Epilepsy and BDSM

Let’s talk about health issues and BDSM.  A good Dom will ask his submissive if she has any health issue that he needs to take into account.  I’ve had a couple answers that have required further research: diabetes and epilepsy.  Epilepsy is a real safety issue when preforming bondage and various other BSDM activities.  Basically, you have to take into account the possibility of your sub suddenly falling at any instant. Now that said, it’s not that likely that the seizure will be a problem…but it could be and that’s what safety is all about.

First off, if you are an epileptic submissive/slave: you must mention this to your Dom. He’s gotta know. It doesn’t matter if you’re embarrassed about it…use it as a test to see what kind of man he really is. If you are a Top…fuck yeah, you gotta mention that too!

Communication is key — as if you know about the condition in advance it far less likely to induce…well, panic, fear and overreactions.  So talk about it. Let your partner know all about your condition.  After all, this is all about safety and doing the right things.


  1. The types of seizures you normally have
  2. Triggers of seizures (eg. strobe lights, alcohol, tiredness)
  3. How long the seizure normally last
  4. WHEN a seizure is going on too long and medical help should be summoned
  5. What you may to expect to see when you have a seizure
  6. What aftercare is required post seizure and how you normally feel (some people are disorientated for hours afterwards…so continuing a scene is out of the question yet others can just pick up where they left off)
  7. Find out if loss of bowel/bladder control is common for her — shit happens.
  1. Be well rested
  2. Obstain from drugs and alcohol
  3. Take your seizure meds (ignore step 2 in this case)
  4. Have some healthy food before play
  5. Have quick release ties (zip ties with rope or velcro straps are best).




  1. All bondage must be ‘escapable’ — the sub has to be able to get out by themselves
  2. Candles should not be placed where they can be knocked over (fire hazard)
  3. Don’t position yourself where you can fall onto your sub and harm them
  4. Electro play should be avoided unless you have a spotter
  5. Avoid knife play
  6. Fire play could be a fire/burn hazard during a seizure. Avoid or have a spotter
    1. Medical attention is most often not required
    2. If they harm themselves (eg. head injury) from falling…then yes, medical attention may be necessary.
    3. Absence seizures (they space out but no convulsions) are highly unlikely to be a problem. Check that they feel ok and can consent to keep playing before continuing.
    4. Small jerks are also highly unlikely to be problematic. Let the seizure do it’s thing and then you can usually resume playing without incident.
    5. Simple partials — this seizure type is disorienting. Comfort and offer reassurance. If this seizure is accompanied by an ‘aura’ a convulsive seizure may follow. Release your submissive from any bondage.
    6. Complex Partials— undo any bondage as soon as possible and lower them to the ground as safely as possible.
    7. Tonic Seizures (where they space and fall down) –  you are not gonna catch them unless really lucky so keep sharp corners and edges away if they prone to these. Undo bondage and lower them to the ground.
    8.  Convulsive seizures (aka tonic-clonic seizures) –Undoing bondage is important as they can damage themselves by thrashing against the bondage — and no, the bondage won’t restrain them enough…dislocated joints and even broken bones are possible if left in bondage.  Use fast release velcro straps to get them out of bondage quickly and lower them to the ground. Protect the head above all else.
        • Also stay calm. It looks bad but that’s it. They are not conscious of anything that is happening so it’s way more stressful for you
        • Don’t put anything in her mouth (she won’t swallow her tongue)
        • Move her only if there is an immediate hazard
        • Put a pillow or soft thing under her head
        • She may turn blue for a bit as her regular breathing is interrupted
        • Time the seizure (typically seizure over 5min require medical attention — as breathing
    9. After the Seizure:
        • Turn her on her side in the ‘recovery position’…this is a time where vomiting is a possibility
        • Check that regular breathing has been reestablished
        • After the seizure she will probably be disorientated and possibly embarrassed/upset about ‘ruining a scene’.  Remember that this is completely beyond her control and place any blame or guilt. Be her comfort during these times
        • She may lose bladder or less likely bowel control. It is helpful to take change and deal with this for her quickly and efficiently without much comment — best dealt with immediately while she is the most fuzzy.
        • Wipe up any drool
        • Talk to her an reassure her. She may need to have you explain that she’s had a seizure…many times. Just tell her as often as required till she gets it.
        • She probably going to be pretty confused for awhile and can’t  consent to continue the scene
        • She may require a long nap
        • Food and drink should be avoided until you are sure she’s recovered as vomiting may be triggered.
    10. When to Call an Ambulance (most often, it’s not needed and costs money but in the cases below, it can be life saving):
      1. Call if the seizure lasts more than 5 min
      2. Call if the seizure is followed by another seizure with little or no break inbetween
      3. They can’t breath/difficult breathing following the seizure
      4. They injured themselves during the seizure (are they bleeding enough that you’d normally call an ambulance? Well, post-seizure or not…it’s still a good idea then.)
      5. They have never had a seizure before
  1. Electo-play is dangerous –and it is possible to give a person a heart attack and interpret it as a seizure.  That’s gonna be a big problem…so know how to play safely with electricity and be extra careful.  Also, photo-triggered seizures may be caused by a violet wand.
  2. Fire Play — flickering candles may trigger photo-sensitive seizures …so a blindfold may be helpful.
  3. Knife Play — all sharp objects during a seizure are a risk. Have a safe play to store them out of the way and where you can easily put the knife on the onset of a seizure
  4. Bondage — All bondage should be fast release (as mentioned above, broken bones and dislocations are likely if kept in bondage). Hoods and gags should also be removed immediately and QUICK to get off…especially true of gags. Hoods can also conceal a seizure so until you are very familiar with how seizures for her look…avoid the hoods.
  5. Blowjobs — GET YOUR DICK OUT IMMEDIATELY. Do not hesitate. Don’t wait to be sure she is having a seizure. Don’t get your dick bit off. You’ve been warned.

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