High School
Epilepsy may compound issues that are historically significant to the high school student. An entirely new set of circumstances comes into play whether this is a new or a long-standing diagnosis.
• All of the education laws and age-appropriate assistive programs mentioned previously apply, and adjusting a failing education program, while time consuming, is a relatively easy fix.
• Being alert to changes in mood and behavior and seeking help to resolve any concerns is extremely important. This age group with epilepsy is greatly affected by peer pressure and is at a greater risk statistically than the general population to experience depression, have suicidal ideations, and attempt suicide.
• Open conversations about a teen’s report of bullying, and quickly dealing with the authorities who may have control over these matters is imperative. Children of all ages are too often teased about their seizures.
• All states pose restrictions on driving if a person has uncontrolled seizures. This can be particularly hard on teens who are watching as one after another of their peers is getting their license. Acknowledging their disappointment and preparing for a time when driving will be possible for them will go a long way to easing their frustration. A teen of driving age can apply for a photo identification card that, in many instances, looks like an actual driver’s license.
• This is the time of life when young people typically enter the workforce. For teens with epilepsy that are unable to drive, employment options are few and far between. Here again teens with epilepsy are set apart from their peers, leading to increased frustration and additional isolation. Parents who can find a way to “normalize” the teenage experience will see a great improvement not only in mood and behavior, but also in scholastic achievement and socialization.
• The use of recreational drugs and alcohol is extremely dangerous for teens who are taking antiseizure medication. Arranging for them to have a frank talk with their neurologist about the consequences brings them one step closer to being an active member of their own treatment team. They will understand that they have an important role in managing their seizure control and keeping themselves safe.
When seizures are possible, young people often shy away from developing relationships and dating. The fear of embarrassment should a seizure happen at the prom, at a party, or at the mall, often leads to a self-imposed isolation. Encouraging teens to explore these important aspects of their youth will help them to engage in life experiences that will shape who they become in the future.
• Support groups can be an excellent way for teens with epilepsy to learn more about epilepsy, discuss their fears about their epilepsy and having seizures, talk about the guilt they sometimes feel concerning the way epilepsy can alter family life, strategize ways to discuss perceived or real overprotection by their parents, and generally have a forum to just talk about it with someone who really can understand.