Epilepsy and Psychosis - A Myth - Revealing the Facts about this Potential Vicious Cycle of Overlapping Territories with Reciprocal Relationship Which is Potentially or, Reversible and Possibility of Breakthrough - If Either of the Other Could be Stopped and Would a Dream Comes True in Reality for these Unfortunate People for The Challenges Faced by Them: Clinical Study in a Tertiary Center

Background: the interplay between epilepsy and psychosis exemplifies a reciprocal relationship, where our comprehension of the brain is elucidated through its psychological manifestations, encompassing behavior and cognition. Conversely, insights into behavior and cognition offer valuable understanding of brain function. This bidirectional exchange forms the fundamental premise of neuropsychology, emphasizing how disturbances within the brain can yield predictable effects on its functions and outputs. Furthermore, the intricate connection between disrupted cognition, behavior, and brain function underscores the clinical significance of neuropsychology, even in its most scholarly pursuits. Notably, the pioneers of neuropsychology were predominantly clinicians whose expertise closely mirrored that of contemporary neuropsychiatrists, highlighting the clinical roots of this interdisciplinary field. Aim and Objective of the Study: Our study aimed to delineate between psychosis and epilepsy with psychiatric symptoms, facilitating prompt diagnosis for early interventions and improved patient outcomes. Investigating the neuropsychological states and their association with seizures or seizure -related psychological features was the primary focus of our inquiry. Methodology: Conducted as a prospective cross -sectional study over three years, our research involved a sample of 2000 patients from the Departments of Neurology and Psychiatry in Tirunelveli. By analyzing patient data and clinical presentations, we sought to identify patterns and correlations between epilepsy, psychosis, and associated neuropsychological states. Conclusion: Our findings revealed that approximately 33% of patients presented with epileptic psychoses, encompassing pre -ictal, ictal, and post -ictal manifestations. The multifaceted nature of epilepsy underscores its relevance to both psychiatry and neurology, with some aspects bridging the gap between these disciplines. Seizures can manifest in various forms, from classic motor convulsions to complex behavioral and subjective experiences, highlighting the complexity of their neurological and psychological implications.