I have noticed a substantial change in Kayla's behavior as a result of epilepsy seizures. Aside from the seizures themselves, Kayla is not the gleeful teen I knew prior to having seizures. Kayla appears to be depressed and uninterested in social activities and things kids her age like to do, and lethargic. When I visit her home it is not uncommon to find her alone in her room laying in bed, despite the time of day, or what is going on. In my opinion, it has also affected her self-confidence; I presume this is mainly a result of the loss of some independence that comes with being a teen.