<s>[INST] Hi, I wonder if you can assist me.  Im been diagnosed with partial epilepsy and bi-polar.  I take 500 mg of Epilim twice a day and 250 mg Serez at night.  Lately Ive been havig the weirdest things happen : I mix words up in sentences (e.g. instead of saying soccer I will say school); I am really clumsy (drop or bump things over very often); at night I have what I presume are hallucinations (I get out of bed and will find myself in the bathroom trying to get something out of the fridge (e.g. cold drink); and I experience minor memory loss (e.g. Il go the fridge and not know what I went there for, or Ill but the sugar bottle in the fridge instead of on the counter).These things are quite annoying, so if you can assist Id really appreciate it.Lee [/INST] Hi, Thank you for posting your query. I have noted your symptoms. You need a detailed neuropsychological evaluation. This would confirm if you have memory impairment or other cognitive derangement. This would be followed by an MRI brain, EEG and blood test such as vitamin B12 level and thyroid profile tests. Once the cause is identified, it can be well treated. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ </s>