“…The lack of social support and the presence of family dysfunction are the main problems observed in families of patients with severe chronic illnesses, particularly in those with mental disorders. [17][18][19] In different cultures, the psychosocial repercussions of epilepsy such as stigma, low self-esteem, social restrictions, and the negative impact on psychosocial well-being affect patients and families. 20,21 Family involvement in epilepsy, particularly in cases with epileptic seizures refractory to treatment, can mean challenges, conflicts, and sometimes overload, or even emotional distancing and denial, which can reflect on the bond between patients with epilepsy and family members.…”