Temporal lobe epilepsy and interictal dysphoric disorder (IDD) are two conditions commonly intertwined, but usually treated by different specialists.To date, IDD is still being studied, and the only available diagnostic tool is clinical presentation.Our patient presented with an aura of autonomic symptoms, as well as interictal paroxysmal irritability followed by impulsive aggressions.In addition, he had a history of a dysfunctional family and personality traits that complicated his treatment and prognosis.He was treated with antiseizure medication and psychotropics and was recommended dialectical behavioral psychotherapy and family therapy, presenting a reduction in episodes.This case aims to emphasize the importance of joint treatment.
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Cázares-Flores et al. (2024) studied this question.
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