The age of debut of the disease ...

In this age of debut of the disease, some form of childhood epilepsy, the severity and the inefficiency of antiepileptic therapy, serve as indicators of prognosis not only the disease but also the possibilities for achieving full mental functioning. With the debut of epilepsy in adolescence risk of more adverse course of illness is determined not only the greater frequency of such trudnokurabelnyh forms, such as youth absansnaya epilepsy, juvenile myoclonic, epilepsy with generalized seizures of awakening, and others, but also the possibility of subsequent sindromokineza. Thus, the general trends for a number of forms of childhood epilepsy are the incorporation of new types of seizures, both generalized and partial [2,4,5,19,20]. Meanwhile, some modification of the direction of the clinic and of epilepsy in this age depends on a number of socio-psychological influences that are most vulnerable teens. It is a characteristic of this age, socialization problems - difficulties encountered interpersonal relations, dominated by the reactions of protest, the increased claims, sensory, conflict. At frustration of drives at this age can easily develop a dependency syndrome, not only because of the immaturity of the psyche, but also the prevalence immitatsionnyh behaviors, especially in the presence of any cognitive deficits associated with epilepsy. It should be noted that, as in adult patients with epilepsy, a factor of discrimination is the basis of specific sensory those individuals, not by accident teenagers are easily suggestible by their peers, which offer their own ways of spending time. In this regard, increases the risk of substance abuse, drug addiction, gambling and other diseases of addiction. However, an independent mechanism for the type of reactions inferiority in connection with seizures differ from typical adolescent population in general are psychologically understandable reaction to the fact of illness, fear of an attack in the presence of friends on the street, in schools and other public places, as well as compensatory reactions of avoidance, protest or aggression, which underlie the subsequent formation of deviant (antisocial) behavior. Completion of hormonal maturation may yavlyatsya source of psychological problems at the stage of amenorrhea, due to both the disease itself, as well as antiepileptic drugs or other hormonal dysfunction. At this age are often different reactive psychopathological manifestations, type of dysthymia, depression or obsessive-phobic disorders, which complicates the clinic disease (Table 1). In some cases, there is a risk of suicide. All this requires prompt diagnosis and targeted therapy of patients adolescence. The urgency of further study of this problem is dictated by the observed increase in the number of openings of epilepsy in adolescence [1,4,5,17,20]. We have a specialized clinic for patients with epilepsy Moscow Research Institute of Psychiatry, Russian Ministry of Health surveyed a group of patients (54 adolescent and young men), the clinical picture of the disease for which there were comorbid mental disorders.