title: FORCED NORMALIZATION: Epilepsy and Psychosis Interaction.
abstract: Forced normalization is the emergence of psychoses following the establishment of seizure control in an uncontrolled epilepsy patient. Two illustrative clinical vignettes are provided about people with epilepsy that was newly controlled and followed by emergence of a psychosis; symptoms appeared only after attaining ictal control. For recognition and differential diagnosis purposes, understanding forced normalization is important in clinical practice.
authors.affiliation: Dr. Loganathan is a resident in the Department of Psychiatry, Allegheny General Hospital, Pittsburgh, Pennsylvania; Dr. Enja is an observer physician in the Department of Psychiatry, University of Louisville, Louisville, Kentucky; and Dr. Lippmann is Professor, Department of Psychiatry, University of Louisville, Louisville, Kentucky.
authors.forename: Muruga A
authors.initials: MA
authors.lastname: Loganathan
authors.affiliation: Dr. Loganathan is a resident in the Department of Psychiatry, Allegheny General Hospital, Pittsburgh, Pennsylvania; Dr. Enja is an observer physician in the Department of Psychiatry, University of Louisville, Louisville, Kentucky; and Dr. Lippmann is Professor, Department of Psychiatry, University of Louisville, Louisville, Kentucky.
authors.forename: Manasa
authors.initials: M
authors.lastname: Enja
authors.affiliation: Dr. Loganathan is a resident in the Department of Psychiatry, Allegheny General Hospital, Pittsburgh, Pennsylvania; Dr. Enja is an observer physician in the Department of Psychiatry, University of Louisville, Louisville, Kentucky; and Dr. Lippmann is Professor, Department of Psychiatry, University of Louisville, Louisville, Kentucky.
authors.forename: Steven
authors.initials: S
authors.lastname: Lippmann
keywords: Forced normalization; epilepsy seizures; ictal disorder; ictus; pharmcotherapy medication; psychosis; psychotic; seizure control convulsions; seizure disorder