Psychosocial aspects of epilepsy.
Social attitudes towards epilepsy cause more distress to the patient and his/her near and dear ones, than the disease itself. The major psychosocial issues related to epilepsy are: Quality of medical management, overprotection, education, employment, marriage and pregnancy. Inadequate treatment is the major reason involved in psychosocial issues. Constant overprotection and pampering leads to behavioural pattern which makes epileptic patient dependent for ever. Education is hampered in epileptic persons. Teachers and students should have proper information regarding seizures. If seizures are well controlled, job opportunities increase. Employers and employees need to be educated about epilepsy. Self-employment is the best in epileptic patients. Regarding marriage, each patient is to be judged on individual merits and type of epilepsy. Society needs to be educated about the facts and consequences of epilepsy. Risk of anti-epileptic drug's usage is very insignificant compared to risk of seizures in pregnancy. So girls are advised to seek medical advice before pregnancy and during follow-up. With more and more support from the society, persons with epilepsy will have the courage and confidence to speak about themselves and their illness. It is only then that we will realise that persons with epilepsy are 'normal' or 'near-normal' and this will break the vicious cycle of stigma.
Shah
Pravina
P
Department of Neurology, KEM Hospital, Mumbai.
D000223:Adaptation, Psychological; D001294:Attitude to Health; D004651:Employment; D004827:Epilepsy / Q000523:psychology* / Q000628:therapy; D005260:Female; D006293:Health Promotion; D006801:Humans; D008393:Marriage / Q000523:psychology; D010290:Parents / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control; D012572:School Health Services; D012803:Sick Role