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Epilepsy Association of Western Australia (Inc.)

 Annual General Meeting Thursday October 30th 2008 @ 6.00pm


17th Annual Epilepsy Seminar


Annual Audit 2008


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Teenage years and epilepsy


Epilepsy is the most common neurological disorder of adolescence with an estimated prevalence of around 1 per 100 in children aged 14–16 years. Many children diagnosed with epilepsy will have it throughout their lives while others will be diagnosed during their teenage years. See who else also has Epilepsy

The teenage years are very important years. It is a time when you make many major life decisions regarding higher education and career pathways. It is a time when you look forward to being independent and getting your driving licence.

Epilepsy can affect these life decisions but it is most important that you have the facts and accurate information before any decisions are made. In certain circumstances you may have to reconsider your first choice of career or the sports you play, and your plans to get your driving licence may have to be put on hold for a while, epilepsy can be managed and managed by you! While you may not be able to be a commercial pilot or join the armed forces, you will be able to achieve most goals you set your mind to. Today, people with epilepsy are doctors, lawyers, teachers, scientists, actors, writers, elite sportsmen and women – epilepsy need not be a barrier to achievement but attitudes can.

Treatment in most cases is with antiepileptic drugs [AEDs]. These drugs don't cure epilepsy; they help to prevent seizures occurring. Many will achieve total control and after some time you may think that your seizures have stopped forever. But to work effectively, your medication needs to be taken exactly as prescribed by your neurologist. Not taking your medication as prescribed could also mean that you start having seizures once again or more seizures than usual or that your seizures last longer than before. Sometimes the unpleasant effects from your medication may make you want to stop taking it. Or you may resent taking your tablets because they are associated with the "stigma" of epilepsy. Or you don't want to explain to others why you are taking medication. If you are feeling like this, discuss your concerns with your paediatric neurologist/neurologist or a counsellor at your Epilepsy Australia affiliate as many of these issues can be worked through. But don't stop taking your medication as this can be very dangerous. Stopping medication suddenly can trigger seizures and can in some instances cause a medical emergency.

While taking medication is your choice, most teenagers prefer to take their medication rather than have seizures. As we know they can be unpredictable and depending on what you are doing at the time of a seizure, you can place yourself or others in danger. And you may not always have to take medication. Your paediatric neurologist/neurologist will discuss with you the indications and likelihood of a successful withdrawal of medication.

Once your seizures are controlled, life carries on. It is important that you learn what triggers your seizures and how to manage it. You will need to make sure that you get enough sleep every night. The odd late night shouldn’t be a problem, just don’t make it a habit as sleep deprivation is a known trigger for seizures. Alcohol can trigger seizures for some people. Be moderate in your use of alcohol as AEDs can make you more sensitive to its effects, while alcohol reduces the effectiveness of your AED, making seizures more likely to occur. Binge drinking is not good for anyone. For someone with epilepsy it can result in poor seizure control due to late nights, missed meals, or forgotten doses, while 'hangover' seizures are likely to occur as the alcohol level in the blood falls. Street drugs such as marijuana, ecstasy, heroin, amphetamines or solvents can trigger seizures and when combined with a change in lifestyle that involves late nights and alcohol your risk of seizures is greatly increased.

You will still be able to go out with friends and if clubbing is your thing, still hit the nightspots. If your seizures are triggered by flashing or strobe lighting, check for warning signs before you enter. Swimming or surfing on your own is risky, but then it's risky for anyone. Best to swim with a friend who knows what to do if you have a seizure.

Depending on your epilepsy syndrome, you may not be able to drive until your seizures have been controlled for a specified period of time. By accepting responsibility for your own health and well-being and taking your medication regularly, that driver's licence and the independence you've been looking forward to may not be too far away.

However living with epilepsy is not always easy. You will come across discrimination in some form or another through ignorance and fear. How you handle this depends on how comfortable you are with your epilepsy. Being frank and open about it will suit some, while others will feel quite sensitive about being 'different'. Learn about your type of epilepsy and be confident in explaining it to others should the need arise. Tell your close friends what to do if a seizure is likely to occur and then leave it at that.

Remember, it is important that you are in control of your life and to do that you need to take control of your epilepsy. By taking responsibility for your own medication, and accepting those 'necessary' and, in some instances, temporary limitations, your epilepsy will become just a part of you, not who you are.

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