Avoid invasive medical procedures
Some patients will improve after they are told the diagnosis in a compassionate, non-judgmental fashion.
If new diagnosis or diagnostic uncertainty consider admission for neurology consult and video EEG.
Psychiatric intervention is the main treatment modality (e.g. outpatient cognitive behavioral therapy).
The purpose of psychiatric consultation is to identify underlying psychiatric conditions that can help direct treatment.
In case of significant emotional stress, administer a mild tranquilizing agent (e.g. lorazepam 1-2mg IM/IV; hydroxyzine 50-100mg IM)
The purpose of psychiatric consultation is to identify underlying psychiatric conditions that can help direct treatment.
Psychogenic nonepileptic seizure
Epileptic seizure
Febrile seizure
First-time seizure
Seizure with known seizure disorder
Alcohol withdrawal seizures
Status epilepticus
Transient ischemic attack