Abstract
AbstractAn increasing body of literature indicates that anticonvulsants are effective psychotropic agents for a selected subgroup of psychiatric patients. Selection criteria for the identification of these patients are sparse, and this lack of specificity has contributed to the controversy regarding the psychotropic efficacy of this class of agents. Up to this point there have been no clear indicators on mental status examination that have been shown to correlate with anticonvulsant responsiveness in psychiatric patients. The present study evaluated psychosensory symptomatology in two groups of chronically stable affectively ill patients, one group on standard psychotropic medications and the other requiring anticonvulsants for stability after failing on standard psychotropic medication regimens. Abnormalities regarding the sensory pathways and suddenness of affective change showed significant differences between the two groups. Evaluation of these areas on mental status examination appears to be clinical...
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