"Parenting" a 23YO daughter with grand mal seizures

Posted by adoptivemother @adoptivemother, Dec 5 2:00pm

My daughter had a typical, uneventful childhood and was perfectly healthy. She began having partial seizures at 19 while at college, during Covid, so it took about two years to figure out she wasn't just depressed. It turns out she has an encephalocele which is like a hernia of the brain but her doctors didn't want to address that and they began medication. We asked her not to drive and even offered to drive her around but she insisted she always gets an aura before her seizures and she pulls over! Well, she had a grand mal and was in a serious accident where her feet were crushed so she was in a wheel chair in a major city for several months. She continued to party and began taking the bus everywhere and then an evil middle aged man found her, took her home, assaulted her and knocked her teeth out-punching her face where the encephalocele is. We made her move home. Grand mals are a way of life now (she had three last week), she has auras daily, and she is very suicidal. We are pursuing treatment at Mayo but living with her is becoming extremely stressful personally and within my marriage.

How do I allow her to be an adult when she continually participates in risky behavior? She can't drive now and she is feeling like a prisoner yet her willingness (even wish) to die is making her not care about any rules or boundaries we set. If it wasn't for her medical condition, I would help her find a new home, but she can't live alone and what started all of this isn't her fault. I read someone else's post where they talked about a medical alert watch and that could absolutely change things for the better and I wondered if I put my specific story out there if there might be some other nugget of advice that I had no idea about.

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

I like your comment. A neuropsychologist would be a benefit. To live independently within limits but have a fulfilling life is a blessing.

REPLY
@adoptivemother

Oh wow. You have lived through a lot. I really appreciate the photos and information on the MedicAlert-that is the one I was investigating and maybe it will help her to see other people use them and what it looks like. Do you drive or is the seat belt holder for use as a passenger? If you drive, how do you manage that? We had been letting her drive because her neurologist wrote a letter stating she could and it had been so long since a seizure. Thank goodness she was at home last week when she had three.

Her doctor had prescribed a time release med but insurance declined it. I just don't understand how insurance companies essentially replaced doctors in decision making.

Thank you for taking the time to respond. This is a scary path to travel and no one else in my circle has any understanding of it.

Heather

Jump to this post

@adoptivemother
Yes, I drive. I have had a couple of incidents while driving. I had a few absence seizures that happened while stopped at red lights. My foot came off the brake and I barely tapped the car in front of me. No damage. Once I turned left leaving the dentist's office, had an absence, and nearly hit a car. Went directly to my neurologist and he increased one of my meds and solved the problem, at least so far.
But you never know when, what type, or the severity of a seizure. My brother's first seizure happened while driving to a garden store in a small sports car and he hit head-on with a station wagon. He crushed both his legs and severed his femoral arteries in both legs. He's now in a wheelchair. So anything can happen to anyone at any time, epilepsy or not.
I know many people with seizures and those who take some risks seem to be happier. I have known some who live very sheltered lives a couple who refuse to ever leave their homes. One is ashamed and embarrassed and doesn't want anyone to see him have a seizure.
People are still ignorant and the Epilepsy stigma is going strong but better than it was in the 60s, 70s & 80si but you have to be strong and let cruel comments roll off your back. Sure it still hurts being told “you belong in a circus” or having religious people saying you're “possessed by the devil” or “your the devil” and wanting you to come to a séance and countless other awful things, not being hired or fired because of seizures. Yes, it's illegal but don't think it doesn't happen. Sometimes you just have to deal with whatever hand life deals you, difficult as it may be.
Take care,
Jake

REPLY
@santosha

Hi @adoptivemother
I am very sorry to hear what you have been through with your daughter.
@jakedduck1 has a long experience with epilepsy and has much to share with all of us. I am happy he has already answered you :-):-).
Accepting one's epilepsy can be something quite challenging. I was diagnosed with epilepsy in 2019 at 48 years of age (though I have lived with it since my teenage time without knowing it). Accepting my epilepsy: giving up my job, changing my routine, undergoing treatments with lots of side-effects, etc was a big challenge I would not have won without the support of my neuropsychologist. I was the turning key to being able to restart my life and smile again. My neuropsychologist has also given support to my husband, which has also been extremely helpful. From your post, I feel your daughter has not yet fully accepted her epilepsy. Have you and/or her doctor considered the support from a psychologist or neuropsychologist to help her in this phase?

Jump to this post

Thank you for your response. I did not know about the field of neuropsychology! I totally agree that she has not accepted living with epilepsy. Deny and avoid! She does have a therapist and she went through an IOP mental health program after the most recent trauma but none of that was focused on living with epilepsy. I wonder if Mayo will be able to connect us to a neuropsychologist when we go there or if I will need to find one from home. We live in the wilderness 🙂 so it would be virtual anyhow.

Heather

REPLY
@santosha

Continuing Heather...
As @jakedduck1 has well shared seizures can change in type, frequency, and severity throughout life. I have had auras and focal impaired awareness seizures since I was a teenager, but they did not affect me much. I was absent for a few seconds and "came back" as if nothing had happened. I went to university, did my master's, worked, and had a normal life. But this started to change in my forties, seizures became stronger and more frequent. Focal impaired awareness seizures became more frequent and I took a while to "come back", until my epilepsy had clearly shown its face.
Regarding watches, I have read that are today watches that can detect tonic-clonic seizures. I do not use them, as my seizures are mostly focal ones and not detected by those watches. Perhaps others here in our group can share their experiences with you? What I have been considering is to have a seizure dog one of these days when I move into a house. I have read that a well-trained seizure dog, can sense and alert a seizure coming before it happens. However, I use a smartwatch that measures my sleep, stress levels, etc, helping me to manage better my seizure triggers. As @jakedduck1, I also use an ID bracelet, it gives me a feeling of some security.

Jump to this post

I like the idea of being more aware of triggers by monitoring vitals and habits. I keep telling her to keep a journal (it could be in the notes section of her phone) to record the context of each seizure, what type it was, and how long it lasted so she can develop some sense of what triggers them. I think when someone is that depressed, they just don't have the energy to put towards such things because they are just surviving. It is hard to watch.

I love the idea of a dog! If I could have a service dog, I would be pursuing it immediately myself. She thinks it would be embarrassing to need a dog but she loves animals and I think a constant companion you are allowed to take anywhere would be amazing!

REPLY

@adoptivemother
The journal is a good idea however, I wonder if she would be able to remember anything about her seizure since amnesia is so common when someone has a seizure. I've had over 13,000 tonic clonic seizures and only have memory of one focal aware seizure so the job of journaling may have to fall to someone else unless her memory isn't affected much.
Take care,
Jake

REPLY
@adoptivemother

Thank you for your response. I did not know about the field of neuropsychology! I totally agree that she has not accepted living with epilepsy. Deny and avoid! She does have a therapist and she went through an IOP mental health program after the most recent trauma but none of that was focused on living with epilepsy. I wonder if Mayo will be able to connect us to a neuropsychologist when we go there or if I will need to find one from home. We live in the wilderness 🙂 so it would be virtual anyhow.

Heather

Jump to this post

Hi, @adoptivemother. I'm so glad you are connecting with @jakedduck1 @kb2014 @santosha, who have rich lived experiences to share with you.

When you go to Mayo Clinic, the epileptologist will surely be willing to connect you to a neuropsychologist. There are several in Minnesota. Is that the campus you are hoping to visit, or in AZ or FL, or elsewhere?

@kb2014 - thanks for sharing about the situation with your husband and your seizure risk. That would be challenging not having your life partner respect your disorder. I relate to not speaking to a relative about a certain subject, as you mentioned. I cannot talk to one relative about the news or current events, as our perspectives are so different that it's not fruitful for a good relationship.

You talked about your husband not wanting to pursue therapy or couples' counseling. Do you have a local friend who understands or at least respects your neurological disorder who provides some support? You also talked about trauma therapy. Is that something you'd recommend to others who have seizure risk?

REPLY
@lisalucier

Hi, @adoptivemother. I'm so glad you are connecting with @jakedduck1 @kb2014 @santosha, who have rich lived experiences to share with you.

When you go to Mayo Clinic, the epileptologist will surely be willing to connect you to a neuropsychologist. There are several in Minnesota. Is that the campus you are hoping to visit, or in AZ or FL, or elsewhere?

@kb2014 - thanks for sharing about the situation with your husband and your seizure risk. That would be challenging not having your life partner respect your disorder. I relate to not speaking to a relative about a certain subject, as you mentioned. I cannot talk to one relative about the news or current events, as our perspectives are so different that it's not fruitful for a good relationship.

You talked about your husband not wanting to pursue therapy or couples' counseling. Do you have a local friend who understands or at least respects your neurological disorder who provides some support? You also talked about trauma therapy. Is that something you'd recommend to others who have seizure risk?

Jump to this post

Yes. I am a member of VSN. Veteran Spouses Network. I have a peer to peer support person whose daughter had a TBI from a car accident. Also her husband who was a police officer and retired military did not get treatment for his PTSD until later in life. Yes I would recommend trauma therapy if you have epilepsy because it trains your brain to look at and assess situations differently and improves critical thinking skills. With me one benefit was to learn cognitive distortions and be able to assess safe andunsafe personality traits because epilepsy or not there are people we probably need to consider minimal contact with.

REPLY
@adoptivemother

Thank you for your response. I did not know about the field of neuropsychology! I totally agree that she has not accepted living with epilepsy. Deny and avoid! She does have a therapist and she went through an IOP mental health program after the most recent trauma but none of that was focused on living with epilepsy. I wonder if Mayo will be able to connect us to a neuropsychologist when we go there or if I will need to find one from home. We live in the wilderness 🙂 so it would be virtual anyhow.

Heather

Jump to this post

Good Morning Heather - @adoptivemother
My neuropsychologist did my neuropsychological assessment in 2019, this is how I met her (I was facing some memory issues, and the doctor at that time ordered this exam). I was already having sessions with a psychologist, but she was not helping me much. This neuropsychologist was so caring during the assessment that after it I stayed with her. I am sure that at Mayo they can recommend you a good neuropsychologist with experience with epilepsy patients.
I started with her through face-to-face sessions, but then Covid came. We continued with online sessions and we continue this way. It works pretty well for me.
Chris (@santosha)

REPLY
@adoptivemother

I like the idea of being more aware of triggers by monitoring vitals and habits. I keep telling her to keep a journal (it could be in the notes section of her phone) to record the context of each seizure, what type it was, and how long it lasted so she can develop some sense of what triggers them. I think when someone is that depressed, they just don't have the energy to put towards such things because they are just surviving. It is hard to watch.

I love the idea of a dog! If I could have a service dog, I would be pursuing it immediately myself. She thinks it would be embarrassing to need a dog but she loves animals and I think a constant companion you are allowed to take anywhere would be amazing!

Jump to this post

Hi Heather again @adoptivemother
There is an excellent book called Taking Control of Your Seizures: Workbook. You can easily find it at Amazon: https://www.amazon.com/Taking-Control-Your-Seizures-Treatments-ebook/dp/B01556P55I
I have been in contact with Dr. Andrews through online sessions. She has helped me a lot. She has epilepsy herself and understands very well her patients. On the internet, you can easily find some videos and articles about the Andrews-Reiter approach (scientifically proved). I have copied here one of the articles on this approach: https://epilepsyconference.com/aboutar.html
Dr. Andrews has recommended that I keep a daily journal to learn more about my seizure triggers and not only make notes when a seizure happens. A seizure might not take place right after a trigger, it can take some time and days. For example, I do not have a seizure right after a stressful day or a bad sleep, it might take some time before it happens. By keeping my journal daily, I have learned what my triggers are. As @jakedduck1 mentions, amnesia is so common after a seizure. Before starting a daily journal, I would only make notes after a seizure had happened, having a hard time remembering all the facts before the seizure and understanding the triggers of it. With this daily journal, after having recovered from my seizure, I would go back to my journal and read how my days before the seizure were, making it much easier to understand the trigger or triggers of this seizure. And later, I would discuss with Dr. Andrews how to avoid my triggers or to cope with them. I can say that today I manage my triggers better.
As to seizure dogs, I have copied here a link with more information on it: https://www.epilepsy.com/stories/dogs-household-pets-or-medical-equipment-for-those-living-with-epilepsy?utm_medium=email&utm_source=pardot&utm_campaign=epilepsynews_04032024
On YouTube, you can find good videos explaining more about seizure dogs.
Have a nice day!
Chris (@santosha)

REPLY
@jakedduck1

@adoptivemother
Yes, I drive. I have had a couple of incidents while driving. I had a few absence seizures that happened while stopped at red lights. My foot came off the brake and I barely tapped the car in front of me. No damage. Once I turned left leaving the dentist's office, had an absence, and nearly hit a car. Went directly to my neurologist and he increased one of my meds and solved the problem, at least so far.
But you never know when, what type, or the severity of a seizure. My brother's first seizure happened while driving to a garden store in a small sports car and he hit head-on with a station wagon. He crushed both his legs and severed his femoral arteries in both legs. He's now in a wheelchair. So anything can happen to anyone at any time, epilepsy or not.
I know many people with seizures and those who take some risks seem to be happier. I have known some who live very sheltered lives a couple who refuse to ever leave their homes. One is ashamed and embarrassed and doesn't want anyone to see him have a seizure.
People are still ignorant and the Epilepsy stigma is going strong but better than it was in the 60s, 70s & 80si but you have to be strong and let cruel comments roll off your back. Sure it still hurts being told “you belong in a circus” or having religious people saying you're “possessed by the devil” or “your the devil” and wanting you to come to a séance and countless other awful things, not being hired or fired because of seizures. Yes, it's illegal but don't think it doesn't happen. Sometimes you just have to deal with whatever hand life deals you, difficult as it may be.
Take care,
Jake

Jump to this post

As @jakedduck1, I had the same car incident in 2017, before being diagnosed with epilepsy. Today I understand I had a mild seizure at that time and took my foot off the brakes at the red light and just tapped the car in front of me. But you never know when, what type, or the severity of a seizure. As my seizures are not yet fully controlled, I have stopped driving. But I do not let my epilepsy take my life away from me. I have found alternatives to driving: Uber, walking, and public transport when possible.
Chris (@santosha)

REPLY
Please sign in or register to post a reply.