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Coping with the diagnosis of epilepsyCCoping with the diagnosis of epilepsyCoping with the diagnosis of epilepsyEnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZElizabeth J. Donner, MD, FRCPC9.0000000000000056.0000000000000475.000000000000Flat ContentHealth A-Z<p>Find out how to cope with the range of emotions triggered by an epilepsy diagnosis and witnessing a child's first seizure. </p><p>A diagnosis of epilepsy presents new challenges for parents and children in their attempt to adjust to the diagnosis and develop coping strategies that will help them live with the condition. </p><h2>Key points</h2> <ul><li>It is natural to feel a range of mixed emotions when you find out that your child has epilepsy.</li> <li>Talk about your feelings with healthcare professionals and other families who have gone through something similar.</li> <li>Children can also feel worried, afraid, resentful and, sometimes, guilty, when they receive a diagnosis of epilepsy.</li> <li>Help your child understand their condition by explaining it in age-appropriate language and watch for non-verbal changes in mood and behaviour.</li></ul>
Composer avec le diagnostic d’épilepsieCComposer avec le diagnostic d’épilepsieCoping with the diagnosis of epilepsyFrenchNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZElizabeth J. Donner, MD, FRCPC9.0000000000000056.00000000000000Flat ContentHealth A-Z<p>Apprenez comment composer avec les émotions qu’engendre un diagnostic d’épilepsie et avec le fait d’assister à la première crise de votre enfant.</p><p>Un diagnostic d’épilepsie pose de nouveaux défis aux parents et à leur enfant qui, ensemble, doivent s’adapter au diagnostic et trouver des stratégies qui les aideront à composer avec la maladie.</p><ul><li>Il est normal que vous ressentiez des émotions variées lorsque vous découvrez que votre enfant est atteint d’épilepsie.</li> <li>Parlez-en avec des professionnels de la santé et avec d’autres familles qui ont vécu une expérience similaire.</li> <li>Les enfants peuvent aussi ressentir de l’inquiétude, de la peur, du ressentiment et parfois de la culpabilité lorsqu’ils reçoivent un diagnostic d’épilepsie.</li> <li>Aidez votre enfant à comprendre son état en utilisant un langage adapté à son âge et surveillez ses changements d’humeur et de comportement non verbaux.</li></ul>

 

 

Coping with the diagnosis of epilepsy2062.00000000000Coping with the diagnosis of epilepsyCoping with the diagnosis of epilepsyCEnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZElizabeth J. Donner, MD, FRCPC9.0000000000000056.0000000000000475.000000000000Flat ContentHealth A-Z<p>Find out how to cope with the range of emotions triggered by an epilepsy diagnosis and witnessing a child's first seizure. </p><p>A diagnosis of epilepsy presents new challenges for parents and children in their attempt to adjust to the diagnosis and develop coping strategies that will help them live with the condition. </p><h2>Key points</h2> <ul><li>It is natural to feel a range of mixed emotions when you find out that your child has epilepsy.</li> <li>Talk about your feelings with healthcare professionals and other families who have gone through something similar.</li> <li>Children can also feel worried, afraid, resentful and, sometimes, guilty, when they receive a diagnosis of epilepsy.</li> <li>Help your child understand their condition by explaining it in age-appropriate language and watch for non-verbal changes in mood and behaviour.</li></ul><p>When a child is first diagnosed with epilepsy, family members experience a range of feelings. The experience of witnessing a child's first seizure can be devastating for parents. Initially, parents may fear that their child might die or that the seizure(s) might cause brain damage. </p> <p>The range of emotions may include: </p> <ul> <li>Anger, "shock" or denial: Why my child? Why our family? This can’t be true.</li> <li>Confusion: What is epilepsy? What is causing my child's epilepsy? How do I keep track of all the tests and treatments? Will my child have more seizures? What are medication side effects?</li> <li>Sadness: I want to be able to fix this or make it go away, and I can’t.</li> <li>Guilt: Why didn’t we notice something earlier? What did we do wrong? Is there something I did to cause this? For example, mothers often talk about this feeling in terms of thinking back to their pregnancy to try and determine what they might have done. There is no reason to feel guilty. Most of the time, there is nothing that could have been done to prevent epilepsy.</li> <li>Fear and worry: What does this mean for my child’s life and future? What happens if the medicine doesn't control the seizures? Will my child outgrow the epilepsy? What will others think about my child? How will they treat my child? Will epilepsy affect my child's ability to learn? What effect will epilepsy have on my child's social development in the future? How will it affect our family? Many parents worry that they won’t be able to cope.</li> <li>Anxiety and frustration: Parents may feel anxious and frustrated because of the unpredictable nature of the seizures and resulting uncertainty permeates all aspects of their lives, for example disruption to their work-life or life as a family or couple.</li> <li>Hope: Most parents express a hope that the seizures are only temporary, or that the seizures will be controlled by medicine</li></ul> <p>All these concerns and emotions are very normal. Talking about them, learning to manage them and getting your questions answered all form an important part of adapting and learning to cope with a diagnosis of epilepsy. Your child’s treatment team can give you support, as can "local" epilepsy organizations and support groups. </p> <p>By learning more about your child’s condition, you can also help your child understand and cope. Your child may have many questions, or they may not want to think or talk about the diagnosis. They may be anxious, confused or angry.</p> <h2>How parents react</h2> <p>Along with the need to know as much as possible about epilepsy and its impact, parents have practical worries about their child's safety: </p> <ul> <li>How closely should they monitor them?</li> <li>What restrictions should be placed on their activities because of safety concerns?</li> <li>What information should they provide the school to ensure a safe environment?</li></ul> <p>Finally, parents wish to know how to effectively communicate their questions and concerns to their child’s doctor and the other health team members involved in managing their child's epilepsy. </p> <h3>Coping with your feelings</h3> <p>Your feelings about your child’s diagnosis can influence their perception about seizures and epilepsy. It therefore can be helpful to explore your feelings and how they affect your behaviour, the ways in which you act, and how you respond to your child. </p> <p>Consider talking about your feelings with family members, doctors, and other parents of children diagnosed with epilepsy.</p> <p>Ask questions, get information. The more you understand about seizures, tests, and treatment options, the more this can help you gain some control of the situation. The more you know about your child’s condition, the more information you can share with them. Learning more about seizures can also help you to share appropriate information with extended family and friends, as they too will most likely be trying to find ways to make sense of this new diagnosis. </p> <p>Speaking with other parents whose children have gone through something similar may be helpful. Your epilepsy health care team or "local" epilepsy chapter may be able to put you in touch with these parents. You can also get in touch with epilepsy support groups through Internet chat rooms. </p> <p>Health care professionals, such as social workers associated with the hospital who have expertise in counselling, can also provide support. </p> <h2>How children react</h2> <p>Your child may also react to a diagnosis of epilepsy with many different emotions:</p> <ul> <li>Worry: How will this affect my activities? What will my friends think?</li> <li>Fear and anxiety: Will this procedure hurt? Am I going to die?</li> <li>Anger and resentment: Why me? This isn’t fair!</li> <li>Guilt: Did I do something wrong? Do my parents have to take too much time off work to look after me?</li> </ul> <h2>What do you tell your child about the diagnosis?</h2> <p>The information that you share with your child will depend on your child’s age, maturity level, and personality, what your child already knows and wishes to know, your comfort level in sharing information, and the knowledge you have about the seizures. Children who have not been aware during their seizures may not be as curious or express distress or concern. However, if others provide negative feedback about the seizures, your child will need some explanation and reassurance about the seizure. </p> <p>Understanding the information about epilepsy can help you to share appropriate information with your child. It is common for parents to struggle with what to tell their child about the diagnosis. It is helpful to include children as partners in their care as soon as possible, by sharing information and encouraging them to ask questions and express their concerns. This will help them to prepare for the more active role they will play in their care in the future. </p> <h3>Tips for talking with your child</h3> <p>The following suggestions may help you share information about the diagnosis with your child:</p> <ul> <li>Find out what your child already knows. You could ask, “Can you tell me what you already know about epilepsy?”</li> <li>Clarify your child’s understanding. Children may use correct words, such as “seizure,” but may continue to have misconceptions. You could ask, “What does ‘seizure’ mean?” </li> <li>Ask to share more information. You could ask, “Can I tell you what I know about epilepsy and seizures?”</li> <li>Share information in a clear way. Provide manageable pieces of information and use language your child can understand. For instance, most children can understand that “The brain is the boss of your body and it controls everything that you do, from scratching your nose to talking to kicking a ball. Your brain sends messages to your body. Sometimes these messages get mixed up and then a seizure happens.” How you share the information will depend partly on your child’s age; there is more information about what to tell children of different ages below.</li> <li>Let your child lead the discussion as much as possible, as this will give you a better idea of what they want to know.</li> <li>Be aware of how your child responds to the information. Listen to what they say and watch for non-verbal cues and changes in mood or behaviour, as these may all be signs that your child is having a difficult time with the information. They may not understand, they may be sad, or they may be worried or confused. You could ask, “Do you have any questions about anything we’ve talked about? What do you think or how do you feel about all this?”</li> <li>Maximize opportunities to talk and share information when your child is curious and asking questions about their condition.</li> <li>If you don’t know the answer to your child’s questions, take the opportunity to find the answer together, for example by talking to the neurologist or getting information from a "local" epilepsy association. This will help your child gain the confidence to ask questions and begin to take control of their situation.</li> <li>Use varied resources to help talk to and educate your child, including books, videos, pamphlets, drawing, play, or joining children’s groups offered at the "local" epilepsy association.</li> </ul> <p>How children respond to illness, and how you can help them cope, depends on their age as well as their normal coping style.</p> <h2>Coping at different ages</h2> <h3>Preschool: 3 to 5 years</h3> <p>At this age, children’s understanding of illness is vague and magical.</p> <ul> <li>They need simple explanations of the body, the illness, and the treatments. You could say, “You need to take medicine to help you stay strong and healthy.”</li> <li>They begin to understand conditions through direct experiences. For instance, a child of this age can understand that “I have to go to the doctor because I have a cough.”</li> </ul> <h3>School age: 6 to 11 years</h3> <p>At this age, children are developing logical reasoning skills. They can understand external causes and are more interested in the body. </p> <ul> <li>They need specific information about illness. You could say, “You are having seizures because of abnormal activity in your brain.”</li> <li>They can make links between having seizures and needing treatment. For instance, they can understand that “Blood tests help us to see if the medicine is working.”</li> </ul> <h3>Adolescence: 12 to 18 years</h3> <p>At this age, children are able to understand multiple causes of illness. For example, they can understand that seizures may result from a combination of individual factors, such as the seizure threshold, and environmental factors, such as triggers and lack of sleep. </p> <ul> <li>They can understand ideas about prevention and factors that may cause seizures, such as stress and physical activity.</li> <li>They are able to weigh risk. For instance, one teenage girl with epilepsy says, “If I play basketball I will have a seizure. I still want to play, and I choose to play on weekends so seizures won’t disrupt my school work but I can still enjoy my sport.”</li> </ul> <h2>Coping styles</h2> <p>(This information is summarized from Kuttner L. <em>A Child in Pain: How to Help, What to Do</em>. Point Roberts, WA: Hartly & Marks; 1996.) </p> <p>How your child has coped in the past with information that created anxiety and uncertainty may provide you with an indication of how they may cope with information about their epilepsy. </p> <p>Leora Kuttner, PhD describes four different coping styles of children. Of course, these categories have been developed to provide an idea about the spectrum across which children display their coping tendencies. The categories should not be used to place children in boxes, but instead can be used to provide you with an idea of where your child is at a certain time and how to approach them. </p> <table class="akh-table"> <thead> <tr><th>Coping style</th><th>What type of approach should you take?</th></tr> </thead> <tbody> <tr><td><h3>Catastrophizer:</h3> <p>The child collects detailed information, but it is not comforting. Instead, it exacerbates their anxiety and they imagine the worst-case scenario. The child may have had a previous negative experience related to health issues that affects their ability to cope.</p></td> <td><p>Provide your child with a chance to talk about and resolve previous issues. Consider getting help for your child, such as play therapy or talk therapy, if the typical supports you have in place through your family do not seem to work.</p></td></tr> <tr><td><h3>Sensitizer:</h3> <p>The child requests detailed information and searches for information. The answers seem to help them deal with feelings of anxiety.</p></td> <td><p>Provide your child with information as requested. Let your child take the lead. Make sure to check in once the information has been given to make sure your child is continuing to manage the information.</p></td></tr> <tr><td><h3>Minimizer:</h3> <p>The child downplays the information to cope with their anxiety and uncertainty, and processes information in small pieces as this is more manageable. If they are left on their own, they will come to you with questions over time as they are able to take more information in.</p></td> <td><p>Be prepared to share key components but not all of the details. Provide your child with information as requested. Let your child take the lead. Be aware and take advantage of opportunities to talk about epilepsy in everyday situations that are less threatening; for instance, if the issue is mentioned on television.</p></td></tr> <tr><td><h3>Denier:</h3> <p>The child pushes information out of their mind, does not want to think or talk about it, and may ask not to talk about it in order to protect themselves.</p></td> <td><p>Provide small pieces of information. Often what children do not know can be more worrisome than what they do know. Consider getting help for your child, such as play therapy or talk therapy, if the typical supports you have in place through your family do not seem to work.</p></td></tr> </tbody></table>https://assets.aboutkidshealth.ca/AKHAssets/coping_with_the_diagnosis_of_epilepsy.jpgCoping with the diagnosis of epilepsy

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