Most children and adults with epilepsy lead a ‘normal’ life and only occasionally visit their general practitioner. However, patients who find normal life difficult need help. The difficulties may be due to either the seizures, them selves, the emotional problems of himself, his relatives or his associates, or to physical or psychological impairment. Although treatment for the seizures is the first and most important part of management, many other aspects also require hospital assessment and supervision. A knowledge of the patient’s intelligence and psychological state are important in planning his education and future. Advice on genetics, marriage and driving may also be necessary. As there is still much ignorance and prejudice about epilepsy, help is needed not only for the patient but also for his relatives, teachers and employers.
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