Epilepsy can get depression, but not all epilepsy patients will have depression. Epilepsy causes patients to have depression in the following two ways: First, patients with epilepsy have this disease, psychological stress, overthinking, and if epilepsy is poorly controlled and recurrent seizures affect the patient’s normal work, study and life, and have an impact on future family and work, patients are often depressed due to excessive psychological stress leading to poor mood and depression; Second, epilepsy can lead to pathological changes in the brain, and repeated The repeated convulsions will lead to ischemia and hypoxia in the brain, and abnormalities in the physiological structure may also lead to neurotransmitter disorders, causing the onset of depression. In either case, antidepressant treatment can be administered. The anxiety-depression scale score is first perfected to determine the patient’s need for treatment before using antidepressants.