Executive dysfunction and employment in epilepsy

In patients at a tertiary epilepsy center, executive dysfunction is prevalent along with heightened symptoms of depression and anxiety. Executive dysfunction is associated with a higher ASM load as well as increased likelihood of unemployment. Our findings suggest that job retention may depend on more than the burden of epilepsy alone, with executive functioning playing a critical role. These findings emphasize the importance of monitoring EF during treatment adjustments and support minimizing total ASM load whenever possible to promote better functional outcomes.