Brief Answer:
Neurological check-up required...

Detailed Answer:
Hello,
Well, from this description, the cause of seizure at that time is still inclusive (although abuse of sedatives can result in withdrawal at any given time which can increase potential of seizure activities)...So, at this outset, given your clinical set-up, at such a young age, I'd recommend a thorough Neurological check-up in the first place to evaluate/re-evaluate the potential causes of seizures.
This may include few baseline blood tests like CBC, Electrolytes, Thyroid, liver, and Kidney function tests, serum Vit-B12, Vit D3 levels along with imaging studies (MRI-Brain with Epilepsy protocol as well as a basic EEG study)...These complete sets of investigations need to be done in order to achieve a proper diagnosis as well as management plans for the future...

No, I'll not encourage taking so many pills without thorough evaluation in the first place...

Secondly, drastic reduction of sleeping pills can result cold-turkey (which may exhibit those jerks/twitches or other symptoms like palpitations, excessive sweating, anxiety, nervousness and several others)...Sudden reduction/cessation of anti-epileptic medicines are also strictly prohibited as they can further worsen and cause recurrence of seizures.

I appreciate your thought of getting passed it with the help of counseling and CBT, but any underlying organic disorders (Neurological or any other systemic) need to be ruled out prior to that.

Although as you stated, all were fine in 2013, my suggestion would be to get yourself re-evaluated under a Neurologist along with those necessary investigations for a complete management for future well-being...If all are cleared this time also, then we can certainly decide upon considering CBT and Counseling under the supervision of Psychiatrist as an alternate choice of therapy (however, a minimal dosage of antiepileptic medications may still need to be continued till further advice).

And those anti-epileptics are also having some form of sedative properties, which can be further titrated based on your overall response from time to time.

Regards

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Brief Answer:
follow as already advised...

Detailed Answer:
Welcome back,

Let me discuss the queries one by one:

First and foremost, complete cessation or weaning off from the medications should always be under the proper supervision of your doctor, it's not at all advisable to alter/taper the dosages on your own under any circumstances...

If you're taking the Encorate Chrono as per your treating doctor's advice, continue the same dosage as already ongoing (dosages are variable which can be decided upon various factors; individual body response, metabolic profile and different medical conditions to name a few), let the treating doctor decide that...

Extreme weather conditions can precipitate it, so it's good that you've settled in the new city...

There are numerous causes of such seizure activities, we can't just presume like that, which is why a detailed investigation and clinical check-up was already explained earlier, kindly follow the same...

Yes, there's no alternative to a good diet. In fact, in an otherwise healthy young adult, there's no need to take any additional supplements, so just never skip breakfast and always have some healthy foods in breakfast (eg. some baked slices of bread, boiled eggs, oats, yogurt, muesli etc.)

- Avoid junk/fast/processed foods completely, no smoking/alcohol/soda, no excessive sugary drinks at all...engorge into a healthy snacking habit (eg. have an apple/bowl of salad rather than having some fries/other fast foods)...have curd daily with your lunch...avoid excessive spicy/oily foods...

- Have some seasonal fruits daily and veggies, salads with antioxidant-rich foods (black olives, olive oil, nuts, raisin, pistachio, sesame etc.), they're good enough source of multivitamins and electrolytes...

Yes, I totally agree with on the need of finding support during this phase. I think you meant NIMHANS It's one of the apex institutes in and they have quite the best Neuro-Psychiatric division altogether.

So just schedule the appointment, don't stress too long on the planning, just go ahead with it (once you start the consultation there, it's important to stay under the follow-up of the same Neurologist only who'll decide whether another referral is needed to the Psychiatrist based on the clinical check-ups)...

Regards

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