Which Seizure Trigger Is Your Hardest Battle?

For two years after my epilepsy diagnosis, I had no idea seizure triggers even existed. The doctors I saw never mentioned them. When I finally stumbled upon the concept of seizure precipitants, it felt like discovering a missing piece of my own puzzle.
That's when I turned into a detective of my own body. Armed with a daily journal, I started connecting the dots between my seizures and what came before them. Slowly, but surely, the culprits revealed themselves: gluten, low sodium, poor sleep, my menstrual cycle, stress, and anxiety. Each one a potential match that could light the fuse.
The physical triggers: poor sleep, gluten, menstrual cycle and low sodium? I've learned how to manage them better. Eliminating gluten alone slashed my seizures by 60%.
Anxiety and stress— They remain my most relentless opponents in this battle, despite my yoga practice and exercising.
Now I'm wondering: What's YOUR toughest trigger to tame?
Have you found strategies that actually work? Whether it's something you've mastered or something that still defeats you, I want to hear your story. Your experience might be exactly what someone else needs to hear today.
Share your trigger battles below—let's learn from each other!

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

Profile picture for belinda5000 @belinda5000

@santosha
Where I have problems is when I'm with my congregation, I have to sit up front
because if I sit in the back the motion of everything seeing everyone's head will cause me have a seizure , so I have to be at least 3 rows up front. My congregation is very large.
I could never live in a large city it's bad enough were I live.

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@belinda5000
Hi Belinda,
This is a great solution for when you're with your congregation. 💡
Like you, crowded places disturb me nowadays, and I avoid them as much as I can. I recently started carrying a hidden disability badge, which gives me some priority in certain situations, such as at airports, museums, and restaurants. I've shared more about it in some posts that might be helpful to you as well:
https://connect.mayoclinic.org/comment/1560661/
https://connect.mayoclinic.org/comment/1604686/
Are there other situations or places where you still struggle with crowds?
Chris

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Profile picture for kb2014 @kb2014

@santosha yes I got psychotherapy trauma recovery domestic violence treatment. I have to change my responses. People like this are not allowed to be in my life. I set boundaries. The word is NO. In between stimulus and response is pause. My agency as well as theirs.

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Hi @kb2014
Thank you for sharing more details — it's given me a much clearer picture of everything you've been through.
I'm glad to hear you had support from a psychotherapist, and it sounds like that work has made a real difference. 🙏 As I've learned myself, therapy isn't about changing others — we can't control other people, only ourselves. It's about changing our own attitude and how we choose to respond to certain behaviors. Saying "no" sounds so simple, but actually holding that line — especially with the people closest to us — is so much harder than it looks. The fact that you've been able to do that, and keep doing it, is a real achievement. Congratulations on that! 👏💪
Chris

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Profile picture for louissc @louissc

@santosha

Hi Chris,

Apologies for missing your message!

Sometimes it’s the thought or belief I’ll experience an aura somewhere out there which gives me this sense of paranoia. And that in turn is also a trigger. It’s really hard to explain.

As for music, I’m actually listening to more now so that my mind will have more tunes to hum to. That sort of lowers my chance of experiencing an aura.

My sister just introduced me to listening to a classical piece by Mozart (v.448). It’s sort of been proven to decrease frequency of seizures. You can find a rendition of that piece by pianists on YouTube. I’m still seeing if it works! The power of classical music.

Cheers,
Louis

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@louissc
Hi Louis,
No worries at all!
I love that you're taking an active approach with music rather than avoiding it altogether!
I actually tried listening to the Mozart K.448 piece myself for a while, but only for a short period each day. I couldn't establish a clear connection between listening to it and any decrease in seizures — it's possible I simply didn't give it enough time. I'm very curious to hear how it goes for you, both for the auras and the anxiety. Please keep me posted!
Let me see if I understood your last post correctly: you're describing an anticipatory anxiety loop, where the fear of having an aura creates a sense of paranoia, and that paranoia/anxiety then becomes a trigger in itself. Is that right?
If so, I can relate to that. My own fear and paranoia of experiencing another status epilepticus actually ended up causing me PNES. I've shared more about this experience in these posts, in case they're helpful:
https://connect.mayoclinic.org/comment/1383609/
https://connect.mayoclinic.org/comment/1598343/
Reading your description also made me wonder whether what you've been experiencing could be related to PNES (psychogenic nonepileptic seizures/events) — just a thought, not a diagnosis, of course! There's actually a discussion in our group on this topic that you might find worth a look, in case you haven't come across it yet:
https://connect.mayoclinic.org/discussion/non-epileptic-seizures-or-pnes/
Chris

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Hi Chris,

I’m glad you had given music a try! I liked classical pieces, but unfortunately the Mozart piece didn’t seem to help much. Perhaps I need to find another rendition.

I did bring up the possibility of me having PNES but ultimately ruled it out. Perhaps the local weather doesn’t suit me. The warm and humid evening simply makes my brain feel weird everyday? I really can’t name any definitive reason despite so many years of dealing with this condition. There’s a real need for sure to smell the flowers a bit more and feel less stress about what’s going on around me.

In the meanwhile, may all stay optimistic things will get better.

Cheers,
Louis

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Profile picture for louissc @louissc

Hi Chris,

I’m glad you had given music a try! I liked classical pieces, but unfortunately the Mozart piece didn’t seem to help much. Perhaps I need to find another rendition.

I did bring up the possibility of me having PNES but ultimately ruled it out. Perhaps the local weather doesn’t suit me. The warm and humid evening simply makes my brain feel weird everyday? I really can’t name any definitive reason despite so many years of dealing with this condition. There’s a real need for sure to smell the flowers a bit more and feel less stress about what’s going on around me.

In the meanwhile, may all stay optimistic things will get better.

Cheers,
Louis

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@louissc
Hi Louis,
I'm sorry to hear that this particular Mozart piece hasn't been helpful for you, and thank you for sharing that. Maybe a different rendition could still be worth trying — let me know how it goes, as I'd be open to trying that Mozart piece again myself.
Warm and humid weather at the same time can definitely be bothersome. Have you considered air conditioners with both dehumidifying and cooling options for your home? That could help you cope a bit better with Singapore's climate. Just out of curiosity — how did your doctor go about ruling out PNES?
Keep holding onto that optimism, Louis!
Chris

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