How long does fear take to fade after age 47?

Question

Hi doctor,

I am 47 years old, and I had my first seizure about a year ago. Physically, I feel a lot better now, but I still suffer from fear and anxiety on a daily basis. Every time I feel something out of the ordinary, it is hard not to be scared of another attack.

I miss those times when I could take a break and relax without being afraid all the time. I wonder if there are people suffering from epilepsy who have experienced such fear and whether they managed to overcome it over time.

Please help.

Thank you in advance.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you for your question.

I understand your apprehension about your fears and anxiety after the onset of your epilepsy and its effects on your life. Although fear and anxiety are pretty normal reactions to an event such as your first-time seizure or a diagnosis, you need to take note if these start to have negative impacts on your daily functioning.

If your fear and anxiety are already making it difficult for you to perform your activities and maintain your usual enjoyment of life, then it may be worth considering whether you have a condition called anxiety, such as adjustment disorders secondary to medical illnesses or illness anxiety disorder.

From your history, it seems possible for you to have an adjustment disorder in reaction to the life-changing experience of being diagnosed with a serious disease. This happens when a person finds it hard to adjust to a psychological and physical stressor causing him or her anxiety, depressed mood, insomnia, etc.

Medication in the treatment of anxiety may not necessarily be required or most effective in this case. However, there are therapies that can help you. You can try supportive or problem-oriented therapy to aid in processing the experience, addressing your fears, and rebuilding your confidence. Relaxation strategies, including deep breathing exercises and progressive muscle relaxation, may also help alleviate anxiety. Healthy sleep patterns are particularly essential as quality sleep will help control seizures. Exercise is another means of stress relief.

However, the positive thing is that epilepsy is quite manageable. People with epilepsy lead a normal life if treated properly. Compliance with medications and never missing your dosages is the most critical aspect in preventing future seizures. If there are no more seizures, treatment duration will be assessed periodically with your neurologist.

As it has been almost a year since the first experience, it is likely possible to resume many activities, such as driving, depending on your local laws and recommendations of your neurologist. However, it is necessary to acknowledge the progress you have already made because you have already coped with a rather difficult situation.

You have talked about hopelessness, and I want to know more about it so that I can offer you proper advice. Please share more about anxiety symptoms you experience.

Mood changes and whether there is any lack of interest in the activities that you used to enjoy.
Worthlessness, hopelessness or excessive guilt.
Sleep and appetite issues.
Other medical illnesses or medicines you take.
Previous mental health issues or psychiatric treatment.
Family history of mental illnesses.

With more details, I will be able to know more about your situation and guide you accordingly.

I hope that you will get timely medical help.

Thank you.