However, the most important part of treatment is education of the patient and family with the aid of video recordings to clearly identify which attack is epileptic and which is psychogenic. As in other manifestations of conversion disorders, long-term psychotherapy is indicated in patients with pseudoseizures. It is important for the neurologist to work with a psychiatrist who understands pseudoseizures. Psychotropic medications are often needed for associated depression and anxiety. Patients with pseudoseizures usually do not require any limitation of activities.
Neurologists vary in their recommendations concerning driving.
A preliminary study found no increased risk of motor vehicle accidents in patients with pseudoseizures. After the diagnosis is made, it is important to spend adequate time explaining the diagnosis and its implications to the patient and family. Psychiatric consultation need not be on an inpatient basis. As stated above, most patients with psychogenic seizures take anticonvulsants before a correct diagnosis is made. A small fraction have also received intravenous medication for status epilepticus that may have resulted in intubation and ICU admissions.