Collaborative Care for Anxiety and Depression in Epilepsy

Who May Qualify: - Provision of signed and dated willing to sign a consent form 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 Who Should NOT Join This Trial: - 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 Always talk to your doctor about whether this trial is right for you.