Depending on your type of epilepsy, frequency and predictability of seizures, you may have to make adjustments to your present lifestyle. It is important not to become obsessed by them. Many people miss out on wonderful life experiences by restricting their lifestyle unnecessarily. With some forward planning you can do whatever you want to and enjoy it. Epilepsy will have an impact on your life, but you can minimize that impact by recognizing those issues that affect you and managing them in a positive way.
Epilepsy shouldnt stop you from having the occasional beer or two or a glass of wine with dinner. Most people with epilepsy can drink a moderate amount of alcohol. Moderate drinking means having 2 standard drinks a day.
A standard drink is equal to:
Be aware of the quantity of alcohol you drink and don't let anyone persuade you to drink more. Alcohol and antiepileptic medications interact in specific ways. AEDs can make you more sensitive to the sedating effects of alcohol while alcohol reduces the effectiveness of AEDs making seizures more likely. Excessive drinking can result in poor seizure control due to late nights, missed meals, or forgotten doses, while 'hangover' seizures are likely to occur as the alcohol level in the blood falls.
Excessive drinking can result in:
However some people find that even small amounts of alcohol can trigger seizures. Ask your doctor about the effects of drinking alcohol with the medication you have been prescribed.
Source: Epifile: an epilepsy management manual. Epilepsy Australia. 2nd Edition. 2004.
Epilepsy and alcohol The Epilepsy Report, Issue 2, 2008. An informative article by Mark Francis, Services Manager, The Epilepsy Centre, South Australia.
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A diagnosis of epilepsy can sometimes mean you have to change your career. In some cases, you can stay in the industry and retrain for another area, while in other cases, you may have to abandon your chosen field altogether. The loss of your job or career can make your diagnosis harder to bear. Contact your Epilepsy Australia Affiliate to speak to an epilepsy counsellor during this stressful time for advice on employment options.
If you have epilepsy, you will be able to hold a drivers licence or a learners permit as long as your seizures are well controlled. National guidelines have been developed by epilepsy specialists to assist with the assessment of applications from people with epilepsy. These guidelines are intended to protect your safety and the safety of the community. Each application is considered individually. The period that you must be seizure free before driving depends upon your type of epilepsy and the circumstances surrounding any recent seizure you might have had. For up-to-date driving regulations contact the licensing authority in your state or territory.
Skills, abilities, qualifications and experience are the qualities that employers are most important to any potential employer. Your epilepsy is only relevant if you have seizures that are likely to interfere with your ability to do your job.
The Disability Discrimination Act 1992 makes disability discrimination unlawful and aims to promote equal opportunity and access for people with disabilities. Under the Act, individuals can lodge complaints of discrimination and harassment with the Human Rights & Equal Opportunity Commission (HREOC). HREOC undertakes a wide range of activities to assist individuals and organizations to understand their rights and meet their legal responsibilities.
Federal and State anti-discrimination laws legally protect people with epilepsy from discrimination. To view the laws appropriate to your state go to:
Epilepsy and the Workplace: A guide for workers and employers. March 2011
Workplace Rights: Josh Mennen, Maurice Blackburn Lawyers. The Epilepsy Report, October 2010
You are entitled to take legal action if you believe you have been discriminated against because of your epilepsy.
Some drugs for epilepsy can reduce the effectiveness of the contraceptive pill and increase the risk of unwanted pregnancy. Your neurologist, gynaecologist or general practitioner can help you decide what is the best form of contraception for you.
If you are a female with epilepsy and planning to become pregnant, pre-pregnancy counselling is very important. A successful pregnancy will depend on:
Most types of epilepsy are not inherited therefore the risk of passing it on to a child is small. See an epilepsy or genetic counsellor for further information and advice.
Lots of people of people worry unnecessarily about whether or not it is safe to have sex when they have epilepsy or when their partner has epilepsy. Millions of people living with epilepsy either their own or that of a partner will happily attest to the fact that their sex lives are just fine.
For most of us sex is an important part of our lives and worrying about our sexual abilities or about our sexual performance can lead to sexual problems. So if you do experience a loss of libido or sexual energy speak about it with your doctor. It may just be that the AEDs you are taking are contributing to a reduced desire for sex. If this is the case it is usually easily remedied. There is evidence that some epilepsy syndromes can reduce libido. It may not be a great worry to some people, but it can be for others. Its possible that a person with epilepsy will feel less like sex than their partner. It is therefore important that partners talk openly and supportively to one another about this.
For some men, there is evidence that actual arousal rather than desire can be adversely affected. This was once thought to be a direct outcome of particular antiepileptic medications for the particular people taking them. It is now understood that for some people it is a direct consequence of their epilepsy. If you have experienced this, tell your doctor. While it is not necessarily something that can be fixed instantly, it is certainly possible that some of the newer antiepileptic medications might be more helpful or that some of the newer medications available for rectifying sexual dysfunction might be of help.
Sex is a big part of our lives. Sexual thoughts and feelings are a constant part of normal adult life. It is nevertheless, for many of us, a difficult matter to raise with a doctor or counsellor. Nonetheless, if you have concerns about your sex life and the impact of any aspect of epilepsy upon it, talking about it with your doctor or epilepsy counsellor may be the best thing you can do. If they cannot help you they can certainly support you in finding the solutions that you would want.
If your doctor or epilepsy counsellor dismisses your concerns as 'nothing to worry about' because you are too old or too young, or because they feel that sex really isnt such an important thing in our lives, then tell them that you disagree. Tell them that you are expecting their support and if they feel unable to assist you with your concerns ask them to refer you to someone who can. If you live in a remote area and specialist services are limited, an epilepsy counsellor at your local epilepsy association can help you find out what your options are for seeing another specialist.
Stress is a normal part of life. In fact we need a certain amount of stress to motivate ourselves and to stay healthy. Its how we manage the stress in our daily lives the pressures of financial survival, work, travelling in crowded cities and fulfilling our personal responsibilities that is so important in keeping balance in our lives.
For people with epilepsy there will be additional, associated stresses. These include the need to take medication regularly and the unpredictable nature of seizures, and there may be any number of difficulties to overcome in gaining and retaining a driver's licence, dependency on others for transport and other help, difficulties with work, difficulties with memory and so on.
As well as taking your prescribed medication, stress management techniques including relaxation and breathing, exercise, time management, assertiveness training and anxiety management may help you better manage your seizures by better managing your general levels of stress.
Extreme stress, however, may lower your seizure threshold and trigger seizures. It is important to recognise the signs and symptoms of harmful levels of stress and to employ strategies that you find helpful in reducing it.
Such strategies can include:
A variety of relaxation techniques exist which aim to relieve the stress and tension and tension in our lives. However certain relaxation techniques (namely meditation) have been reported to be potentially dangerous for people with epilepsy. Lowered blood pressure and brain electrophysiological arousal can be triggered which are associated with triggering seizures in some people.
Reporting for The Epilepsy Report, Dr Michelle Bellon from the Department of Disability Studies at Flinders University, SA reviewed popular relaxation techniques for people with epilepsy, looking at the benefits, as well as the potential risks, of the various techniques. To read this article, click here.
When people are busy and active they are less likely to have seizures. When choosing a sport or leisure activity give some consideration to your type of epilepsy and your degree of seizure control. Some activities involve a greater risk than others but with appropriate safety precautions most risks can be minimized.
When cycling take normal safety precautions such as wearing a helmet, wearing easily visible clothing and using lights at night. Use designated bike paths to avoid the traffic. If your seizures are not well controlled stick to bike paths and parks rather than cycling on public roads.
Wear a riding helmet and try to ride with other people.
Scuba diving and boxing, are considered to be high-risk activities and should only be considered if your seizures are very well controlled. Activities such as bungy jumping are probably best avoided.
If you enjoy the social atmosphere of nightclubs, being diagnosed with epilepsy does not mean you have to give up going out with your friends. Strobe lighting or flashing lights, can in some people, trigger seizures. This is known as photosensitive epilepsy. However it is quite rare and affects only a very small number of people with epilepsy. Nightclubs and DJs generally display warnings if strobe lighting is used. If this is a trigger for you it would be advisable to avoid such clubs. If flashing lights make you feel uncomfortable, closing or covering one eye can lessen this discomfort.
Try to always swim with someone else, making sure that your companions know you have epilepsy and how to help if you have a seizure. If you are at a public swimming pool, tell the attendant how to assist you should the need arise.
It is advisable that all children with seizures, regardless of the seizure frequency or severity, and their parents first talk to their doctor about water safety. Some may be advised not to swim at all, whereas others may be allowed to swim with appropriate precautions and supervision.
When engaging in any water sport such as boating, canoeing, windsurfing or sailing always wear a life-jacket.
Underwater swimming such as scuba diving is not recommended. In the event of a seizure, help may not be possible. Drowning is clearly something to be avoided and yet it still happens to people who think they are personally invincible. Near drowning events can be devastating to your general health and can in fact lead to death. Of course there is an element of risk in any water activities whether or not a person has epilepsy. But a seizure in water is a critical event that all too often has a devastating outcome. Our best advice is to avoid situations such as underwater activities, where your chances of survival, should you have a seizure, are greatly reduced.
Any holiday requires planning. Having a regular supply of medication is most important for anyone travelling away home for any period of time. Always carry a copy of your prescription with you. If something unforseen happens to your medication you can have it replaced immediately.
Travelling overseas requires some extra planning:
Long distance travel can disrupt your sleep pattern and your medication routine. What to do when changing time zones depends on how many hours the change will be. Former President of the Epilepsy Society of Australia Dr Ernie Somerville offers the following advice based on medications taken twice a day.
There are epilepsy organizations in many countries if you need advice or referral. Your Epilepsy Australia Affiliate will be able to give you the relevant contact details.
Your epilepsy should not stop you from playing team and contact sports unless the epilepsy was caused by serious head injury. Some people choose to wear head protection while playing regardless of whether or not they have epilepsy. It is always a good idea to wear protective headgear in contact sports regardless of your health status.
Unless you have been diagnosed with photosensitive epilepsy watching television, using a computer or playing video games should not affect you. However, if your seizures are triggered by photic (light) stimuli there are things you can do to minimize the risk of seizures. Watch TV in a well-lit room and do not sit too close or directly in front of the screen. When playing computer games, sit 2.5m from the screen, again in a well-lit room and reduce the brightness of the display. If a seizure is to occur it is more likely to happen within the first 30 minutes of play. Generally, playing the game for prolonged periods doesn't pose a risk unless it is for so long that you become sleep deprived. Sleep deprivation is a recognised seizure trigger.
For the latest update on photosensitive epilepsy, read the informative article by Dr Saul Mullen, Epilepsy and light The Epilepsy Report, Issue 2, 2008.
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