What could doctors do better for people with epilepsy?

First, let me wish you all a 2026 abundant in good health, well-being, resilience when needed, joy, peace and much love.
After reading many posts at the end of 2025 and into this new year, this question has been on my mind. I believe we all have valuable experiences to share on this topic.
For me, one of the things doctors could do more is provide truly individualized care. For many years, I was treated according to a standard protocol for temporal lobe epilepsy, without enough consideration for my individual responses and constitutional type. Finding a doctor who sees each patient as truly unique changed everything for me.
What has your experience been? What do you wish your doctors did more of, or differently? I'd love to hear your perspectives.

Interested in more discussions like this? Go to the Epilepsy & Seizures Support Group.

@ldlauwers
I bet you'd be the life of the party.
There is a joke thread here in case you don't know,
https://connect.mayoclinic.org/discussion/how-about-a-laugh-hopefully/
Have you ever had or considered Cognitive Behavioral Therapy? I know it's helped others with depression but of course everyone's situation is different.
Blessings,
Jake

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

Good Morning Everyone!
After @ldlauwers post, I'm curious to know: how many of you feel your epilepsy is being treated holistically—not just addressing the seizures, but also the emotional, behavioral, and quality-of-life aspects?
I'd really love to hear your experiences. Thank you!
Chris

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@santosha
I love my quality of life. No more seizures after so many decades of them being uncontrolled. I have been fortunate to not be/been plagued with any depression, or anxiety issues. Although I've totally accepted all phases of my epilepsy 58 years ago and never let the illness control my life, I never expected my life would become so idyllic.
I'd like to thank my family, friends, doctors for being supportive and accepting. They made even the most difficult part of my journey so much easier.
Take care,
Jake

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

Good Morning Everyone!
After @ldlauwers post, I'm curious to know: how many of you feel your epilepsy is being treated holistically—not just addressing the seizures, but also the emotional, behavioral, and quality-of-life aspects?
I'd really love to hear your experiences. Thank you!
Chris

Jump to this post

@santosha

My neurologist treats the epilepsy efficiently and listened to me when I suggested a change in my AED. It’s his job and he does it well.

I have the standard life problems like everyone else, but as long as the treatments for epilepsy are successful (no seizures) , and my family accepting of a possible seizure, epilepsy does not affect or cause my current issues, except of course my differences of opinion with the pharmacy where I buy the AED. 😀

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Profile picture for Jake @jakedduck1

@santosha
I love my quality of life. No more seizures after so many decades of them being uncontrolled. I have been fortunate to not be/been plagued with any depression, or anxiety issues. Although I've totally accepted all phases of my epilepsy 58 years ago and never let the illness control my life, I never expected my life would become so idyllic.
I'd like to thank my family, friends, doctors for being supportive and accepting. They made even the most difficult part of my journey so much easier.
Take care,
Jake

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@jakedduck1
Hi Jake!
What a beautiful and inspiring message!
You touch on something so important: the role of family and friends, and a supportive medical team in making the journey more bearable. That human connection is itself a form of holistic care.
Thank you for giving hope to those who are still in the more difficult chapters of their journey. 🙏
Chris

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Profile picture for methel @methel

@santosha

My neurologist treats the epilepsy efficiently and listened to me when I suggested a change in my AED. It’s his job and he does it well.

I have the standard life problems like everyone else, but as long as the treatments for epilepsy are successful (no seizures) , and my family accepting of a possible seizure, epilepsy does not affect or cause my current issues, except of course my differences of opinion with the pharmacy where I buy the AED. 😀

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Thank you for sharing your experiences, @methel !
It sounds like you have built a true partnership with your neurologist — and that is such a gift. Having a doctor who genuinely listens, treats you as a whole person, values patient-generated knowledge, and welcomes your questions rather than being bothered by them makes such a difference in how we navigate our condition.
Curious to know, what do you value the most in your neurologist?
Chris

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

Thank you for sharing your experiences, @methel !
It sounds like you have built a true partnership with your neurologist — and that is such a gift. Having a doctor who genuinely listens, treats you as a whole person, values patient-generated knowledge, and welcomes your questions rather than being bothered by them makes such a difference in how we navigate our condition.
Curious to know, what do you value the most in your neurologist?
Chris

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@santosha

To answer your question: yes, my neurologist took my suggestion on an adjustment in medication and my seizures were controlled. That’s most important. But also, his support staff is phenomenal. In person, they are knowledgeable, supportive and helpful. On the phone, they know the next steps.

In my experience too many times there’s a disconnect between the person at the front desk in the doctor’s office and the doctor. The receptionist radiates ‘ this is a boring job. Isn’t it time to go home yet?’ No matter how good the news or the doctor, the visit is more stressful.

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Profile picture for methel @methel

@santosha

To answer your question: yes, my neurologist took my suggestion on an adjustment in medication and my seizures were controlled. That’s most important. But also, his support staff is phenomenal. In person, they are knowledgeable, supportive and helpful. On the phone, they know the next steps.

In my experience too many times there’s a disconnect between the person at the front desk in the doctor’s office and the doctor. The receptionist radiates ‘ this is a boring job. Isn’t it time to go home yet?’ No matter how good the news or the doctor, the visit is more stressful.

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Good Morning @methel
Thank you for sharing this. What a great example of true partnership with your neurologist! You also touched on something so important: the support staff.
That disconnect you describe at the front desk is unfortunately all too familiar. I've experienced that myself with my own neurologist's front desk.
I'd love to hear from others in our community: has a support team made your medical experience significantly better or harder?
Chris

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Profile picture for ldlauwers @ldlauwers

I did get the neuropsychological testing but they only did testing there. I am not aware of any that do therapy in my area (Ann Arbor MI). I did ask my neurologist about therapists and she had no references. I called all of the therapists in the area that were listed on the Michigan Epilepsy Foundations website but no luck. I was looking for therapists though - I will look to see if I can find a Neuropsychologist in my area that does therapy. I do have an appointment this week with a therapist from U of MI that works with epileptic patients. Fingers crossed! Thank you for your suggestion of a neuropsychologist 😉

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Hi @ldlauwers
I hope your appointment with the therapist who works with epilepsy patients went well.
I'm curious to hear how your search for a therapist has evolved since last February.
Chris

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I have not had any luck. I am having problems finding someone who takes medicare and accepting new patients. I am still looking though! Thank you for checking in < 3

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Profile picture for ldlauwers @ldlauwers

I have not had any luck. I am having problems finding someone who takes medicare and accepting new patients. I am still looking though! Thank you for checking in < 3

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Hi @ldlauwers
I am so sorry to hear that!
It might also be worth considering seeing a psychiatrist or neuropsychiatrist via video calls, which would expand your range of options considerably. In the post-COVID world, so much can be done remotely. My own neuropsychologist is also based in São Paulo, and almost all of my sessions with her are done via video call — which makes life much easier, as I no longer drive and the traffic here is terrible!
As suggested before, have you tried getting in touch with the Epilepsy Foundation Helpline? They may be able to help with this search.
I thank everyone who can help @ldlauwers with suggestions of a psychiatrist or neuropsychiatrist specializing in epilepsy in the US.
Chris

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