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  • Sponsored Q&A

    I care for a teenager with an intellectual disability and epilepsy. How can I tell the difference between behaviour and seizures?

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    • Epilepsy Action Australia
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  • Established in 1952, Epilepsy Action Australia provides education and support for people with epilepsy, their families and community, and professional groups. These services promote self-management … View Profile

    It can be difficult but there are some characteristics which are mostly seen in one or the other. It will help to:

    • Get a good description of the event and/or a video of it to show the neurologist. This is always one of the most helpful things you can do from a diagnostic point of view.

    • Check if you can stop or start the event – if you can, then it is more likely to be behavioural.

    • Consider patterns when the event starts, for example does it happen at the same time of day (seizures) or involve the presence of certain people or situations (behaviour)? • Ask yourself if there was a change in awareness and responsiveness? These changes happen during seizure activity.

    • Think about whether the events are the same or different each time. Seizures are usually very similar whereas behaviour can vary greatly.

    • Time it as most seizures last less than three minutes but behaviour can last a lot longer.

    • Notice how is the person afterwards? After seizures, there is often a period of confusion and tiredness.

    If unsure, you have to assume it is seizure activity and follow their seizure management plan and provide seizure first aid as required.

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