(warning very long)
My wife was officially diagnosed with temporal lobe epilepsy last fall. Although she showed signs of seizure activity going back a long time, albeit it got worse last year in general. Since the fall I have noticed an abnormal increase in paranoia. The problem is that some of it seemed justified in relation to work so I didn't really pay much attention to it. But lately things have gotten to the point of disturbing even though I have been trying to stay empathetic. It seems to consuming her to the point of it being the majority of our conversations. It also has spread to various things in our life and she is so confident in her ideas that if I say anything I am gas lighting her. The entire situation has been troubling, and I keep trying to stay empathetic and interject different points of view to calm things but it's just making it worse.
Anyways so as I said she was noticeably getting worse seizure wise last year and as she did the paranoia increased. She finally saw a nuero and ended up on Topomax. It seemed to really help and although she was still concerned over different aspects of work she was much more clear minded once the side effects got better.
(sorry this is long)
So fast forward to the past few weeks. She has shown some signs of seizure activity again, it's nowhere near how it use to be but some of the zoning out aspects have returned as well as her getting "zap" type things, mostly overnight. However as mentioned it seems the paranoia has increased substantially. And it's getting hard to deal with on my end due to her getting offended and feel that I am trying to make her out to be crazy. So she met via video with her nuero a few days ago and said she has started to feel "off" again. She left out anything else as she honestly doesn't notice. He decided that she should be slowly titrated up to a higher dosage.
So my questions are; does frontal lobe epilepsy cause paranoia? Once well controlled can it get better? And does Topomax cause paranoia itself, and if so can that get better as well? I am really worried as I don't know how to deal with this, I am trying to talk to her with compassion and stay away from being too abrasive. But I feel like "supporting" all of her ideas could make things worse.
Thank you so much for the insight.