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Epilepsy Mistaken For Psychological Issues/Panic Attacks/Anxiety?

Fri, 03/28/2014 - 16:23

Hi,

I hope the community here can help me fill in the gaps where doctors don't have time to address everything. Anyone who can offer insight would be greatly appreciated.

I started having very frequent episodes that are quite characteristic of complex partial seizures in October of 2013. I had no idea at the time and honestly thought I may be having mini strokes because of the episodic speech difficulties I had, and that I would have numbness, tingling, and paralyzed limbs on one side of my body. I knew very little about epilepsy and to be completely open, I only had knowledge of grande mal and petit mal seizures. I had no clue there were other types. Seizures never came to mind until I started having convulsions. After my doctor told me I needed to see a neurologist and I found out about partial seizures, this prompted me to start learning about the different types of seizures and epilepsy in general, which started to make me question some issues I had in the past, and whether or not these were really NEW problems at all.

When I was about 13 or 14 (right around puberty) I started seeing a doctor for some bothersome issues. This would have been around 12-13 years ago or about 2001. I remember having what I called "dizzy spells" quite frequently, and even "fainted" sometimes. By that I mean during a dizzy spell I might black out and fall, then come to later not really knowing what had happened. The second problem I had was a chest pain which was sharp and shooting, but only lasted a few seconds and happened completely randomly (read: not when I was emotionally upset, and not when physically exerting myself). The doctor I was seeing at the time first sent me to be tested for problems involving blood sugar, but that was all normal. Then she had me tested for heart problems and sent me to a cardiologist who scoffed at having me in his office because there was apparently nothing wrong with my heart. After that, she decided I these issues were caused by a psychological problem and put me on Zoloft, which of course didn't help matters. Because I couldn't get help from the doctor, I just learned to live with these things, as they were usually manageable and I just had to excuse myself sometimes by telling people I got dizzy spells and didn't know why. "It's just something that happens".

When I got in my early twenties I had a few episodes of blacking out and the dizzy spells started back up again. Having been told it was a psychological problem, I assumed I was having panic attacks. I started going to the doctor again around age 22 and was treated for anxiety with various medications and counseling. The most important thing I learned in counseling is that I'm pretty well-adjusted and don't really have any mood problems. Every anxiety med or anti-depressant I was put on either had intolerable side effects at a low dose or made my spells worse, until we finally found one that didn't cause me discomfort: Wellbutrin. I was on this for a year before things got really bad. I was having the spells all the time now, and it was really interfering with my life. I discontinued the Wellbutrin on my own because I realized I was one of the happiest people I know and it didn't really add up to be on an anti-depressant. Also, if there was any chance that these spells (which I didn't connect to the spells I had in my teen years at the time) were a side effect of Wellbutrin, I needed to find if discontinuing the medication would stop them. Later I found out from my NEW doctor (who treats me a lot better) that Wellbutrin and many other depression/anxiety drugs lower the seizure threshold.

A year later we get to the point where I started regularly having spells that seemed more like complex partial seizures. After having family members video me I found out that I make a chewing motion with my mouth and flutter my eyelids while it's going on.

What I want to know is if it sounds like I may have had seizures in the past.

The reason I ask, is that I have other issues going on. If I'd had undiagnosed epilepsy this whole time, those problems would make a lot more sense and I would know that I don't really need to see another specialist to rule out a recent cause of epilepsy onset (like an autoimmune disorder, etc...). I would rather not waste time and money chasing down unnecessary testing. I know it's better safe than sorry, but I don't think I ever really had panic attacks or chronic fatigue syndrom or any other conversion disorder. I'm actually kind of surprised that I was written off as a hypochondriac and someone who needed to be referred to a psychiatrist instead of a neurologist.

I have found some studies on subjects who were diagnosed in error with panic attacks and other psychological problems when they really had epilepsy. Do you think this is the case for me? I mean, I am quite normal until I have a spell. What questions should I ask myself to put that in perspective?

Comments

Hi, the doctor who told you

Submitted by KTNCL on Sat, 2014-04-19 - 19:05
Hi, the doctor who told you teens don't have heart problems doesn't know what he's talking about. They may be rare, but google how many teens have dropped dead while playing sports because of an undiagnosed heart condition. My mother also had surgery to repair a hole in her heart when she was 17 (she was born with it, but still had this condition until they repaired it at 17.) Not meaning to scare you, but definately get another doctor's opinion.

Hi, the doctor who told you

Submitted by KTNCL on Sat, 2014-04-19 - 19:09
Hi, the doctor who told you teens don't have heart problems doesn't know what he's talking about. They may be rare, but google how many teens have dropped dead while playing sports because of an undiagnosed heart condition. My mother also had surgery to repair a hole in her heart when she was 17 (she was born with it, but still had this condition until they repaired it at 17.) Not meaning to scare you, but definately get another doctor's opinion.

Thank God you found a doctor

Submitted by KTNCL on Sat, 2014-04-19 - 19:09
Thank God you found a doctor who knew to take you off Wellbutrin! I have had a similar problem with it. I don't want to go into a lot of details here as I have already posted about it and its kind of long, but to make a long story short, I accidentally overdosed on it from a prescription error. This built up over almost a 2 week time and during that time I kept feeling like and even telling people that I felt like I was having tiny seizures. (But I always seemed conscious, just felt I had been frozen and in deep thought for a few seconds/ minutes.) I had migraines now and then, and one time actually had a few minutes of unconscious driving time. I'm not sure how I drove, but I went from one place to another with no memory of how I got there. (I'm figuring I must have been conscious but had memory loss afterward.) Finally I ended up having almost what seemed like a psychotic episode at work, but I think was actually a long partial seizure. I had auditory hullucinations, seeing everything get brighter, felt like I was in another realm, felt like I was dying, could not really speak well as I forgot most of what anyone said to me, felt like I was telepathically communicating with angels, everthing had double meanings, body tingling, very tired, had to sit down, felt like laying down but afraid I would die/ or already dead, pressure over body, very low blood sugar (60's), dizzy, etc. Well turned out a little long anyway... They called an ambulance but they told me to eat something And it would wear off. It did for awhile but later came back and I went to emergency room. They thought I was psychotic And trying to kill myself until I discovered one mistake on my Prescription bottle label. It now said to take 1 pill 3x day (the last one said take 2, so I had continued to do so.) Later I also noticed they were also SR (12 hr) pills! That is why it seemed to get better but then got worse again. Plus it still said to take These 12 hr pills 3X day! Guess who found all these facts? Not the EMT's, not the emergency room staff, not the psychiatrist, not the doctor, ME!!! If I hadn't found the error, I would have been Involuntarily committed to a psychiatric ward in a different hospital for 10 days! Guess what else? After realizing the overdose problem, they sent me home with a new prescription of Wellbutrin XL (once a day) so I wouldn't "take too many pills on accident." After I got home, I read on the Wellbutrin site itself that it can cause seizures. I had asked the hospital staff to run a brain scan or EEG when I was in the hospital, but they said I could go to an outpatient neurologist to do that when I got out of the hospital (this is around the same time they decided I had a psychiatric problem!) They should have known that Wellbutrin is known for causing seizures and looked into that first! Aughh, pompous idiots!!! They should be the ones in the psych ward!

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