Fits, epilepsy and dissociative (non-epileptic) attacks
दौरे, मिर्गी और मानसिक स्वास्थ्य
Some fits are epileptic and need anti-seizure medicines. Others are dissociative attacks triggered by stress, which need psychological treatment instead.
People with epilepsy also commonly have depression, anxiety or memory concerns that deserve treatment.
Medically reviewed by Dr. Kuldeep Budania, MBBS, MD Psychiatry
Common symptoms
- Episodes of shaking or unresponsiveness during stress
- 'Possession-like' episodes (bhav aana) or trance states
- Fits that continue despite many epilepsy medicines
- Low mood, irritability or anxiety with epilepsy
- Memory or behaviour changes
Causes
- Epilepsy: abnormal electrical activity in the brain
- Dissociative attacks: emotional stress, conflict, trauma
- Some anti-seizure medicines can affect mood
Risk factors
- Frequent or uncontrolled seizures
- Stigma, restrictions on driving or work, side-effects of anti-seizure medicines
How it is diagnosed
- Screening for depression, anxiety and memory problems that commonly accompany epilepsy
- Distinguishing epileptic seizures from dissociative (non-epileptic) attacks with video-EEG when needed
- Choosing psychiatric medicines that are safe with anti-seizure medicines
Classification: ICD-10 G40 · ICD-11 8A60Epilepsy; mental health care is given alongside neurological treatment.
Treatment options
- 1Careful history and video of the episode; EEG/neurology review when needed
- 2Psychotherapy and family counselling for dissociative attacks
- 3Treating depression/anxiety with epilepsy-safe medicines
- 4Coordination with your neurologist
Psychotherapy and counselling
- Counselling about living with epilepsy, stigma and safety
- CBT for anxiety and depression
Guidance for family
- First aid: turn the person on their side, do not put anything in the mouth, time the seizure
- Call 112 if a seizure lasts more than 5 minutes or repeats without recovery
When to see a psychiatrist
- A first-ever fit — see a doctor urgently
- Fits lasting more than 5 minutes — emergency (call 112)
- Episodes linked to stress or family conflict
Thoughts of self-harm or a medical emergency? Call Tele-MANAS 14416 (24×7, free) or 112.
Frequently asked questions
Is 'bhav aana' a spiritual problem?
These episodes are well-known dissociative states linked to stress, and they respond to treatment.
Can I stop epilepsy medicines?
Never suddenly. Only your neurologist/psychiatrist can plan this.
What should family do during a fit?
Keep the person safe on their side, don't put anything in the mouth, time the episode and record a video if possible.
Help is available — confidential, in Hindi or English.
Private video consultation from anywhere in India with an Ajmer-based psychiatrist. Psychiatry consultation ₹500.
This page is for education and does not replace a personal consultation. Do not start or stop any medicine without a doctor's advice.