How DPC Can Help Manage Your Epilepsy

Updated on: February 19, 2025

Epilepsy and Direct Primary Care (DPC): Personalized, Accessible Care for Seizure Control

Epilepsy, a neurological disorder marked by recurrent seizures, demands consistent monitoring, precise medication management, and lifestyle adjustments to reduce triggers and improve quality of life. Direct Primary Care (DPC) transforms epilepsy management by offering accessible, patient-centered care that aligns with guidelines from the International League Against Epilepsy (ILAE) and the National Association of Epilepsy Centers. Here’s how DPC empowers patients to achieve better seizure control and holistic well-being.

 


 

How DPC Enhances Epilepsy Management

  1. Timely Diagnosis & Continuous Monitoring

    • Same-Day Evaluations: Address new seizures or breakthrough episodes promptly, avoiding ER delays.

    • Diagnostic Coordination: Expedite EEGs, MRIs, or ambulatory monitoring to confirm epilepsy type (e.g., focal vs. generalized).

    • Medication Management: Adjust antiepileptic drugs (AEDs) like levetiracetam or lamotrigine based on seizure diaries and side effects.

  2. Personalized, Multidisciplinary Care

    • AED Optimization: Balance efficacy and tolerability (e.g., switching from valproate to brivaracetam for tremor).

    • Neurology Collaboration: Partner with epileptologists for refractory cases or advanced therapies (e.g., VNS, RNS devices).

    • Mental Health Integration: Address anxiety, depression, or cognitive changes linked to epilepsy or AEDs.

  3. Cost-Effective, Comprehensive Support

    • Transparent Pricing:

      • Generic AEDs at wholesale rates ($10/month for levetiracetam vs. $75+ retail).

      • Discounted EEGs ($200 vs. $1,000+ via insurance).

    • 24/7 Access: Direct provider contact for seizure clusters or medication concerns (e.g., rash, dizziness).

 


 

Why DPC Stands Out for Epilepsy Patients

  • Enhanced Accessibility: No insurance barriers mean faster access to care, critical for preventing status epilepticus.

  • Tailored Treatment Plans: Smaller patient panels allow providers to spend 30–60 minutes per visit addressing:

    • Lifestyle Triggers: Sleep hygiene, stress management, and ketogenic diet support.

    • Comorbidities: Migraines, sleep disorders, or psychosocial challenges.

  • Continuity of Care: One provider tracks AED levels, seizure patterns, and long-term outcomes, reducing fragmented care.

 


 

Personalized Epilepsy Management in DPC

  1. Seizure Control Strategies

    • Rescue Therapies: Prescribe intranasal midazolam for acute clusters.

    • Device Coordination: Collaborate on VNS/RNS implantation and programming.

    • Safety Planning: Educate on seizure first aid, driving restrictions, and wearable alerts.

  2. Holistic Wellness

    • Diet & Nutrition: Refer to dietitians for ketogenic or modified Atkins diets.

    • Mental Health: Counseling for stigma, memory concerns, or caregiver stress.

    • Community Support: Connect patients with epilepsy foundations or local support groups.

  3. Preventive Monitoring

    • Regular blood tests (AED levels, liver function) to preempt complications.

    • Annual bone density scans for patients on enzyme-inducing AEDs.

 


 

Real-Life Impact: DPC in Action

  • Emma, 22: Reduced seizures from weekly to monthly via AED adjustments and a ketogenic diet.

  • James, 45: Avoided ER visits with 24/7 provider guidance on breakthrough seizures.

 


 

The DPC Difference: Bridging Gaps in Epilepsy Care

  • Guideline-Aligned Care: Follows ILAE protocols for diagnosis and treatment.

  • Psychosocial Support: Addresses mental health and quality of life—key priorities per the American Academy of Neurology.

  • Affordability: Slash medication and testing costs by 50–70%, easing financial strain.

 


 

Why DPC Is a Game-Changer for Epilepsy

The American College of Physicians (ACP) highlights DPC’s ability to remove third-party barriers, fostering:

  • Stronger Patient-Provider Relationships: Essential for managing chronic conditions.

  • Proactive Care: Early identification of drug-resistant epilepsy and specialist referrals.

  • Equitable Access: Transparent pricing models help bridge gaps for underserved populations.

 


 

Take Control of Your Epilepsy Journey
Epilepsy doesn’t have to limit your life. With DPC, you gain:

  • A dedicated partner to optimize seizure control and minimize side effects.

  • Affordable access to diagnostics, medications, and specialists.

  • Tools to thrive—from stress management to community support.

Published on: September 30, 2023
Doctors that manage epilepsy
  • Shawn Bailey, Concierge Internal Medicine in Columbus
    Shawn Bailey, MD
    Concierge Internal Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    I've seen dozens of doctors and specialists, in addition to those required by my husband and children. Dr. Bailey is without a doubt the best doctor our family has ever seen! He devotes attention to his patients. We are not just a number to him since he genuinely cares about and knows his patients.
  • Saima Khawaja, Concierge Internal Medicine in Columbus
    Saima Khawaja, MD
    Concierge Internal Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Compassionate, well-trained, and intelligent, she provides a holistic approach that incorporates both conventional and alternative medicine. I highly recommend Dr. Khawaja.
  • Gina Love-Walker, DPC Internal Medicine in Columbus
    Gina Love-Walker, MD
    DPC Internal Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    She's fantastic! Kind, compassionate, intelligent, and a gorgeous human being! She not only listens, but she also collaborates with you on your health needs. I can't think of anything better than that! She takes the time to truly grasp your requirements. She is attentive and genuinely concerned about her patients!
  • Amy Castillo, Concierge Internal Medicine in Dublin
    Amy Castillo, PA-C
    Concierge Internal Medicine
    Dublin, Ohio
    Monthly Subscription Fee: Info Unavailable
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    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Kevin P. Henzel, Concierge Internal Medicine in Marysville
    Kevin P. Henzel, MD
    Concierge Internal Medicine
    Marysville, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    No review currently!
  • Daniel Madsen, DPC Internal Medicine in Waverly
    Daniel Madsen, DO
    DPC Internal Medicine
    Waverly, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Nancy W. Liu, Concierge Internal Medicine in Dayton
    Nancy W. Liu, MD
    Concierge Internal Medicine
    Dayton, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    No review currently!
  • Barry Taylor, Concierge Internal Medicine in Oakwood
    Barry Taylor, MD
    Concierge Internal Medicine
    Oakwood, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Enlightened me about my condition.
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