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Mind Matters: Navigating Epilepsy and Mental Health, Part IV


Managing epilepsy involves a combination of medical treatment, lifestyle modifications, mental health treatment, and other self-care strategies. Below are some key steps to effectively manage epilepsy, but this list is not all-inclusive:

  1. Consult with a healthcare provider--It is important for individuals with epilepsy to work closely with a healthcare provider, such as a neurologist or epileptologist, to develop a personalized treatment plan. This may include medications to control seizures, regular monitoring of symptoms, and adjustments to treatment as needed.

  2. Take medications as prescribed--It is crucial to take anti-convulsant medications as prescribed by a healthcare provider. Skipping doses or stopping medication abruptly can increase the risk of seizures.

  3. Maintain a healthy lifestyle--Eating a balanced diet, getting regular exercise, staying hydrated, and getting an adequate amount of sleep can help to improve overall health and well-being, and may also help to reduce the frequency of seizures.

  4. Identify and avoid triggers--Keeping track of potential seizure triggers, such as stress, lack of sleep, or certain foods, can help individuals, caregivers, and healthcare providers respond effectively and quickly if a seizure occurs.

  5. Seek support--Joining a support group, connecting with others who have epilepsy, and seeking counseling can provide emotional support and help individuals cope with the challenges of living with epilepsy.

  6. Educate others--Educating family members, friends, coworkers, and others in the community about epilepsy can help reduce stigma, increase awareness, and create a supportive environment for individuals with epilepsy.

By following these strategies and working closely with healthcare providers, individuals with epilepsy can effectively manage their condition, reduce the frequency and severity of seizures, and improve their quality of life.


Epilepsy can also have a significant impact on daily life in various ways, depending on the frequency and severity of seizures, as well as individual circumstances. For instance, there are safety concerns. Seizures can occur unexpectedly and may pose safety risks, such as the potential for injury during a seizure or limitations on activities like driving or swimming. When my son began having seizures at age 19, the first episode was sudden, as were many of the incidents that followed. We didn't know what to look for and he wasn't familiar with a particular aura prior to a seizure. There were injuries and broke furniture that resulted from this, as well as emotional trauma for those unfamiliar with seizure disorders.

Further, there are challenges socially and interpersonally. Stigma and misconceptions about epilepsy can lead to social isolation, discrimination, and difficulties in relationships with family, friends, and coworkers. I was in line at a buffet one time and the attendant behind the buffet had a sudden seizure. As he fell to the ground, his coworkers scattered, some standing at a distance, shocked and immobilized; others, crossed themselves and left the scene all together. I jumped behind the buffed, turned the individual onto his side, made sure his head was safe, and directed his managers in next steps as he recovered. My own son has experienced discrimination from coworkers and others who do not understand his seizure disorder, the side effects of medications, and the impact his epilepsy has had on his mental health.

Another area if impact is employment and education. Seizures may affect an individual's ability to work or attend school regularly, leading to challenges in maintaining employment or academic performance. Fortunately, there are programs like FMLA in certain workplaces and students can seek accommodation by speaking with their professors, teachers, and student affairs offices. Our son has faced all of these challenges, and while it is hurtful, our family has always supported him and encouraged him. Living with epilepsy can cause emotional distress, anxiety, depression, and feelings of uncertainty about the future. When our son was initially diagnosed, he made a decision to never marry. In his young mind, he wanted to prevent secondary trauma to another; he felt that he would be a burden to another person. Through the wise counsel of his healthcare provider and support from his family, that decision was altered and he has gone on to live a fulfilling life that includes a wife and two children.

Additionally, an individual with epilepsy faces lifestyle restrictions. They may have to make modifications, such as avoiding certain triggers, adhering to medication schedules, and adjusting daily routines to manage their condition effectively. For our son, it was a matter of ensuring an adequate amount of sleep every night, that he had the tools to manage stress, and that he maintained medication dosing. For some, there are also financial implications and this can be daunting. The costs associated with medical treatment, medications, and potential limitations on employment can impact an individual's financial well-being. However, there are organizations out there that will help and for us, that was The Epilepsy Foundation. We will talk about some other resources later in this series.

Lastly, the effect to independence can be discouraging. Seizures can affect an individual's independence and ability to engage in daily activities without assistance or supervision. This was difficult for our son at 19. He was a man but he had to depend on us those first few years for financial help, physical help, and help in other areas. He resented the condition and at times, us, for the limitations this placed on his independence. As he learned more about his condition however, his independence grew. Individuals with epilepsy never live completely independent lives, but they can achieve personal autonomy and this is meaningful to them. Despite these challenges, with proper management and support, many individuals with epilepsy are able to lead fulfilling and productive lives. it is important for individuals with epilepsy to work closely with healthcare providers, seek support from loved ones and community resources, ad prioritize self-care to effectively manage their condition and minimize the impact on daily life.

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