If you know someone who is depressed try not to criticise, push, patronise or lose your temper. What helps is listening, validation and understanding. It is important to remember also that, among persons with epilepsy, suicide rates are five times higher than the average. Untreated depression and anxiety disorders can lead a person to a point of feeling lost, with no hope, and suicide seems a viable option. Suicide is about stopping pain.
Postictal psychosis can follow a series of closely spaced seizures.
It usually occurs after a 24-48 hour latency from 2 days to a week or more. Recognising the characteristics can be crucial in care management. Personality changes occur and paranoid delusions are often present. Depression is common, as is suicidal ideation. Postictal psychosis can be managed with better seizure control and with coping strategies to help deal with the fears, anxiety and frustration.