Temporal lobe epilepsy: social and psychological considerations

The diagnosis of temporal lobe epilepsy (TLE) holds significant psychosocial ramifications for the patient and family. TLE is a type of seizure disorder which challenges the usual notions of epilepsy. Patients with TLE may never experience the stereotypical convulsion; rather, TLE seizures are more likely to take the form of changes in behavior and deepened emotionality. The symptoms are confusing and often frightening for the patient, his family and the larger community. This article explores the patient's and the family's reactions to TLE--myths that influence them, the practical and emotional dilemmas that confront them, and the benefits of social work intervention.