When my husband had his first seizure his physical condition decreased significantly from the level he had been at, while his mental condition improved. After a couple of weeks, his mental condition went back to close to where he was prior but his physical condition remained much less than his previously level. It was the same with the second seizure. The same type of thing happened after I took him for a doctor appointment. We had to travel a distance and so the day was long and tiring and evidently the added stress on him triggered the same type of response. So, it seems every time he experiences a significant "stress" he loses ground. So I don't take him out to appointments any more. He's been pretty stable since we stopped pushing so hard, even for things like a shower which would tire him out tremendously.