Did accepting your epilepsy diagnosis make life easier at 70?

Question

Hello doctor,

I am a 70-year-old male and was diagnosed with epilepsy a few years ago after several unexpected seizures. At first, I spent so much energy being angry about the diagnosis and worrying about what it meant for my independence that I do not think I fully processed it.

Over time, I have started adjusting, but some days I still find myself comparing life now to how things used to be.

For older adults living with epilepsy, did finally accepting the diagnosis make day-to-day life easier emotionally?
Did it take a long time before things felt normal again?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Excessive worry and negative emotions after the diagnosis of a chronic illness are understandable and represent a normal human reaction. Initially, accepting the diagnosis can be very challenging, but over time, the mind often adapts to the situation and learns to cope with it.

A person with epilepsy can live a normal and fulfilling life with appropriate precautions. The ultimate goal is to prevent breakthrough seizures and maintain a seizure-free life.

With regular medication, follow-up visits, and a balanced lifestyle, many people can achieve long periods without seizures. If you remain seizure-free for several years, the risk of breakthrough seizures generally decreases. In some cases, medication tapering may be considered by your neurologist after an appropriate seizure-free period.

It is important to identify and avoid common seizure triggers, such as:

Sleep deprivation.
Bright or flashing lights, if relevant.
Substance use.
Poor adherence to medications.
An irregular or chaotic lifestyle.

Certain higher-risk activities, such as swimming alone, driving, or solo travel, may require additional precautions depending on seizure control and local medical guidelines.

To help manage anxiety and emotional stress, you may consider:

Yoga.
Mindfulness practices.
Support groups.
Deep breathing exercises.
Cognitive behavioral therapy (CBT).

If anxiety or mood symptoms persist for a prolonged period or significantly affect your quality of life, a consultation with a mental health professional is recommended.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.