Historical features

Associated (often multiple) psychiatric disorders Flurries of seizures or recurrent pseudostatus epilepticus leading to multiple emergency visits or hospitalizations High seizure frequency History of sexual and physical abuse Lack of concern (“la belle indifference”) or excessive/exaggerated emotional response Multiple unexplained physical symptoms No history of injury from seizures No response or paradoxical increase in seizures with AEDs Personal, family or profession experience with epilepsy Seizures occur only in presence of others or only alone