ubiquitous in school age children. Co-occurring medical illness adds to the complexity of identifying pathologic anxiety as opposed to that of typical development such as with social interactions or academic pressures. Anxiety may also occur in the context of cognitive difficulties or inattention, both of which may be exacerbated by epilepsy or by anti-seizure medicines themselves. Treatment strategies may require patience and long-term observations to account for the typical range of stressors that may be expected with disease progression or with development through childhood. This section illustrates the challenge of diagnosis and management of anxiety in the context of epilepsy in a school aged child and addresses nuances that neurology clinicians need to consider. Practical strategies for management including stepwise options for pharmacologic treatment will be emphasized.http://www.sciencedirect.com/science/article/pii/S2589986424000169EpilepsyAnxietyDepressionPediatricsTreatmentNeuropsychiatry
spellingShingle Jay Salpekar
D. Dilara Ertenu
Anxiety and school avoidance in an 8-year-old child with epilepsy
Epilepsy & Behavior Reports
Epilepsy
Anxiety
Depression
Pediatrics
Treatment
Neuropsychiatry
title Anxiety and school avoidance in an 8-year-old child with epilepsy
title_full Anxiety and school avoidance in an 8-year-old child with epilepsy
title_fullStr Anxiety and school avoidance in an 8-year-old child with epilepsy
title_full_unstemmed Anxiety and school avoidance in an 8-year-old child with epilepsy
title_short Anxiety and school avoidance in an 8-year-old child with epilepsy
title_sort anxiety and school avoidance in an 8 year old child with epilepsy
topic Epilepsy
Anxiety
Depression
Pediatrics
Treatment
Neuropsychiatry
url http://www.sciencedirect.com/science/article/pii/S2589986424000169
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