Epilepsy Versus Psychotic Depression in an Adolescent: A Case Report

Authors

  • Rakshita Satish Senior Resident, Department of Psychiatry,Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal,Karnataka https://orcid.org/0009-0005-9846-1896
  • Divya R Nair Assistant Professor, Department of Psychiatry, Father Muller Medical College, Mangalore, Karnataka https://orcid.org/0009-0000-4813-9210
  • Supriya Hegde Aroor Professor and Head of Department, Department of Psychiatry, Father Muller Medical College, Mangalore, Karnataka
  • Rahul M Rao Assistant Professor, Department of Psychiatry, Father Muller Medical College, Mangalore, Karnataka
  • Gale Crasta Assistant Professor, Department of Psychiatry, Father Muller Medical College, Mangalore, Karnataka
  • Clinton Castelino Senior Resident, Department of Psychiatry, Father Muller Medical College, Mangalore, Karnataka https://orcid.org/0009-0000-2583-2426

DOI:

https://doi.org/10.30834/KJP.38.1.2025.501

Keywords:

Depression, Epilepsy, Psychosis, Antidepressants, Antipsychotics

Abstract

Epilepsy has often been linked with multiple psychiatric symptoms. Psychotic symptoms are often seen in pre-ictal, interictal, and post-ictal periods. Differentiating between neurological and psychiatric disorders in adolescents poses significant diagnostic challenges due to overlapping clinical features. We present the case of a 15-year-old boy who exhibited depressive symptoms, seizures, and psychotic symptoms, raising concerns both for epilepsy and psychotic depression. This led to an interplay between the symptoms of these two disorders. While treating one condition often complicates the other, such cases require efficient multidisciplinary care between neurology and psychiatry. This case highlights the complexity of diagnosis considerations in adolescent neuropsychiatry and underscores the importance of interdisciplinary collaborations for accurate diagnosis and management.

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Published

02-06-2025

How to Cite

Rakshita Satish, Divya R Nair, Supriya Hegde Aroor, Rahul M Rao, Gale Crasta, and Clinton Castelino. “Epilepsy Versus Psychotic Depression in an Adolescent: A Case Report”. Kerala Journal of Psychiatry, vol. 38, no. 1, June 2025, pp. 65-69, doi:10.30834/KJP.38.1.2025.501.

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Section

Case Report