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The prevalence of various forms of anxiety is very high among epilepsy patients, ranging from 19% to 60% (Jones et al, 2005). The types of disorders with increased incidence in epilepsy patients include panic disorder, generalized anxiety disorder, phobias and obsessive compulsive disorders (Beyenburg et al, 2005). Not surprisingly, focal epilepsies, especially those associated with the temporal lobe, have a stronger association than other seizure types. The effects of anxiety on quality of life are substantial and separate from the effects of depression (Cramer et al, 2005) . Cognitive and behavioral therapy can be helpful. Medication treatment decisions are often complicated by concerns about drug interactions, as well as the possibility of reducing seizure threshold.

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