Non-Epileptic Attack Disorder

What is non-epileptic attack disorder?

Non-epileptic attack disorder is known by several different names including “non-epileptic seizures” and “dissociative seizures”. The episodes usually involve a sense of losing control of your body and sometimes losing awareness of where you are and what you are doing. People may experience blackouts and shaking of arms and legs. The episodes can last for different lengths of time. Non-epileptic attacks can have a major impact on day to day life and may prevent people from living life confidently and independently.

Non-epileptic attacks look like epileptic seizures but do not involve the same changes in the brain that are seen in epilepsy. In fact, there is likely to be nothing wrong with the brain or nerves in non-epileptic attack disorder.

Non-epileptic attack disorder is thought to relate to difficult life events and stress. The attacks may be a habit that has developed unconsciously and the attacks may happen automatically to people in certain circumstances.

What does our service offer?

Neurologists are able to reach a diagnosis by taking a detailed history and arranging tests such as brain scans and tests that look at the electrical activity of the brain (EEG). If needed, tests may need to be done on the ward and an admission for several days may be needed.

When your neurologist has gathered all the information they need to make a diagnosis of non-epileptic attack disorder, they will meet with you and have a detailed discussion with you. They will explain how they have reached the diagnosis including the results of any tests. You will have the opportunity to ask questions and discuss the illness.

After the diagnosis has been explained, there are several things that may happen next. Many people get better from just having the diagnosis explained to them, and they do not need any further treatment. Some people who are already on anti-epilepsy tablets, will need to slowly come off these tablets as they are not needed in non-epileptic attack disorder.

Some people will benefit from further treatment. This can involve using psychological treatments that help people gain control over the attacks, and build up confidence and independence.

Consultant neurologist:

Dr Saif Razvi

Consultant neuropsychologists:

Dr Sharon Mulhern

Dr Ruth Sumpter

Dr Steven Meldrum

Dr Max Alford