The outcome depends on the individual. For some people who have abnormal EEGs and hyper-excitable brain networking, there is a risk of more serious seizures in the future (the brain can "learn" how to seize more aggressively as time goes by). Untreated focal epilepsy is also associated with higher instances of cognitive problems (attention and focus issues and even dementia later in life). It is important that you discuss your concerns with your care team so that all the risks and benefits of medication can be addressed.