Epilepsy is a complex and often confusing disorder. It can be scary if a
loved one has a seizure and you don't know what to expect or how to respond.
Knowing what's happening and what you should do is important when caring for
someone with epilepsy. Being informed and prepared is the best way to fight
back against the neurological condition.
While epilepsy concerns vary depending on age, there is some general information
that you should know if you’re around someone with epilepsy.
First, it's important to know what kind of epilepsy your loved one has,
and what it means. Not all seizures are the same.
Types of Seizures
Tonic-Clonic (Grand Mal)
This is the seizure more commonly associated with
epilepsy. The person loses consciousness, falls to the ground, and convulses. Five to 20 minutes can pass before the person
regains consciousness. Fortunately, oftentimes the patient will receive some
kind of advanced warning that a seizure is coming, otherwise known as an aura.
Absence (Petite Mal)
During this seizure only a loss of consciousness
occurs without the motor response. The person will seem to stop what they are
doing and stare off for a short time. They have no memory during that period.
This type of seizure involves brief jerking
movements from both sides of the body that range from subtle to dramatic. The
person is conscious during the seizure. Myoclonic seizures are most common in
Automatic repetitive behavior is a key aspect of
the complex partial seizure. A person will repeat a small gesture like moving their
mouth or picking at an object for a short time while their
consciousness is altered. Also during this kind of seizure a person might have
uncontrollable laughter or fear, experience deja vu or hallucinations,
or smell unusual odors.
The most subjective of all seizures, simple partial
seizures are characterized by:
- brief altered or unusual
- inability to speak
- altered senses
They often affect emotions with:
- sudden, unexplainable feelings of
Sometimes a euphoric or heightened
consciousness-like feeling occurs.
or myoclonic seizures require no outside assistance and often pass unnoticed by
others. The more serious seizures require immediate care, especially the
tonic-clonic seizures and others that affect the whole brain.
Pay Attention to Stress
Stress, sleep deprivation, or being emotionally upset can heighten the
risk of a seizure, so caregivers should focus some effort on a person's mental well-being.
That includes paying attention to:
- work relationships
Knowing the Signs of the Aura
Often those who experience an aura are able to prepare themselves for
the oncoming seizure. If they are able to articulate that to you, then you can
provide some help. Even if it’s just letting the person know you won't leave their
What To Do During the Event
If your loved one has a seizure, it's important to remain calm. It’s not
uncommon for a person to fall asleep after the seizure for up to 20 minutes.
Stay with the person and note the length of the seizure.
When helping a friend or loved one prepare for a seizure, follow these
the area around the person of anything they might hit.
- Cushion head with something soft.
clothing around his or her neck.
the person to the side to open the airway.
attempt to put anything in the person's mouth. Contrary to popular belief,
a person having a seizure cannot swallow his or her tongue.
attempt to hold the person still.
attempt CPR unless the person has stopped breathing.
the seizure continues longer than five minutes, call 911.
the person once they regain consciousness.
- Encountering a seizure for the first time might be a scary thing to
witness, but your help can make a world of difference to the person going
Those with epilepsy can live regular lives with the right treatments and
precautions. Still, there are moments when they might need assistance. The
right care, comforting words, and some understanding go a long way.