Self-Guided Online Intervention Cuts Functional Seizure Frequency

A 3-arm randomized trial in adults with video-EEG-confirmed functional seizures compared a self-guided internet intervention, a therapist-guided version, and standard care alone, each with 5 structured sessions combining lifestyle, seizure management, and psychotherapy elements. The trial reported the self-guided arm produced significantly greater reductions in monthly seizure frequency than standard care at 6 weeks, 6 months, and 12 months, along with greater improvements in anxiety; the therapist-guided arm improved anxiety at 6 months but did not show significant seizure reduction, and no adverse events occurred in any arm.

Most relevant for: Adults with functional seizures confirmed by video EEG monitoring who lack access to specialist psychological care.

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