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Coventry and Warwickshire NHS Trust Clifford Bridge Road, Coventry UK

We report on a 36 years old male who developed symptoms of depression and non specific psychotic symptoms. The initial diagnosis was considered depression with psychosis. However, clouding of consciousness and fluctuation in symptoms led us to investigate an organic explanation for the presentation. Collateral history revealed past history of epilepsy and EEG report indicated temporal lobe epilepsy. His symptoms were well controlled with Carbamazepine. This report suggests that temporal lobe epilepsy should be considered as the differential diagnosis when patients frequently present with non specific psychotic symptoms, depressive symptoms fluctuations in symptoms and conscious levels.

Article: Case Report

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