06/05/2026
A Promising New Approach for Functional Seizures: Just Breathe?
Living with functional seizures (FS) can be incredibly challenging, and because they can happen multiple times a day, they often have a disastrous impact on a person's ability to work or study.
If you aren't familiar, FS are episodes that look just like epileptic seizures, but instead of being caused by brain pathology, they are thought to be linked to psychological factors. Currently, the main treatment is psychotherapy. However, therapy can be expensive, hard to access, and unfortunately, the stigma around psychiatric diagnoses means many patients don't finish their treatment.
But there’s some hopeful news! We are involved in a large, international study called the BREATHS trial to test a brand-new, simple treatment.
Here is a quick breakdown of what the study is all about:
• The Hyperventilation Connection: Researchers noticed a pattern—in the minutes right before a functional seizure starts, many people experience a significant rise in their breathing rate (hyperventilation).
• The New Treatment: The trial is testing "Breathing Control Training" (BCT). This is a technique taught by a respiratory physiotherapist.
• How It Works: Patients learn how to do slow, calm, diaphragmatic breathing (breathing deeply from the belly and exhaling through the nose). They practice this while sitting, standing, and eventually during everyday activities.
• Why It Could Be a Game-Changer: Unlike months of psychological therapy, this breathing training only takes one 60-minute session and a 30-minute refresher a month later. It is highly cost-effective and focuses purely on physical breathing, which many patients find much more comfortable and acceptable.
An earlier, smaller pilot study showed that this breathing training safely reduced seizure frequency for many participants. Now, this new trial will involve 220 people to properly confirm if learning to control breathing can help bring functional seizures to a halt.
Science is always moving forward, and it's amazing to see researchers looking for accessible, stigma-free ways to help people get their lives back!
See a full description of this study at
Introduction Functional seizures (FS) are events that resemble epileptic seizures, but are not attributed to brain pathology and are instead thought to be due to psychological factors. A small, multisite, open-label, single-arm, pilot trial of a breathing intervention known as breathing control trai...