The psychological reactions of children with neurological problems.

The diagnosis of a neurological disorder can be confusing and frightening to a child, particularly if he is not given a reasonable explanation for his symptoms and the medical procedures that have to be carried out. If such children experience seizures, they frequently identify them with the possibility of death, and they become overly concerned about bodily functioning. A loss of self-esteem often results, particularly if there are school problems. Reactions are varied: some children become extremely cautious in their activities to avoid further seizures; some seem to "defy death" by placing themselves in dangerous situations; some misinterpret fairly benign events in terms of their misconceptions about themselves. Much distress can be avoided by providing adequate information both to the parents and the child and by giving them adequate opportunity to ask questions and ventilate their feelings, perhaps with a therapist, in this time of crisis.