05/04/2026
PNES & First Responders — A Gentle Ask from Our Community 💛
To our paramedics, first responders, and emergency teams —
we see you.
The work you do is fast, high-pressure, and often life-saving.
Thank you.
We also want to share something that can make a real difference for people living with Functional Neurological Disorder (FND), including Psychogenic Non-Epileptic Seizures (PNES).
These episodes can look like epileptic seizures — but they are not caused by abnormal electrical activity in the brain.
They are real, involuntary, and often triggered by stress, overload, or neurological misfiring.
Because they look similar, the response can sometimes be more urgent than needed — which can unintentionally escalate the situation.
💡 What can help in the moment?
We use something called the STERN model — simple, human, and effective:
S — Safety
Make sure the person is safe from harm (move objects, support head if needed).
T — Time
Pause and observe. PNES episodes often have a different rhythm and recovery pattern than epileptic seizures.
E — Environment
Reduce noise, lights, and crowding. Calm space = calmer nervous system.
R — Reassurance
Speak calmly. Even if they can’t respond, they may still hear you.
“Hey, you’re safe. We’re here.”
N — No force
Avoid restraining unless absolutely necessary for safety. The body needs space to settle.
🔍 Signs it may be PNES (not always — just clues)
Eyes often closed (and may resist opening)
Movements can be variable or asynchronous
Episodes may last longer than typical epileptic seizures
Faster recovery without confusion (in some cases)
Known history of FND/PNES (lanyards, medical info cards help here)
IS CARRYING AN IDENTIFYING MEDICAL CARD
💛 Why this matters
For someone with PNES, a high-intensity emergency response can sometimes increase distress and prolong the episode.
A calm, informed approach can:
Shorten the episode
Reduce trauma
Build trust between patients and responders
🤝 A shared goal
We’re not asking you to diagnose on the spot.
We’re asking for awareness, curiosity, and calm where possible.
Together, we can make these moments safer — and more human — for everyone involved.
If you’d like more info or quick-reference tools, we’re here:
🌻 www.fndaware.nz�
WELCOME!