Functional seizures and epileptic seizures can look remarkably similar, but what makes them different?

In Episode 3, Paul Edwards explores one of the most misunderstood aspects of Functional Neurological Disorder (FND): functional seizures, also known as dissociative seizures or Non-Epileptic Attack Disorder (NEAD).

Drawing on medical knowledge and lived experience, Paul explains how functional seizures can involve shaking, collapsing, unresponsiveness and changes in awareness, closely resembling epileptic seizures despite having different underlying neurological mechanisms.

This episode explores:

• Why functional and epileptic seizures can appear almost identical.
• The neurological differences between the two conditions.
• How specialists use clinical assessments and video EEG monitoring to support an accurate diagnosis.
• Why someone can experience both epilepsy and functional seizures.
• The importance of seizure safety, appropriate emergency responses and individualised treatment.

Functional seizures are genuine, involuntary events. They are not imaginary, deliberately produced or evidence that someone is pretending.

Paul lives with FND and functional aphonia, which affects his ability to speak. Although the narration uses a computer-generated voice, the words, research and lived experiences are his own.

Created for patients, families, carers, healthcare professionals and anyone seeking a better understanding of functional neurological symptoms.

Different mechanisms. Similar symptoms. Both deserve to be taken seriously.

FND: The Questions Nobody Asks — because understanding begins when we stop making assumptions.

Presented by Paul Edwards | FND Education & Advocacy

Educational information only. Not a substitute for professional medical advice. Seek urgent medical assistance for a first suspected seizure, prolonged convulsive seizures, breathing difficulties or other serious concerns.