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No epileptic seizure is thought to be due to underlying psychological mechanisms. About 20% of patients with non-epileptic seizures also have epilepsy. A careful evaluation and diagnostic tests such as EEG recording are needed to make the correct diagnosis. Non-epileptic attacks often arise in stressful situations and represent an avoidance mechanism. The timing of the seizures linking them to external events often gives the diagnosis. The stress may be a change of home environment or an extra demand place upon individual.
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