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Medical Forum / Diseases and Disorders / Epilepsy / September 2003

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Depression AND Epilepsy

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k s e - 13 Aug 2003 20:30 GMT
Hello Everyone:

What comes first, epilepsy or depression? Is it a combination of both or
does medication make a person with epilepsy depressed?

The reason I'm asking is because my neurologist asked me "if I was sad"
and I'm not sure if that was a trick question or not and then there's
what happened with my sister today. . . she seems to think I'm depressed
( I disagree ).

Thanks for your input.

Karen :)
M - 13 Aug 2003 23:05 GMT
>Hello Everyone:
>
[quoted text clipped - 9 lines]
>
>Karen :)

I give you a quote from my GP which I will remember always, as it was
probably the best medicine she ever gave me...

"Epilepsy and depression go hand-in-hand - it's quite normal."

It was my first experience of clinical depression, I had no idea what
was happening to me, and the first time anybody had suggested that
*anything* about epilepsy was ever normal.
Signature

Malcolm    
http://www.mtdomain.demon.co.uk

Dave ???? - 13 Aug 2003 23:36 GMT
Howdy!

Have to agree with Malcom on this one!

Speaking for myself...
Am I depressed BECAUSE I have epilepsy? - definately
Is my depression a symptom of my epilepsy? - could be
Is my depression a side effect of my meds? - possibly

There we have it --
psychological,
physiological and/or
chemical!

Signature

Dave ????

http://www.howdydave.com

> >Hello Everyone:
> >
[quoted text clipped - 18 lines]
> was happening to me, and the first time anybody had suggested that
> *anything* about epilepsy was ever normal.
CyberCafe - 14 Aug 2003 18:04 GMT
"Dave ©¿©¬" wrote:

> Howdy!
>
[quoted text clipped - 9 lines]
> physiological and/or
> chemical!

For myself, I agree with the first two, but I was experiencing symptoms of
depression before I was placed on meds, before I knew I had epilepsy, so I
can't blame any medication for this.  Of course, I felt terrible fairly often
because of the seizures, so maybe I was depressed about feeling shi**y so
often.

Maybe we should have differentiated for k s e that there can be depression
directly related to seizure activity (gee, who wouldn't be), and the other type
that hangs on even if the seizures are controlled.

Barb

> --
> Dave ©¿©¬
[quoted text clipped - 26 lines]
> > Malcolm
> > http://www.mtdomain.demon.co.uk
k s e - 15 Aug 2003 01:56 GMT
Barb, when you wrote, "maybe we should have differentiated for k s e
that there can be depression directly related to seizure activity (gee,
who wouldn't be), and the other type that hangs on even if the seizures
are controlled", that's exactly what I wanted to know.

The reality of what's going on is hitting me, but not hard like some
might think. I can tell that I am mentally preparing myself for the
official diagnosis and about my drivers license being revoked too,
because I'm SO calm about all of this; I even went to the library to get
myself a bus schedule.

It's strange to think that in a few weeks I might not zone out like I do
and be 100% present for the first time in forever. I've been like this
my whole life you know. I'm not sure what or why my family's reasons
were for ignoring symptoms (I guess they thought it was normal that I
stopped talking mid-sentence as my eyes rolled back and forth). I'll
never know the answer to some of those questions.

I've decided that when I do lose my licence (here in CA it's for 3, 6 or
12 months until you're proven seizure-free) I'll just use the bus time
to read my textbooks (it will probably be a blessing in disguise).

Thanks for being there everyone.

Karen
CyberCafe - 15 Aug 2003 04:10 GMT
> Barb, when you wrote, "maybe we should have differentiated for k s e
> that there can be depression directly related to seizure activity (gee,
> who wouldn't be), and the other type that hangs on even if the seizures
> are controlled", that's exactly what I wanted to know.

When I have a seizure, which only happens with illnesses now (not colds or
sore throats but something more serious), the amount of distress immediately
following a seizure just isn't as severe.  I don't know if it has anything
to do with the antidepressant I take.  I was talking more about the day to
day depression that hangs on whether a person is having seizure activity or
not, and this is the kind of depression that studies are geared toward that
show we have a higher propensity to have.  There are different theories
about why this happens and the majority are based on a medical explanation
and not a psychological explanation.

> The reality of what's going on is hitting me, but not hard like some
> might think. I can tell that I am mentally preparing myself for the
[quoted text clipped - 8 lines]
> stopped talking mid-sentence as my eyes rolled back and forth). I'll
> never know the answer to some of those questions.

Karen, I walked around for approximately 20 years undiagnosed, untreated,
and nobody (family, co-workers, friends) noticed a thing.  The funny thing
is I worked at a sheltered workshop where many of the clients had seizure
disorders.  I was the only secretary for the social workers and program
director and none of them noticed a thing although I was having seizures
literally right in front of them.

> I've decided that when I do lose my licence (here in CA it's for 3, 6 or
> 12 months until you're proven seizure-free) I'll just use the bus time
> to read my textbooks (it will probably be a blessing in disguise).

I like your positive attitude!!!

Barb

> Thanks for being there everyone.
>
> Karen
Jennifer Rudolph - 21 Aug 2003 18:58 GMT
At least you are making progress.  Depression is now hitting me very hard.
I've basically lived a lie for 13 years.  I told my mother about my
diagnosis and she told me this was mentioned years ago.  I asked her why I
didn't know.  All she said was "we didn't do it".  This shows to me that
something did happen and I could have not had seizures all this time if my
parents would have taken me to a psychologist years ago.  Here I thought I
had epilepsy all this time, when in reality I have PTSD that induces
seizures under stressful events.  Now to figure out what happened.  That
could be a challenge.  My husband is getting worried about me because ever
since I've been home, I just want to sleep.  I don't get dressed unless I
absolutely have to.  I don't answer the phone, eat, nothing I enjoy.  All I
do is watch TV, go online to check email every now and then and that's it.
I feel empty, betrayed, scared and worthless.  I've basically lost my job of
6 years and for what?  Sorry to unload my problems on you guys.

Jennifer
> Barb, when you wrote, "maybe we should have differentiated for k s e
> that there can be depression directly related to seizure activity (gee,
[quoted text clipped - 21 lines]
>
> Karen
Dave ???? - 16 Aug 2003 05:52 GMT
Howdy!

A point of clarification...

Psychological, physiological and chemical ARE all valid reasons for
depression.

I was only talking about my case in particular.

Signature

Dave ????

http://www.howdydave.com

> > Howdy!
> >
[quoted text clipped - 52 lines]
> > > Malcolm
> > > http://www.mtdomain.demon.co.uk
k s e - 16 Aug 2003 07:16 GMT
Now that a few days have passed since I met with my neurologist, I'm
thinking that she was asking me whether or not I was "sad" to feel me
out and see if I was being genuine or not ( I do have the tendency to be
VERY quiet when I'm nervous and can see how that might confuse one's
interpretaton of how I am actually feeling (if that makes sense).

I am an optomistic person. I have to be, but I deep down inside I'm
afraid that I'll become depressed if and when I'm given medication to
stop my absense seizures. I seem to be flip-flopping back and forth
between feeling totally secure to scared out of my wits.

The EEG is just a few days away and well, I'm scared. I'm okay, but a
bit nervous. I know it's technically no big deal and the procedure is a
simple one, but emotionally, I'm mixed up by the idea. I mean, a few
months ago I would have never dreamed that I'd be having electrodes
stuck to my head to see if I had epilepsy. . .

Thanks for listening (again).

Karen


CyberCafe - 14 Aug 2003 03:30 GMT
> Hello Everyone:
>
> What comes first, epilepsy or depression?

Karen, that is a question even the medical people don't know for certain.
There is quite a bit of information on the web about depression and the
epilepsy connection.

> Is it a combination of both or
> does medication make a person with epilepsy depressed?
[quoted text clipped - 3 lines]
> what happened with my sister today. . . she seems to think I'm depressed
> ( I disagree ).

Depression involves more than just feeling sad.  It can affect your ability
to focus/concentrate, can take away drive and motivation, affect your daily
functioning ability, may increase or decrease appetite, and just all sorts
of things.  In fact, some of the symptoms are so subtle that person may not
recognize them for what they are.

If you do web medical research, avoid any sites that are not affiliated with
a medical physician or medical organization or legitimate drug
manufacturer.  There are too many junk sites out there offering
inappropriate advice or information.

Barb

> Thanks for your input.
>
> Karen :)
Eliska - 15 Aug 2003 22:05 GMT
>> The reason I'm asking is because my neurologist asked me "if I was sad"
>> and I'm not sure if that was a trick question or not and then there's
[quoted text clipped - 6 lines]
>of things.  In fact, some of the symptoms are so subtle that person may not
>recognize them for what they are.

Headaches, body aches, irritability

________________________________

Eliska

http://www.ArtChiK.com
Caricature Entertainment
Portraits of Pets and People
Christine Witney - 17 Aug 2003 15:48 GMT
Hi Evryone.
You are talking about depression.   My seizures started just before I
graduated 1971.  I was a shy person while I was in school.   I was just
starting to open up when they started.  It was hard for me to handle the
problem so I slowly got lower and lower.  It got to the point where I
was thinking of suicide.  I guess luck on my side.  One day I was in my
room.  I had a picture of Jesus on the wall I sat and watched it for a
long time. Suddenly I had the sensation where I left my body and I was
above the roof looking down at myself.  That episode helped me I started
to accept my seizures and I got better.  I'm not depressed so far.

Christine
Phil Jones - 17 Aug 2003 17:23 GMT
hey... i don't know what comes first, but i had depression before i had
epilepsy...  my epilepsy came out years after my first onset with
depression/anxiety, but they are triggered by a brain tumour they just
found... i might of had this thing during my first depression episodes. and
maybe some of my panic attacks were complex partials??? who knows. i don't.
i wish i did.

i'm on anti-seizure meds, and i want to go back on anti-depression meds as
well, but most of these SSRI's like paxil, celexa, etc, all have warnings
about taking these meds if the patient has a history of seiziures.

my very first seizure was about 2 weeks into going back on Prozac a while
ago.

i think its all related.

anyone out there on seizure and depression meds and doing ok?
i'm on dilantin, and my doc wants me on celexa, i'm a little apprehensive.
any help?

thanks,
phil

> Hello Everyone:
>
[quoted text clipped - 9 lines]
>
> Karen :)
K.B. - 02 Sep 2003 03:21 GMT
The meds for seizures are depressants aren't they? They definitely mellow me
out. I don't think I'm depressed. I don't like to do as many things as I
used to but I don't feel depressed at the moment. When I was first diagnosed
I was depressed. I had to stop partying and I had to deal with everything
that came with epilepsy at once. The first couple of years were hard. People
always asked me if I was depressed. Alot of my friends didn't want to party
with me any more. I felt like a freak. I realized I didn't have any friends
because everyone disappeared when I needed them. That sort of thing took
some getting used to. I also remember getting depressed as a kid before I
was diagnosed. I blame that on my family life.
Kris
> Hello Everyone:
>
[quoted text clipped - 9 lines]
>
> Karen :)
 
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