Diagnosis of the epilepsies in people with learning disabilities: exploring the barriers to equitable care

People with learning disabilities have a greater diagnostic prevalence of the epilepsies than those without learning disabilities. However, diagnosis can be complicated due to various factors, including communication differences and behaviours that may mimic seizures, and a lack of practitioners with knowledge of epilepsy specifically in this population. Such factors can lead to a misdiagnosis, which has significant implications for the individual’s health and quality of life, and may contribute to the health inequities already experienced by people with learning disabilities. This article discusses the challenges associated with diagnosing the epilepsies in people with learning disabilities and the potential impact of misdiagnosis. The authors consider ways in which the diagnostic process may be improved, such as further education in learning disability and epilepsy for practitioners, the use of remote technology in diagnostic interventions, and coordinated multidisciplinary care. Learning disability nurses can advocate for such improvements to enhance diagnostic accuracy, address health inequalities and provide safer, person-centred care.