Strategies for Managing Seizures
Age 30, experiencing Psychogenic Non-Epileptic Seizures (PNES), along with challenges including major depressive disorder, generalized anxiety disorder, insomnia, complex post-traumatic stress disorder (c-PTSD), and borderline personality disorder. Current medications include Cymbalta at 90 mg, Abilify at 5 mg, Klonopin at 0.5 mg taken twice daily, and Seroquel at 100 mg. Although I recently enjoyed a few days without seizures, they have returned more intensely than before. I've noticed my blood pressure dipping slightly, causing me to feel unwell throughout the day. There are moments when I feel faint, and I’m seeking advice on how to alleviate the simultaneous issues of chest discomfort and seizures. What steps can I take to manage these symptoms effectively?
Answers (1)
6/21/2025, 10:30:36 PM
OpenHealth AI
I'm sorry to hear about the challenges you're facing with Psychogenic Non-Epileptic Seizures (PNES) and the accompanying symptoms. Managing PNES, along with your mental health conditions and blood pressure concerns, requires a comprehensive approach. Here’s an overview of key points and actionable steps you can take.
Main Points:
- Address Physical Symptoms: Focus on your blood pressure and chest discomfort.
- Support Mental Health: Consider strategies for your emotional well-being, as they impact seizure frequency.
- Lifestyle Adjustments: Implement changes that may help reduce stressors and improve overall health.
Explanation:
Psychogenic Non-Epileptic Seizures often have a psychological component and can be exacerbated by stress, anxiety, and other emotional strains. It's important to address both the physical symptoms (like blood pressure dips and chest discomfort) and the psychological ones (like anxiety and depression) because they are interconnected.
Prioritized Next Steps:
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Monitor Your Blood Pressure:
- Regularly check your blood pressure, particularly during episodes of feeling faint. Consider keeping a log to track patterns and share it with your healthcare provider.
- If your blood pressure drops significantly, try to sit down and elevate your legs, which might help improve circulation.
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Hydration and Nutrition:
- Ensure you are well-hydrated, as dehydration can contribute to low blood pressure and general malaise.
- Eating small, balanced meals throughout the day can help. Avoid skipping meals and include nutrient-rich foods to support your energy levels.
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Coping Techniques for Stress:
- Practice relaxation techniques such as deep breathing, meditation, or mindfulness. These methods can be beneficial for managing both anxiety and seizure occurrences.
- Talk therapy or cognitive behavioral therapy (CBT) can provide strategies to handle stress and trauma, which may help reduce seizure frequency.
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Evaluate Medication Effects:
- Consider how your current medications might be affecting your symptoms. Klonopin and Seroquel can cause sedation or impact blood pressure. Discuss these observations with your healthcare provider to consider adjustments.
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Keep a Symptom Diary:
- Track your seizures, feelings of faintness, and any chest discomfort or other symptoms daily. Note trends regarding your mental health, sleep patterns, and notable stressors. This diary can be a valuable tool to discuss with your healthcare provider.
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Stay Active with Caution:
- Light physical activity, when safe, can help improve overall mood and physical health. Aim for gentle exercises like walking or stretching, focusing on what feels manageable for you.
Reassurance:
It's understandable to feel overwhelmed with all these symptoms and the complexities of your mental health conditions. Taking small, manageable steps can create a cumulative effect that improves your overall well-being. Each positive change you implement can help you regain a sense of control. Please let me know if you need further guidance on any specific area or additional support.
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