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Adolescence is a time of rapid physical, psychological and social development. For young people with epilepsy, the normal needs and concerns associated with being an adolescent are complicated by the demands of a condition that can place additional limits on lifestyle and independence. It is essential for healthcare professionals to consider the effect of epilepsy on the lives of young adults and to recognise the specific needs of this patient group. This article provides an overview of the psychosocial effect of epilepsy on adolescents and makes recommendations for nursing practice.

There is a growing evidence base that computerized self-help programmes can assist in a stepped-care approach to adult mental health service provision. These programmes require further development to address issues such as high dropout, the development of equally effective transdiagnostic content, and greater effectiveness in the country of origin. This study evaluated the acceptability and utility of a brief online CBT programme for adults referred due to anxiety or low mood to primary care psychology services in the national health service in Ireland. Results indicate that 42% of people completed the programme and experienced a significant reduction in anxiety but not depression and no improvement in work or social adjustment compared to similar adults on a waiting list for services. This study suggests the programme warrants further development and research and may in time become a useful and suitable intervention within the national health service in Ireland.

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