Collaborative Care for Anxiety and Depression in Epilepsy

Summary

This is a randomized effectiveness/implementation trial comparing a 24-week neurology-based collaborative care intervention to usual neurology care among 60 adults with epilepsy.

Eligibility

Inclusion Criteria:

* Provision of signed and dated Informed Consent Form
* Stated willingness to comply with all study procedures
* Males and Females; Age \>= 18 years
* \* Diagnosis of epilepsy: Epilepsy diagnosis based on neurology clinician impression or EEG findings
* Anxiety or Depression symptoms
* Receiving clinical neurological care at Atrium Health

Exclusion Criteria:

* Current participation in another treatment of intervention study
* Cognitive limitations precluding completion of Anxiety and Depression self-report instruments on paper, electronically, or by interview
* Comorbid medical condition with life expectancy less than 6 months
* Not a good candidate for collaborative care due to:
* Active ongoing treatment by a psychiatrist
* Active suicidal ideation
* History of past suicide attempt and:
* receiving ongoing psychotherapy OR
* has seen a psychiatrist in the past year
* History of suicide attempt in the past year and:
* currently prescribed 2 or more psychotropic medications for psychiatric indication (not merely as a hypnotic) AND not felt to be a good candidate for collaborative care based on the judgement of the investigators
* Unstable drug or alcohol abuse

For the third Aim (sustainability supplement: intervention only care delivery exploratory study supplement) - the Participants meeting the following criteria may participate

* individuals who meet the above INC-EXC criteria and have completed the Control Arm of a collaborative care research study - NCT05559749 - NCT05353452 or
* individuals who meet the above INC-EXC criteria except rather than having a diagnosis of Epilepsy; they have a diagnosis of functional neurological disorder with seizures

Conditions3

Locations1 site

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