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By London Security College

Understanding Dissociative Seizures for Security Professionals in the UK

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Understanding Dissociative Seizures for Security Professionals in the UK

Understanding Dissociative Seizures for Security Professionals in the UK 

Security professionals often encounter individuals experiencing various medical and psychological conditions during their duties. One such condition is dissociative seizures, which can pose unique challenges. This guide provides a comprehensive understanding of dissociative seizures, equipping security personnel with the knowledge to handle such incidents effectively.

What Are Dissociative Seizures?

Dissociative seizures, also known as psychogenic non-epileptic seizures (PNES), are involuntary episodes that closely resemble epileptic seizures. Unlike epileptic seizures, which are caused by abnormal electrical activity in the brain, dissociative seizures originate from psychological factors. They are classified as a functional neurological disorder, indicating a dysfunction in the nervous system without a structural or pathological cause.

What Do Dissociative Seizures Look Like?

Dissociative seizures can manifest in various ways, often making them indistinguishable from epileptic seizures to the untrained eye. Common characteristics include:

  • Convulsions or jerking movements: These can be like epileptic convulsions but often lack a consistent pattern.
  • Unresponsiveness or staring spells: The individual may appear blankly or unresponsive to external stimuli.
  • Flailing arms or legs: Involuntary movements that can seem violent or erratic.
  • Loss of consciousness: The person may collapse and appear unconscious.
  • Screaming or crying: Emotional outbursts may accompany the physical symptoms.

Security professionals should note these symptoms but avoid making medical diagnoses.

How Long Do Dissociative Seizures Last?

The duration of dissociative seizures varies widely:

  • Short Episodes: Some seizures may last only a few seconds.
  • Prolonged Episodes: Others can extend for several minutes, sometimes up to 30 or longer.

The length often depends on the individual’s psychological state and the severity of the trigger.

What Causes Dissociative Seizures?

Understanding the causes can help in managing the situation effectively:

  • Stress: High stress or trauma is a primary trigger.
  • Anxiety and Depression: Mental health conditions like anxiety and depression are common underlying factors.
  • Past Trauma: History of abuse (physical, emotional, or sexual) can contribute.
  • Psychological Conflicts: Internal emotional conflicts may manifest as physical symptoms.

How to Stop Dissociative Seizures

While security professionals are not expected to treat medical conditions, knowing how to respond can mitigate risks:

  • Remain Calm: Ensure the safety of the individual and those around them.
  • Avoid Restraint: Do not restrain the person unless they are in immediate danger.
  • Reduce Stimuli: Minimize surrounding noise and visual stimuli.
  • Reassurance: Provide verbal reassurance once the individual starts to regain awareness.
  • Seek Medical Help: Contact emergency medical services for professional assistance.

Differentiating Non-Epileptic and Epileptic Seizures

  • Non-Epileptic Seizures (NES): These include dissociative seizures that are not caused by electrical brain activity. They are typically linked to psychological factors and do not respond to anti-epileptic medication.
  • Epileptic Seizures: Caused by abnormal electrical discharges in the brain, these seizures require specific medical treatments and interventions.

Importance of Proper Security Training

Security professionals should receive training to recognise and respond to dissociative seizures appropriately. This training should cover:

  • We are identifying Symptoms: Understanding the signs and symptoms of dissociative seizures.
  • Crisis Management: Techniques for ensuring the individual’s and others’ safety and security.
  • Communication Skills: Effective ways to communicate with the person experiencing a seizure and medical responders.

Dissociative seizures present unique challenges that require a calm, informed response from security professionals. By understanding the symptoms, causes, and appropriate actions, security personnel can play a crucial role in managing these incidents safely and effectively. Professionals should consult healthcare providers and organisations specialising in neurological and psychological disorders for further training and resources.

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