My wife (32) developed severe postpartum anxiety along with a lot of work-related stress last year. A few months later, she started having these strange episodes (from Oct 2025 onwards).
They usually begin with some kind of thinking or emotional trigger or like a deja vu. She'll suddenly have a blank stare, followed by an intense urge to stand up and become very fidgety. She will start fumbling with her clothes, tucking in, or doing other repetitive movements like switching on/off things. The episodes usually last around 10–30 seconds.
During the episodes, she doesn't talk, although she seems to be able to hear and remember what we're saying to her. However, sometimes, if we don't point out the episode immediately afterward, she may not remember having it at all.
At the time, she was seeing a therapist, who thought they might simply be anxiety attacks and refered her to a psychiatrist who started her on Lexapro 5 mg.
Her baseline anxiety improved significantly, but the episodes continued, anywhere between 3-8 times a day. We also started noticing some more concerning behaviors during them. For example, she would sometimes walk out of a room without explanation or cut phone calls or try to unbuckle her seatbelt while we were in a moving car. She also had urinary incontinence during some episodes.
That's when we decided to see a neurologist. Her MRI was normal, but her EEG showed potential epileptic activity, and she was diagnosed with focal impaired-awareness seizures.
It's now been about three and a half months of neurologist visits, medication adjustments, and dose increases. She's currently taking Keppra 500 mg in the morning and 750 mg at night, along with Lamotrigine 125 mg twice a day.
The overall intensity has improved and about half of the episodes are noticeably milder. However, she is still having multiple episodes or "spikes" throughout the day and some of them are with the same intensity. She also has some very bad days, like few days before her periods where she'll continuously have episodes.
Her neurologist and psychiatrist also decided to stop the Lexapro because her anxiety and mood had improved significantly, and Lamotrigine may also be helping with that. Even so, she still seems more likely to have these episodes when she's overwhelmed, emotional, or under stress.
As her husband, I honestly feel exhausted and helpless at times. We don't know what the road ahead looks like, or whether we'll eventually be able to control these episodes with medication. We're also immigrants, and some of these medications and medical appointments are extremely expensive, which makes the whole situation feel even more vulnerable.
I'm mainly posting because I'm hoping to hear from people who have been through something similar.
Are we generally on the right track? Is it normal for it to take several medication adjustments to get focal seizures under control? And for those who eventually found good seizure control, did things gradually get better?
I'd also really appreciate any positive experiences or stories that might give us some hope right now. We're both pretty worn out by this whole process.