Does epilepsy require both mental health care and epileptic care?
Epilepsy, which requires complex care, can be further complicated by comorbid mental illness. Evidence indicates deficiencies exist in the care received for both epilepsy-related care and for mental health care in people with epilepsy. Evidence indicates there are deficiencies in both these areas for people with epilepsy.
Is there a second treatment gap between epilepsy and mental health?
We estimate, conservatively, that 40% of California adults with epilepsy and psychological distress do not receive mental health care, indicative of a second treatment gap. Population-based studies clearly demonstrate that people with epilepsy have more mental disorders than the general population (17-19).
Do adults with active epilepsy take psychotropic drugs for mental health care?
After adjustment for age, sex, and medical comorbidities, adults with active epilepsy with current seizures were more likely to have taken a psychotropic drug for mental health care in the past 12 months than were those without a history of epilepsy ( Table 2 ).
How do neurologists help patients and their families cope with epilepsy?
And the first thing that we as neurologists, epileptologists or clinicians have to help patients and family members deal with is the acceptance of the predictability of life has been lost. And that is super difficult often for patients and family to cope with in the beginning.
Is it hard to get accepted into EPIK?
Here is the honest truth: the program is very competitive. We cannot tell anyone with confidence that they'll be accepted onto the Korea program ahead of applying, no matter what their qualifications may be. You will have to pass two interview rounds before we can say with confidence you'll be going to Korea.
How long does it take to hear back from EPIK?
This process can take anywhere from 3-8 weeks depending on the time of year. Participants in the past who have waited until after their interview with EPIK to start this process have not been able to go because their background checks didn't come back in time.
How do you ace the EPIK interview?
1:4913:1110 EPIK INTERVIEW QUESTIONS & ANSWERS + TIPS | 2021 - YouTubeYouTubeStart of suggested clipEnd of suggested clipJust be yourself the second thing that i think is important when preparing for this interview beMoreJust be yourself the second thing that i think is important when preparing for this interview be confident in knowing what company you are interested. And trying to be hired.
Is it too late to apply for EPIK?
Start With EPIK Program – late Aug There are also late fall intake positions in September or October. Applications for EPIK Fall 2022 intake began in mid-February, 2022.
How many times can you apply for EPIK?
EPIK application is processed Online You have to create an account to start the application. You must be precise since you can submit only one application per term (Multiple submissions will not be considered).
When is the best time to apply to EPIK?
You can apply for the spring intake which starts in March (application opens in August) or fall intake which starts around August (application in February). As far as open positions, the spring intake generally has more openings as it's the beginning of the year.
Can I save my EPIK application?
That being said it is worth it! Because even if you don't get a position at a public school you can save your application and reapply again without having to fill it out again (maybe some minor edits). Bonus what you turn in for EPIK will be more than enough for the private schools.
When does EPIK close?
A: We do not have a set application deadline for any given term. Depending on the number of positions and the number of applications received, the closing date can vary from term to term.
How long is the EPIK program?
one yearThe contract length is for one year (52 weeks). EPIK teachers may renew their contract with mutual written agreement between the school, MOE/POE and the EPIK teacher.
How long is EPIK interview?
between 20 and 45 minutesYou can expect the interview to last between 20 and 45 minutes. If the interview does not start at the agreed time do not leave your PC. EPIK conducts dozens of interviews every day and sometimes run behind schedule. On occasion your interview may start 5 to as much as 20 minutes later than scheduled.
How much do EPIK teachers make?
The average teacher salary with the EPIK (English Program in Korea) program is $1,450 - 2,180 (1.8 - 2.7 million KRW). The EPIK program places teachers all over Korea, with the exception of Seoul and Gyeonggi province, making EPIK the largest employer for English teachers in Korea.
What are the symptoms of an epileptic attack?
A person who has an epileptic attack for the first time may experience: Shock, fear, grief or denial. Fear of having an attack at school, work or in social situations. Fear of being sent away from their place of education or work. These fears can cause distress to their caregivers too.
How to deal with a mental illness?
Coping with the mental health aspects 1 Accept the disorder and believe that continuing medication and treatment as per your doctor's prescription will help you in the long run 2 Participate in sports or some form of physical activity to keep yourself fit and occupied. But avoid activities such as swimming, driving, motor racing or rock climbing, where your life may be at risk should you have an attack 3 Get sufficient sleep. Avoid or limit alcohol 4 Find ways of coping with emotional distress 5 Take your medication regularly
How does epilepsy affect people?
Epilepsy is a neurological disorder of the brain in which a person has recurrent seizures. While the disorder can be managed with treatment and medication, the person also experiences social distress. "Nearly 80% of people with epilepsy receive treatment and medication and almost all of them get relief from seizures in the long run. About 20% of them are affected by other issues such as mental retardation, cerebral palsy or some form of brain injury," says Dr HV Srinivas, a neurologist based in Bangalore.
What are the consequences of epilepsy?
A person with epilepsy may experience poor self-esteem and increased levels of anxiety and depression. A person who has an epileptic attack for the first time may experience: Shock, fear, grief or denial.
Is epilepsy a mental illness?
Often, people know very little about epilepsy or misunderstand the diagnos is to be a mental illness that is untreatable. Experts suggest some simple steps that can help the person and their family cope with the distress resulting from epilepsy. Accept the disorder and believe that continuing medication and treatment as per your doctor's ...
What is the gap in epilepsy care?
The gap in epilepsy care is the difference between having everyone with active epilepsy see a neurologist or epilepsy specialist and the actual percentage who reported seeing such a physician. We found that approximately 27% of adult Californians with epilepsy and recent seizures had not seen a neurologist or epilepsy specialist in 12 months, a finding similar to those of other population-based studies. In the 2004 HealthStyles Survey, only 36% of respondents with self-reported epilepsy had seen a neurologist or epileptologist in the past 12 months (10); the 2005 Behavioral Risk Factor Surveillance System survey found that 16% of adults with epilepsy and recent seizures were not taking medicine to control their seizures, and 35% had not seen a neurologist or epileptologist in the past year (7).
How common is epilepsy in the US?
Epilepsy, a chronic neurological disorder, affects approximately 2 million Americans and is more common than autism, cerebral palsy, multiple sclerosis, and Parkinson disease combined (1). The likelihood of premature death increases with some types of epilepsy, especially if seizures are not well controlled (2). The risk for suicide among people with epilepsy is 5 times the rate of the national population, reflecting the burden of untreated mental illness in this population (3-5). People with epilepsy require complex care but often face barriers accessing quality treatment, which hinder care and increase health disparities (6-8). US population-based studies indicate that up to 36% of adults with epilepsy had not seen a neurologist or epileptologist in the past year, and as many as 26% of people with recent seizures did not take medicine to control seizures (7,9,10). Healthy People 2020, a set of national objectives to improve population health in the United States, includes a goal of increasing the proportion of people with epilepsy and uncontrolled seizures who receive appropriate medical care (11).
Why is a nurse upset by a request to disclose psychiatric care history?
An RN submitted a question about needing to apply for a license in another state because, as a case manager, her employer requires all RNs to have licenses in the states in which they provide case management.
Can a treatment facility share information?
As a result, a treatment facility, for example, cannot share any information about your treatment, such as its outcome or if you are still under treatment, unless you give that facility consent to share that information.
Is a person's psychiatric history confidential?
First and foremost, it is important to point out that, generally, a person’s psychiatric history is confidential. States and the federal government assure this with legislative statutes, such as mental health confidentiality laws and through HIPAA provisions. As a result, a treatment facility, for example, cannot share any information about your ...
What did ancient doctors believe about the mentally ill?
Thousands of years ago, having no knowledge of things like brain chemistry, ancient doctors (a loose definition, for lack of a better term) believed that the mentally ill were possessed by demons hanging around in our heads.
What did psychiatrists use to treat mental illness?
In the early 20th century, psychiatrists used a variety of water treatments to treat patients with mental disorders. Some were harmless enough, like warm baths or an invigorating shower. Some treatments, however, bordered on Cheney-esque waterboarding.
What is the best cure for mental illness?
8. Lobotomy. And finally, we have everybody’s favorite mental illness cure, the lobotomy. The lobotomy was developed by a Portuguese neurosurgeon named Egas Moniz. He had heard that when the frontal lobe of a violent, feces-throwing monkey was cut away, the monkey became docile and quit slinging the shit.
What is the practice of trepanation?
Trepanation is boring a hole in your skull. As far back as the Neolithic era, some 7000 years ago, and as recently as today for a small number of strange and misguided folks, the practice of trepanation has been used to “cure” mental illness.
How many people are affected by mental illness?
It is widespread and debilitating and it can kill. According to the National Alliance on Mental Illness, 1 in 17 Americans, including children, are dealing with serious mental illnesses like depression, bipolar disorder, schizophrenia, obsessive-compulsive disorder, and post-traumatic stress disorder. That’s 6% of the population, almost 2 million ...
How many children suffer from mental illness?
The U.S. Surgeon General reported that 1 in 10 children suffer some form of mental illness, disrupting home and school lives around them. Mental illness is responsible for 4 out of every 10 cases of disability in the country.
Why did Erasmus use rotational therapy?
Benjamin Rush, one of America’s Founding Fathers and signatory to the Declaration of Independence, adopted his rotational therapy for the purposes of curing mental illness.
What is the main task of recovering from mental illness?
The major task then in recovering from mental illness is to regain social roles and identities which are recognized as valid by oneself and the people in one¹s community. This may mean getting a job, being a volunteer, or becoming a student.
Where is emotional healing on the recovery diagram?
This we call the process of emotional healing and appears in the lower right side of the recovery diagram. Some people¹s losses may be greater and/or their inner resources more limited. Instead of healing, those people may enter into a state of severe emotional distress seen at the top of the diagram.
Is mental illness a Western phenomenon?
In addition, cross cultural and historical studies indicate that chronic mental illness is recent phenomenon of Westernized countries. Recent studies by the World Health Organization show that the rate of recovery from severe mental illness is much better in third world countries than in Western industrialized countries.
Can people recover from schizophrenia?
Research carried out at the National Empowerment Center has shown that people can fully recover from even the most severe forms of mental illness. In-depth interviews of people diagnosed with schizophrenia have shown that these people are capable of regaining significant roles in society and of running their own lives.
Is the Far Side of Madness a state of social withdrawal?
John Weir Perry has written of in The Far Side of Madness. There may be a state of social withdrawal. Their thoughts become more personalized.
Do mental patients go through emotional healing?
After people have recovered from mental illness they still go through the emotional healing that everyone else is involved in.
Why is ECT used?
Understandably, people benefiting from ECT want normalcy without the label of mental illness. ECT is often used in critical situations in an effort to avoid suicide. I know from personal experience. After three suicide attempts, ECT provided a quick and clear path out of my depression.
Does ECT have a lifetime guarantee?
Health does not come with a lifetime guarantee. As with any major medical procedure, patients must compare risks to benefits, then decide if the upside outweighs the risks. ConnECT group films a piece about their experience with ECT. Some who consider ECT worry about memory loss.
Is ECT good for depression?
For those who are profoundly depressed, the medical community often cites ECT as the gold standard, with a high remission of symptoms, far better than antidepressants alone.
Does ECT cause brain damage?
When ECT is properly administered, brain damage does not occur. In fact, research has shown that ECT increases brain-derived neurotrophic factor, which stimulates brain cell growth.
Does ECT work temporarily?
Some argue that ECT only works temporarily, the high relapse rate invalidating the procedure. Sackeim et. al. reported in the Journal of American Medical Association in 2001 that 61% of the patients treated with a combination of medication and ECT were in remission at 6 months.
What is the lie of mental illness?
The decades-old medical model of mental health says that “you” and “I” are unrelated, and that if a health expert diagnoses “you” with a mental illness—as being “mentally ill”—that has nothing to do with “me.”. One of us is well, the other unwell. Biology is the culprit, this model says;
Who is Lawrence Kelmenson?
Lawrence Kelmenson, MD, a psychiatrist, begins one such recent article by writing that, “As modern psychiatry grows larger and larger, it becomes hungrier and hungrier for more clients. Its formula is to invent fake ‘illnesses’ that everyone meets criteria for, and to lure people to seek fake ‘cures’ that really make them permanently ‘ill.’. ...
Is the DSM-5 a disaster?
The DSM-5 promises to be a disaster . . . it will introduce many new and unproven diagnoses that will medicalize normality and result in a glut of unnecessary and harmful drug prescription . . .”. Our conversations, I fear, are already being reshaped by the “new normalcy” of mental illness. People seem less and less inclined to ask ...
What is the first step in a psychotherapy session?
The first step is typically an interview, or assessment, in which the therapist will ask about the person’s moods, thoughts, feelings, key behaviors, and any recent changes they have experienced. They will also ask how long this has lasted.
How common is mental health?
Concerns about mental health are very common, with 1 in 5 adults in the United States experiencing a diagnosable condition each year. In general, the time to seek help is when emotional or mental challenges start to interfere with someone’s daily life on a regular basis.
What does it mean when you feel emotionally detached?
Other conditions. Feeling emotionally detached can be a symptom of another mental health condition, including: Post-traumatic stress disorder (PTSD): According to the National Institute of Mental Health, feeling emotionally numb can occur with PTSD. Depression: People can experience depression differently.
What is emotional detachment?
Emotional detachment is a psychological condition in which a person is not able to fully engage with their feelings or the feelings of others.
What are the symptoms of disinhibited social engagement disorder?
Symptoms of disinhibited social engagement disorder in a child include: being overly friendly with people they do not know. walking up to strangers and perhaps hugging them. allowing strangers to pick them up.
Is it good to not be emotionally detached?
Whether or not being emotionally detached can be beneficial depends on the cause and scenario. If it is due to a mental health condition, or if it is affecting a person’s ability to maintain relationships or other aspects of their daily life, a person should seek treatment.
Can disconnecting from one's feelings be helpful?
However, being able to disconnect from one’s feelings may be helpful for people experiencing stressful situations. This article discusses the signs and symptoms, as well as the potential causes, of emotional detachment.
Abstract
- Introduction Epilepsy, which requires complex care, can be further complicated by comorbid mental illness. Evidence indicates deficiencies exist in the care received for both epilepsy-related care and for mental health care in people with epilepsy. Evidence indicates there are deficiencies in both these areas for people with epilepsy. Our objective was to evaluate treatment gaps in epi…
Introduction
- Epilepsy, a chronic neurological disorder, affects approximately 2 million Americans and is more common than autism, cerebral palsy, multiple sclerosis, and Parkinson disease combined (1). The likelihood of premature death increases with some types of epilepsy, especially if seizures are not well controlled (2). The risk for suicide among people with epilepsy is 5 times the rate of the nati…
Methods
- CHIS is a geographically stratified, 2-stage telephone survey that has been conducted every other year since 2001. The data are cross-sectional. The first stage draws a sample of telephone numbers using a list-assisted random-digit–dial method; in the second stage, 1 adult (aged 18 or older) is randomly selected among all adults in the household as the respondent. The methods a…
Results
- Characteristics
Results from the 2005 CHIS (12,17) indicated that adults with a history of epilepsy were less likely to be married and less likely to have obtained a college or graduate degree than adults without a history of epilepsy. Significantly more respondents with a history of epilepsy had a physical disa… - Access to care and epilepsy-related activity limitations
Most adults in this survey (82%) had seen a physician in the past 12 months (Table 1). Compared with adults with inactive epilepsy, adults with active epilepsy were more likely to have seen a neurologist or epilepsy specialist in the past 12 months. Even so, an estimated 27% of those rep…
Discussion
- The gap in epilepsy care is the difference between having everyone with active epilepsy see a neurologist or epilepsy specialist and the actual percentage who reported seeing such a physician. We found that approximately 27% of adult Californians with epilepsy and recent seizures had not seen a neurologist or epilepsy specialist in 12 months, a finding similar to thos…
Acknowledgments
- We thank Dr David J. Thurman for his helpful review and thoughtful comments. During part of this project, Dr Thompson was supported by National Research Service Award grant no. T32 MH020021. Top of Page
Author Information
- Corresponding Author: Alexander W. Thompson, MD, MBA, MPH, Behavioral Health Services, Group Health Cooperative, Metropolitan Park East, 1730 Minor Ave, Ste 1400, Seattle, WA 98101. Telephone: 206-287-2500. E-mail: [email protected]. Through the course of this work, Dr Thompson has been affiliated with the University of Washington, Department of Psychiatry and …
References
- Hirtz D, Thurman DJ, Gwinn-Hardy K, Mohamed M, Chaudhuri AR, Zalutsky R. How common are the “common” neurologic disorders?Neurology 2007;68(5):326-37.
- Tomson T, Walczak T, Sillanpaa M, Sander JW. Sudden unexpected death in epilepsy: a review of incidence and risk factors.Epilepsia 2005;46(Suppl 11):54-61.
- Rafnsson V, Olafsson E, Hauser WA, Gudmundsson G. Cause-specific mortality in adults wit…
- Hirtz D, Thurman DJ, Gwinn-Hardy K, Mohamed M, Chaudhuri AR, Zalutsky R. How common are the “common” neurologic disorders?Neurology 2007;68(5):326-37.
- Tomson T, Walczak T, Sillanpaa M, Sander JW. Sudden unexpected death in epilepsy: a review of incidence and risk factors.Epilepsia 2005;46(Suppl 11):54-61.
- Rafnsson V, Olafsson E, Hauser WA, Gudmundsson G. Cause-specific mortality in adults with unprovoked seizures. A population-based incidence cohort study.Neuroepidemiology 2001;20(4):232-6.
- Wiegartz P, Seidenberg M, Woodard A, Gidal B, Hermann B. Co-morbid psychiatric disorder in chronic epilepsy: recognition and etiology of depression.Neurology 1999;53(5 Suppl 2):S3-8.
Tables
- Abbreviation: NA, not applicable. a Values presented are % (95% confidence interval) unless otherwise indicated. b Adjusted for age, sex, self-reported doctor-diagnosed asthma, diabetes, high blood pressure, heart disease, stroke, and cancer; the comparison looks at the response to the survey question across epilepsy status. For example, with the first question, the adjusted od…