Forced normalization is the emergence of psychoses following the establishment of seizure control in an uncontrolled epilepsy patient. Two illustrative clinical vignettes are provided about people with epilepsy that was newly controlled and followed by emergence of a psychosis; symptoms appeared only after attaining ictal control. For recognition and differential diagnosis purposes, understanding forced normalization is important in clinical practice.
Keywords: Forced normalization; epilepsy seizures; ictal disorder; ictus; pharmcotherapy medication; psychosis; psychotic; seizure control convulsions; seizure disorder.