The diagnosis of epilepsy also carries psychosocial morbidity. In all large studies, a high proportion of patients with epilepsy had difficulty accepting the diagnosis, significant fears about the risks of future seizures, anxiety about the effect of stigma and the effects on employment, self-esteem, relationships, schooling and leisure activities. Patients with epilepsy carry higher rates of anxiety and depression, social isolation and unmarried status, and are more likely to be unemployed or registered as permanently sick (these aspects are covered in subsequent sections). The psychosocial morbidity of epilepsy can be greatly ameliorated if seizures are brought under control.
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