Epilepsy is a neurological disorder that can have significant emotional and psychological effects on people and may adversely affect their well-being and quality of life. People with epilepsy are at high risk of developing mental health issues such as depression and anxiety due to a range of factors, including the unpredictability of seizures, the risk of sudden unexpected death, limitations to their autonomy and independence, and the side effects of anti-seizure medicines. However, historical links between epilepsy and psychiatry, alongside persisting stigma, may prevent people with epilepsy from seeking support from mental health services. Furthermore, professionals in both fields may lack the relevant skills and knowledge to support people with epilepsy who have mental health issues. Epilepsy services and mental health services need to work together to provide coordinated care and address the mental health needs of people with epilepsy.