A COMPARATIVE QUALITATIVE STUDY: LIVED EXPERIENCES OF INDIVIDUAL’S WITH EPILEPTIC AND NON-EPILEPTIC SEIZURES

Abstract

Psychogenic non-epileptic seizures (PNES) and epileptic seizures (ES) often existing with similar symptoms, making accurate diagnosis challenging. Misdiagnosis may lead to inappropriate treatment and delayed mental health intervention. This qualitative study explored the physical, cognitive, emotional, and psychosocial experiences of individuals with seizure-like episodes. In current study phenomenological research design was used. Semi-structured interviews were conducted with 10 participants (aged 20-45 years) selected through purposive sampling. The sample included equal numbers of males and females from both rural and urban backgrounds. Data were examined using thematic analysis. Results reveled five major themes: 1. Peri-ictal physical experiences 2. Cognitive difficulties 3. Emotional and psychological distress 4. Social and occupational Impacts 5. Healthcare experiences. The symptoms reported by the participants are body jerks, altered awareness, anxiety, fear, memory problems, social stigma, occupational difficulties, and dissatisfaction with healthcare services. The findings highlight the multidimensional nature of seizure experiences and provide qualitative support for developing a culturally appropriate screening scale to improve the diagnostic differentiation of psychogenic non-epileptic seizures (PNES) and epileptic seizures (ES) and facilitate suitable intervention.