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LIVING WITH EPILEPSY/SCHOOL: LEARNING AND BEHAVIOR –MARTHA’S PSYCHOLOGICAL AND SOCIAL PROBLEMS

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Posted in Epilepsy by admin
February 17, 2011
“Martha’s grades are terrible. She was a solid B’ student until her seizure, and since then she doesn’t even finish her homework. Her last report card was C’s and D’s, and she now says that she wants to drop out of school and get a job. Could this be due to her medicine?”
In Martha’s case, as in Joshua’s, there are many potential sources for her problems. Puberty, boys, home problems, changes in school, depression, concern and embarrassment over her seizures could all affect school work and should be explored in talking with Martha. We would check the blood level and lower it if it was high. If not, we would strongly consider changing to another medicine. While phenobarbital and phenytoin are the medications that most frequently affect learning, such effects can follow use of any of the medications. Even as we were lowering or changing the medicine, we would explore with Martha what she knows about seizures and her reaction to them. We would want to know how seizures have changed her lifestyle and her sense of self-esteem. We would ask about symptoms of depression and try to help her cope better with her epilepsy, whether or not this was the cause of her school problems.
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LIVING WITH EPILEPSY/SCHOOL: LEARNING AND BEHAVIOR –MARTHA’S PSYCHOLOGICAL AND SOCIAL PROBLEMS”Martha’s grades are terrible. She was a solid B’ student until her seizure, and since then she doesn’t even finish her homework. Her last report card was C’s and D’s, and she now says that she wants to drop out of school and get a job. Could this be due to her medicine?”In Martha’s case, as in Joshua’s, there are many potential sources for her problems. Puberty, boys, home problems, changes in school, depression, concern and embarrassment over her seizures could all affect school work and should be explored in talking with Martha. We would check the blood level and lower it if it was high. If not, we would strongly consider changing to another medicine. While phenobarbital and phenytoin are the medications that most frequently affect learning, such effects can follow use of any of the medications. Even as we were lowering or changing the medicine, we would explore with Martha what she knows about seizures and her reaction to them. We would want to know how seizures have changed her lifestyle and her sense of self-esteem. We would ask about symptoms of depression and try to help her cope better with her epilepsy, whether or not this was the cause of her school problems.*249\208\8*
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