This typically occurs, with a brief delay, after an exacerbation of seizures. Benzodiazepines are effective in controlling the psychosis in many cases, and it is possible that the psychotic manifestations relate to ongoing seizure activity (in effect status) in limbic structures. During the psychotic episode, lorazepam is the drug of choice, and is sometimes sufficient alone. In other cases, antipsychotic drugs are needed. Patients with postictal psychosis can show violent, aggressive or destructive behaviour, and admission to hospital is needed. After repeated episodes of postictal psychosis, some individuals develop a more chronic interictal psychotic state.
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