Epilepsy and emotionsEEpilepsy and emotionsEpilepsy and emotionsEnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZIrene Elliott, RN, MHSc, ACNP;Janice Mulligan, MSW, RSW12.000000000000041.00000000000001347.00000000000Flat ContentHealth A-Z<p>A child with epilepsy will experience an array of emotions, which may include depression or anxiety. Problems with self-esteem may arise. Here's how to help.</p><p>It is well known that children and adolescents with difficult-to-control epilepsy are at greater risk for serious emotional problems than children without epilepsy or children with well-controlled epilepsy. The following page discusses some of difficulties these children experience in regulating their emotions and addresses some approaches to dealing with their heightened emotional distress. </p><h2>Key points</h2> <ul><li>Encourage self-esteem in your child by focusing on their strengths, including them in health-care discussions, and encouraging them.</li> <li>Children with epilepsy may experience anxiety because of worry about seizures, abnormal brain activity, side effects from drugs, or drug withdrawal.</li> <li>Seek medical attention if you child is experiencing severe anxiety or if they have depression.</li> <li>Children with epilepsy are at risk for social isolation, bullying and teasing, which can reinforce negative self-esteem over time.</li></ul>
L’épilepsie et les émotionsLL’épilepsie et les émotionsEpilepsy and emotionsFrenchNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZIrene Elliott, RN, MHSc, ACNP;Janice Mulligan, MSW, RSW12.000000000000041.00000000000000Flat ContentHealth A-Z<p>Un enfant épileptique peut ressentir une gamme d’émotions, comme la dépression ou l’anxiété. Des problèmes d’estime de soi peuvent aussi apparaître. Voici comment faire pour l’aider.</p><p>Il est bien connu que les enfants et les adolescents dont l’épilepsie est difficile à contrôler sont plus à risque de présenter de graves problèmes affectifs que les enfants dont l’épilepsie est bien contrôlée. La page ci-après traite de certaines des difficultés rencontrées chez ces enfants pour réguler leurs émotions et des méthodes pour composer avec ce trouble émotionnel intense.</p><ul><li>Favorisez l’estime de soi chez votre enfant en valorisant ses forces, notamment en le faisant participer aux discussions sur ses soins de santé, et en l’encourageant.</li> <li>Les enfants atteints d’épilepsie peuvent ressentir de l’anxiété parce qu’ils s’inquiètent à propos de leurs crises, d’une activité cérébrale anormale, des effets secondaires causés par les médicaments ou du retrait d’un médicament.</li> <li>Consultez un médecin si votre enfant éprouve un grave problème d’anxiété ou s’il est déprimé.</li> <li>Les enfants épileptiques sont à risque d’isolement social, d’intimidation et de taquineries, ce qui peut renforcer la mauvaise estime de soi au fil du temps.</li></ul>

 

 

Epilepsy and emotions2114.00000000000Epilepsy and emotionsEpilepsy and emotionsEEnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZIrene Elliott, RN, MHSc, ACNP;Janice Mulligan, MSW, RSW12.000000000000041.00000000000001347.00000000000Flat ContentHealth A-Z<p>A child with epilepsy will experience an array of emotions, which may include depression or anxiety. Problems with self-esteem may arise. Here's how to help.</p><p>It is well known that children and adolescents with difficult-to-control epilepsy are at greater risk for serious emotional problems than children without epilepsy or children with well-controlled epilepsy. The following page discusses some of difficulties these children experience in regulating their emotions and addresses some approaches to dealing with their heightened emotional distress. </p><h2>Key points</h2> <ul><li>Encourage self-esteem in your child by focusing on their strengths, including them in health-care discussions, and encouraging them.</li> <li>Children with epilepsy may experience anxiety because of worry about seizures, abnormal brain activity, side effects from drugs, or drug withdrawal.</li> <li>Seek medical attention if you child is experiencing severe anxiety or if they have depression.</li> <li>Children with epilepsy are at risk for social isolation, bullying and teasing, which can reinforce negative self-esteem over time.</li></ul><h2>Self-esteem</h2> <p>Self-esteem is how a person sees themselves, feels about themselves, and values themselves. It is the extent to which a person feels positive about themselves. Self-esteem is important because how a person feels and thinks about themselves influences how they act and behaves. Self-esteem is influenced by internal thoughts that we have about ourselves, which often have been influenced by how those around us view us. </p> <p>Self-esteem can be at risk in children with epilepsy because they may receive many messages focused on what they cannot do because of their seizures. Talking with your child about these feelings and changing the “focus” to what your child <em>is</em> able to do is a positive step toward combating a negative self-image. Building self-esteem can have beneficial effects in all areas of life, including relationships with peers and academic achievement. </p> <p>Here are some ways you can help your child develop positive self-esteem:</p> <ul> <li>Show love by spending quality time with them. Use eye contact, physical contact, and loving words. Children who feel loved, comfortable, safe, and secure and who have an understanding of boundaries and limits are children with positive self-esteem. </li> <li>Respect their feelings and create an environment where expression of feelings is accepted.</li> <li>Respect their uniqueness and build on their strengths. Help them to feel competent by learning through both their successes and their mistakes. Balance your need for protection with their need to take risks. </li> <li>Encourage your child’s independence at home, at school, and in the community. Where necessary, advocate for your child so that others understand epilepsy and they are included in activities with their peers. </li> <li>Talk to your child about their epilepsy in an age-appropriate way. Highlight that epilepsy is only one aspect of who they are as a person, as opposed to a condition that defines them. When your child must cope with difficulties related to their epilepsy, emphasize the strength and bravery that it takes for them to get through these difficult times. </li> <li>Include your child as part of the epilepsy care team. This will show them that their opinion is valued and they are able to direct some aspects of their care. </li> <li>Create an environment where they can feel responsible, capable, and independent. Help them take on responsibilities, with adequate support systems in place to help them succeed. </li> <li>Encourage social contacts. Ensure a sense of belonging by creating opportunities for them to play with other children.</li> <li>If you feel there are issues you cannot help your child with, discuss them with the epilepsy care team and get professional help from a social worker or psychologist where necessary. </li> </ul> <h2>Anxiety</h2> <p>It is normal for children and teens to experience occasional fears, worries, or sadness. However, if these worries or fears continue for a long time and affect how the child interacts with others, they may meet the criteria for a type of problem called an anxiety disorder. </p> <p>Although there have been few studies of anxiety in children with epilepsy, it is estimated that between 23% and 33% of children with epilepsy also have anxiety disorders. Children with epilepsy may experience anxiety because of:</p> <ul> <li>worry and uncertainty about seizures</li> <li>abnormal brain activity related to epilepsy</li> <li>side effects from drugs</li> <li>drug withdrawal</li></ul> <p>Increased anxiety can result from fear and worry surrounding the unpredictable nature of seizures (when and where a seizure might happen) and the potential for injury and embarrassment. In an effort to avoid risk of injury or potential embarrassment, children and teenagers may feel less confident about participating in social or physical activities with their peers, thus increasing their sense of social isolation. </p> <p>Children with anxiety disorders may not talk openly about their worries, but may show their anxiety in different ways, such as: </p> <ul> <li>looking tense</li> <li>nervous mannerisms such as nail biting, leg jiggling, breath holding, or gulping</li> <li>concern about being on time</li> <li>reluctance to leave their parents and go to school, or to leave their teacher and go out to the playground</li> <li>constantly seeking approval and reassurance about their performance</li> <li>redoing tasks because they are not satisfied with their performance</li> <li>trying to avoid new or challenging situations</li> </ul> <p>If your child seems unusually anxious:</p> <ul> <li>Talk to their epilepsy care team. Counselling to improve coping skills in dealing with worries about seizures and the stigma surrounding epilepsy may help reduce your child’s anxiety. </li> <li>Create an environment that allows your child to discuss their worries and concerns.</li> <li>Some adolescents have reported that supportive discussion with peers or older youth with epilepsy about how they cope and manage life with seizures can be very helpful. </li> </ul> <p>In rare cases, there may be situations in which a child or adolescent’s anxiety is overwhelming and limits their ability to function normally, that is, to attend school or even leave the house. In those situations, assessment by a social worker, psychologist, or psychiatrist might be required, as well as treatment with an anti-anxiety medication. </p> <p>It should also be noted that severe anxiety in children can be an expression of depression. The following section describes this more fully. </p> <h2>Depression</h2> <p>Depression is more than just "the blues." It is a serious illness, or mood disorder, that is caused by a combination of biological and social factors. People who are depressed cannot just "snap out of it."</p> <p>Depression can impair a child’s social and emotional development: children with depression tend to be more isolated, with poorer social relationships and low self-esteem. Children and teenagers with depression are also more likely to attempt suicide. In the long term, depression often recurs and may continue into adulthood. </p> <p>Studies have found that between 10% and 26% of children and adolescents with epilepsy report that they are depressed, compared to 2% to 6% of children in the general population. However, depression in children with epilepsy is often overlooked. </p> <p>Factors that increase the risk of depression include:</p> <ul> <li>frequent seizures</li> <li>long duration of epilepsy</li> <li>family history of depression</li> <li>negative attitude toward having epilepsy</li> <li>stressful family relationships</li> <li>feelings of loss of control over seizures</li> </ul> <p>In adults with epilepsy, certain <a href="/Article?contentid=2087&language=English">anti-epileptic drugs</a> (<a href="/Article?contentid=215&language=English">phenobarbital</a>, <a href="/Article?contentid=255&language=English">topiramate</a>, <a href="/Article?contentid=260&language=English">vigabatrin​</a>, and tiagabine) have also been found to increase the risk of depression. Studies have found that complex partial seizures affecting certain locations of the brain are associated with depression in adults. </p> <p>Possible signs of depression in children include:</p> <ul> <li>persistent anxiety that reduces a child or adolescent’s ability to participate in normal activities of daily living</li> <li>emotional symptoms such as frequent sadness, tearfulness, and crying; increased irritability, anger, and hostility; or extreme sensitivity to rejection and failure </li> <li>behavioural symptoms such as a loss of interest in activities or the inability to engage in previously enjoyed favourite activities; talk of or attempts to run away from home; social isolation, poor communication, and difficulty with relationships; frequent absences from school or poor school performance; alcohol or drug use or abuse; or expressions of suicide or self-destructive behaviour </li> <li>cognitive symptoms such as low self-esteem, feelings of worthlessness, hopelessness, and guilt, feeling unloved, poor concentration, decline in school performance, and frequent thoughts of death or suicide </li> <li>physical symptoms such as low energy; frequent complaints of physical illnesses such as headaches and stomach aches; or a major change in eating habits or sleeping patterns </li> </ul> <p>Between 40% and 70% of depressed children and teenagers have other psychiatric disorders as well, such as anxiety or substance abuse. </p> <p>If you suspect your child may be depressed, talk to their epilepsy care team, family doctor, and/or paediatrician. They will need to evaluate your child’s situation fully, including their school and family environment. The earlier your child can be assessed and treated, the better. </p> <p>Treatment for depression in children may include:</p> <ul> <li>individual and/or family therapy</li> <li>antidepressant medication</li> </ul> <p>If your child has had more than one episode of depression, or if they are considering or have attempted suicide, the team may suggest referring them to a specialist in mental health for children or teenagers. </p>https://assets.aboutkidshealth.ca/AKHAssets/epilepsy_and_emotions.jpgEpilepsy and emotions

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