Which response is most therapeutic when a patient expresses fear about seizures and memory of events?

• A. This is all new to you, and you must be frightened. Let's talk for awhile.
• B. You should not worry.
• C. Seizures are not serious.
• D. I know seeing a seizure is frightening.

Answer: (A)

When someone expresses fear about seizures and what they’ve experienced, the best approach is to validate their emotions and invite them to share more. A response that says their feelings are understandable and that you’d like to talk about them demonstrates empathy and opens a safe space for the patient to express specific worries. It acknowledges that this is new and frightening for them, which helps build trust and reduces isolation, while also paving the way for discussing coping strategies and next steps.

The other options tend to minimize or dismiss the fear or shift away from inviting dialogue. Saying they shouldn’t worry or that seizures aren’t serious downplays the patient’s emotional experience, and a statement like “I know seeing a seizure is frightening” can feel sympathetic but doesn’t actively invite the patient to talk more about their fears.