Hello Joy -
I am sorry you are having so much trouble finding the right medications to
control your seizures, with minimum side effects. Although most
neurologists philosophy is to control your seizures, there are many reasons
which effect their treatment. Some are interested in helping the patient to the
best they can, regardless of the treatment, and some are more interested in
themselves, their ego and their pocket (patient fees, as well as rebates with
the drug companies.)
Other things which the type of treatment depends on are age, school
(studies, intern and residency) profession, philosophy, attitude, year of
graduation, area of practice, alternate forms of treatment.
>>Age - the younger doctors know more of the current forms
of tests and meds, surgery, and alternate treatments.
>>School - Ivy league school have the best professors, teaching from
experience, knowledge and up-to-date with the form of treatments.
>>Profession - Are they a general neurologist, do they have a
specialty in an specific neurological treatment. An epileptologist is a
neurologist who takes 1-3 extra years in school to specialize in epilepsy, and
only treat those with epilepsy.
>>Philosophy - Do we treat the patient or do we treat the
disease.
>>Alternate Treatments - there are several alternative forms of
treatment, depending trigger point for seizures, and type for
seizures. As with the meds, none are a guarantee. Some alternative
treatments are diet (Ketogenic Diet, altered Atkin's Diet) herbs, vitamins,
yoga, for women with catamenial seizures (seizures brought on hormonal changes
through the month) they use meds to cease the menses, etc.
As far as being a candidate for surgery, brain, VNS, gamma, RNS, again,
depends on all the topics mentioned above. To be properly diagnosed and
treated if to go to a Comprehensive Epilepsy Center. There are many tests
they do, depending on what each tests provides them, depends on the next test
they order to get to point of being a candidate. Not everyone is a candidate for
surgery, and many who are a candidate, elect to not use that as a form of
treatment. Some of the tests are EEG, VEEG, Long Term Monitoring, MRI, CT,
Spect, PET, fMRI, WADA, Grids, Strips. There are also just as many types
of surgery as there are tests listed above.
My first recommendation would to be treated by an epileptologist in a
Comprehensive Epilepsy Center with an open mind in forms of treatment.
Work with them, they will most likely start all over with forms of
treatment to see how you react, this isn't to line their pockets, depending on
what tests you had and how long ago, things can change, focal area, types of
seizures, etc.
As for early diagnosis for children, as soon as you notice something
unusual, bring them to a doctor who specializes in what you suspect it to be,
The sooner you bring them to a doctor for proper testing and treatment, the
sooner you get a result and treatment. It is possibly for epilepsy to be
hereditary.
I am sorry all this has brought you to the point that you need
anti-depressants. This may or may not be a result of the treatment you are
getting, it is also brought on by the reason for the seizures, focal area(s),
brain damage, scar tissue, acceptance, side effects of meds, society, etc. Since
childhood, I have had bouts of depression but never had to resort to
anti-depressants. I was always able to notice it and snap out of it.