Anxiety, depression and epilepsy

Many young people we spoke with had experienced anxiety or depression because of being diagnosed with epilepsy, as a side effect of epilepsy medication or for reasons not to do with their epilepsy. Here they talk about these experiences and what had helped them overcome or cope better with anxiety and depression.

Anxiety, depression and epilepsy

The relationship between epilepsy and anxiety or depression was complex for young people; it wasn’t just feeling down about their diagnosis. Most people who had had anxiety or depression said it was connected to their life situations, such as problems in the family or losing a relative.

Anxiety, stress and seizures are all intertwined says Finlay.

Age at interview 21

Gender Male

Age at diagnosis 11

View profile

For some, anxiety or depression only started after they were diagnosed. One woman started having anxiety attacks after she was diagnosed, especially after she had a couple of severe seizures which made her feel anxious.

Charli has had anxiety attacks only after her most recent, severe seizures.

Age at interview 23

Gender Female

Age at diagnosis 18

View profile

One man compared the experience of having an anxiety attack to having an aura:

‘Sometimes having an anxiety attack is very similar to having an aura and so I found it very difficult to differentiate between having an anxiety attack and having an aura.’

One woman said that, when she was diagnosed with epilepsy, her GP had insisted that she was depressed. She herself felt she was just dealing with the blow of being diagnosed, and her life was chaotic for a while.

For some, anxiety and stress triggered seizures and trying to manage these factors helped people have fewer seizures. However, some said it was a vicious cycle; the more aware they were of anxiety and stress triggering their seizures, the more anxious they got, which made them more likely to have seizures.

Charli gets stressed and anxious about the possibility of having a seizure.

Age at interview 23

Gender Female

Age at diagnosis 18

View profile

For some, coming to terms with the diagnosis had been really hard and the blow of the diagnosis had made them depressed. Some felt they were prone to getting depression anyway, because of their personality or family history.

The ‘psychological blow of being diagnosed with epilepsy, together with her personality, made…

Age at interview 22

Gender Female

Age at diagnosis 16

View profile

Zoe describes what living with depression is like for her.

Age at interview 22

Gender Female

Age at diagnosis 16

View profile

One woman felt depressed before she got the epilepsy diagnosis because she didn’t understand that her strange experiences were actually epileptic seizures. When she got the diagnosis and could understand her experiences better, it helped her depression as well.

For years, Helen didn’t know her experiences were seizures and she felt like a ‘freak. This made…

Age at interview 23

Gender Female

Age at diagnosis 22

View profile

A couple of people had experienced severe depression when they were recovering from brain surgery for epilepsy. They said the recovery from surgery had been slow and psychologically very difficult, despite counselling and taking antidepressants. Depression is a recognised complication of temporal lobe surgery but affects only a small minority of people.

Donna had severe depression after brain surgery. Counselling, antidepressants and time helped her.

Age at interview 28

Gender Female

Age at diagnosis 3

View profile

After brain surgery, Darren experienced depression and attempted suicide twice.

Age at interview 19

Gender Male

Age at diagnosis 11

View profile

Experiences indirectly related to epilepsy also contributed to young people feeling depressed, for example being bullied, or not having friends or good social contacts because their lives had revolved around seizures and treatments.

Many people also said that epilepsy medication had made them feel depressed, anxious or paranoid (see ‘Medication side effects’). For one person these side effects got so bad he was admitted to a psychiatric ward for a few days and was diagnosed with ‘anxiety psychosis’.

Anxiety and insomnia were side effects of Ben’s epilepsy medication. If he is at all concerned…

Age at interview 22

Gender Male

Age at diagnosis 14

View profile

Counselling, antidepressants and complementary approaches

People found counselling, anti-depressant medication and complementary approaches helpful in dealing with their depression. Many also said that time and family support had helped.

Several people had counselling to help them deal with anxiety and depression and most had found it useful. In addition to talking through their feelings and experiences in the sessions, a couple of people had learnt practical relaxation techniques.

Counselling was really helpful for Finlay’s anxiety.

Age at interview 21

Gender Male

Age at diagnosis 11

View profile

One man said that he’d gone to his doctor to be referred to a counsellor but was offered only an antidepressant, which he didn’t want to take. Another hadn’t found counselling helpful and thought it was no different to talking to anyone else about his feelings.

Darren was depressed and self-harming. He stayed on a psychiatric ward but didn’t find the…

Age at interview 19

Gender Male

Age at diagnosis 11

View profile

People’s views on anti-depressive medication varied but all young people who had experienced depression worried about the effects of antidepressants on their epilepsy medication. A few people said they couldn’t take antidepressants because of their particular AEDs. One woman had been on anti-depressive medication but it hadn’t helped and she stopped taking it. You should never stop taking any prescription medication suddenly but always discuss this with your doctor.

Helen is wary of antidepressants; she had bad experiences on them and says there are better ways…

Age at interview 23

Gender Female

Age at diagnosis 22

View profile

Becky was offered an antidepressant but she didn’t accept them because her doctor couldn’t tell…

Age at interview 23

Gender Female

Age at diagnosis 15

View profile

A couple of people, both on antidepressants and AEDs, said they had been cautious at first but had experienced no problems or side effects.

Donna wanted an antidepressant to help with her moods, including anger, but she was just given…

Age at interview 28

Gender Female

Age at diagnosis 3

View profile

A couple of people had experienced positive effects from complementary (alternative) approaches to anxiety, depression and stress. People who had tried holistic therapy, meditation or herbalism said these had helped them relax and feel less depressed and anxious, so also helping them with seizures (see ‘Complementary approaches’).

For more information visit our section on depression and low mood.

Risks, injuries and SUDEP from epilepsy

People face risks in all areas of life and people with epilepsy may face specific risks because of their epilepsy. These include injuries or accidents...

Humour and jokes about epilepsy

Many young people we spoke with talked about humour as an important way for them and their friends and families to deal with epilepsy, to...