The patient is a 42-year-old female who comes to the emergency room with a diagnosis of recurrent seizures. The patient is noted to have a long-standing history of pseudo seizures. She is followed by a psychiatrist and neurologist as outpatient. She presented the day of presentation having had 2 seizures at home and seizure in the emergency room. During the seizures she did not lose any consciousness or had no incontinence. Basically she has focal seizures. They are not generalized, limiting duration and not associated with headaches, dizziness or visual disturbances, no vomiting and no other associated symptoms. Mostly she is noted to have a long-standing history of bipolar disorder followed by psychiatry as an outpatient. The patient