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A genetic counselor shares:

What to do next when your child has been diagnosed with Childhood Absence Epilepsy (CAE)

Written by: Geoffrey Beek, Certified Genetic Counselor; Updated by: Kaela Kraft

Getting a diagnosis of Childhood Absence Epilepsy (CAE) is a milestone that can be difficult to process. You've likely received a lot of information, and it may feel overwhelming. Take time to process this news at your own pace. Understanding your child's diagnosis is a journey, not a race. 

As you’re ready to think about what happens next, we're here to help you find clear, reliable information about what to expect. We’ve developed this guide with categories of information you may want to consider, based on academic and clinical training and conversations with hundreds of caregivers.

The information below is targeted at parents or other caregivers of children who have been clinically diagnosed with CAE.

Sections:
1. Understanding a Childhood Absence Epilepsy Diagnosis
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2. Managing Your Child’s Childhood Absence Epilepsy Medical Care
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3. Education & Daily Support for Children with Childhood Absence Epilepsy
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4. Insurance Navigation & Financial Assistance for Children with Childhood Absence Epilepsy
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5. Finding Your Childhood Absence Epilepsy Community
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    YOUR FIRST STEPS (First 30 days):

    📅 Schedule an appointment with a pediatric neurologist or epileptologist to understand your child's specific diagnosis and discuss next steps

    👥 Ask your child's doctor which specialists should be on the care team and get referrals started (wait times can be long)

    📄 Gather medical records in one place and create a one-page summary with diagnosis, medications, and emergency contacts

    YOUR FIRST STEPS (First 30 days):

    📅 Schedule an appointment with a pediatric neurologist or epileptologist to understand your child's specific diagnosis and discuss next steps

    👥 Ask your child's doctor which specialists should be on the care team and get referrals started (wait times can be long)

    📄 Gather medical records in one place and create a one-page summary with diagnosis, medications, and emergency contacts

    1. Understanding a Childhood Absence Epilepsy Diagnosis

    Receiving a diagnosis of CAE can help explain why “staring spells” or brief lapses in awareness have been happening. A diagnosis can give some perspective on additional medical management recommendations or other potential medical issues that you and your doctors should monitor moving forward.

    What is Childhood Absence Epilepsy?

    CAE is a type of epilepsy called an "idiopathic generalized epilepsy." "Idiopathic" means there is no single identifiable structural cause; the brain itself developed normally. "Generalized" means that seizures involve networks spread throughout the brain, rather than starting in one specific spot. Because of this, brain imaging (like an MRI) often looks completely normal in children with CAE, and the diagnosis is typically based on your child's history along with results from an electroencephalogram (EEG); a painless, non-invasive test that records electrical activity in the brain.

    Families often describe the episodes as "blank stares," brief moments of unresponsiveness, or a sudden pause in speech or movement. Importantly, children usually return to normal immediately afterward, with no confusion or grogginess.

    Top resources for finding accurate medical information on CAE

    Resources written for the general public

    Science-heavy resources targeted at clinicians:

    Should I get a second opinion for a Childhood Absence Epilepsy diagnosis?

    Epilepsy syndromes benefit from specialized expertise. Many families feel reassured by a second opinion with a pediatric epileptologist (childhood seizure doctor), especially early on. A second opinion can confirm the diagnosis, ensure the seizure type is correctly classified, and fine‑tune the treatment plan. Major academic epilepsy centers often offer telemedicine visits, which can be especially helpful if you live far from a children’s hospital.

    You can ask your current provider for a referral, consult the Epilepsy Foundation's Find an Epilepsy Specialist tool, or reach out to major academic epilepsy centers, many of which offer telemedicine consultations.

    What does a genetic counselor do when my family has received a Childhood Absence Epilepsy diagnosis?

    Certified Genetic Counselors have completed a program of study focused on understanding and providing information about genetic disorders. For CAE, genetic testing is not always needed; however, a genetic counselor can help you understand the genetic aspects of your child's diagnosis, what it means for your family, and whether testing is recommended for siblings or other relatives. 

    Genetic counseling can take place in person or in a telemedicine visit. The National Society of Genetic Counselors offers a tool for finding a genetic counselor.

    Should other family members undergo genetic testing for Childhood Absence Epilepsy?

    CAE can run in families, but it usually does not follow a simple or predictable inheritance pattern. Most of the time, there is no single gene that causes CAE. Instead, a combination of genetic factors seems to increase a child’s chance of developing absence seizures. In some families, changes in certain brain‑related genes may play a role, but even when these changes are present, not everyone who carries them develops epilepsy. This means that CAE can “cluster” in families, but it doesn’t follow a clear pattern.

    A genetic counselor can help you think through family history questions and whether additional evaluation makes sense in your specific situation.

    Citizen Health helps caregivers better understand genetic reports & prepare for genetic counselor appointments.

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    2. Managing Your Child’s Childhood Absence Epilepsy Medical Care

    After a diagnosis, many families find themselves suddenly navigating a complex medical system with new providers, appointments, and decisions. It can feel like you’re expected to learn a new language overnight. 

    Staying organized and informed—including about research opportunities—can help you advocate for your child and ensure nothing important gets missed.

    What should I ask my child’s neurologist or epileptologist about a CAE diagnosis?

    Knowing what to ask can help you make the most of appointments with specialists. You can use these questions as a guide to discuss care that is specific to your child’s diagnosis.

    Most children with CAE receive care primarily through a pediatric neurologist or epileptologist, who helps monitor seizures over time and follows how things change as a child grows. The specific approach to care varies from family to family, and each child’s plan is shaped by many individual factors.

    For questions specific to your child’s situation, Citizen Health offers a free doctor’s appointment preparation tool that incorporates your child’s medical records and provides appointment preparation suggestions through an AI chat interface.

    What symptoms should we monitor for Childhood Absence Epilepsy? 

    • CAE typically begins between the ages of four and ten, often with frequent, very brief absence seizures lasting a few seconds. During a seizure, a child may suddenly stop what they’re doing, stare, or pause mid‑sentence, sometimes with subtle eyelid fluttering or small repetitive movements, and then quickly return to normal without confusion. Because these episodes are short and can occur many times a day, they are easily mistaken for daydreaming or inattention.
    • Most children with CAE have otherwise typical development, though some may experience attention or learning challenges that deserve support. 

    What is the expected progression of Childhood Absence Epilepsy?

    • The prognosis for CAE is generally excellent. With treatment, many children achieve good seizure control, and a large number outgrow their seizures in adolescence. Your child’s neurologist will tailor the care plan based on your child’s seizure pattern and overall needs.

    What treatments are available for Childhood Absence Epilepsy? 

    • CAE is treated with anti-seizure medications, which your provider can speak to in more detail. One important thing to know: some seizure medications that are commonly prescribed for other types of epilepsy can actually make absence seizures worse. Whenever any provider prescribes your child a new medication, it’s a good idea to make sure they’re aware of a CAE diagnosis.
    • If the first medication tried doesn't fully control your child's seizures, other options are available, and combinations of medications can be explored. Finding the right medication and dose can take some adjustment, but good seizure control is achievable for many children with CAE.

    Consulting specialists in other fields about Childhood Absence Epilepsy diagnosis

    While a neurologist typically manages CAE, families may consult other specialists based on their child’s needs. For example, a neuropsychologist may evaluate skills like attention, learning, or memory when questions arise at school or at home. Not every child needs this kind of evaluation, but some families find it informative. Your child’s main provider can help determine whether additional perspectives may be helpful based on what they observe over time. 

    Finding clinical trial opportunities & supporting research into Childhood Absence Epilepsy

    Families often want to know how they can stay informed about research related to CAE. Research comes in many forms, ranging from studies that collect information about children’s development (sometimes called “natural history” studies) to clinical trials that look at new approaches to care. 

    Clinical trials are research studies that help doctors find new treatments. Some trials test new medicines or therapies that aren't available yet. Even if you may choose not to participate, it can be good to know what options exist for CAE. Your child's doctor or disease organization can help you find trials that might be a good fit. The U.S. government also maintains a registry at clinicaltrials.gov

    Natural history studies are designed to help researchers learn more about the condition. This information is important for creating future treatments. Traditional natural history studies can involve additional medical appointments over the course of several years 

    Natural history studies do not test medications; they usually involve sharing medical records, completing questionnaires, and occasionally attending clinical visits. Participation does not affect eligibility for future treatment trials. Your real-world experiences could contribute to critical natural history studies, enabling researchers to better understand CAE, uncover patterns, and accelerate progress toward breakthroughs. 

    Families who join Citizen Health and choose to share their child’s health information may receive alerts about research opportunities that could be relevant based on their child’s diagnosis and medical records.

    Sign up to join the Citizen Health epilepsy community and learn how to participate: Your AI Advocate | Helping patients & caregivers navigate health records and appointments

    Patient registries collect health information from people with epilepsy to help research move faster and connect families with clinical trials. Registries also show researchers and drug companies that families are engaged and want to help develop new treatments, which can bring more funding and research attention to a disease. Some diseases have more than one registry you can join. Patient Advocacy Groups typically establish and maintain patient registries for specific disorders. (See Section 5 below to learn more).

    Organizing and maintaining your child’s medical records for Childhood Absence Epilepsy

    Keeping your records as organized and centralized as you can from early on is likely to improve your ability to manage your child’s care down the road.

    You can start by creating a one-page sheet with your child's diagnosis, current medications, allergies, and emergency contacts. Bring this sheet to every appointment. It can really help in emergencies or when you see a new doctor.

    We also encourage caregivers to consider Citizen Health’s free tools for centralizing, managing, accessing, and extracting key information from health records. Our system will collect all your health records, across doctors and health systems, making them available on our secure online platform that can provide answers in real time based on questions you ask (like “What medications has my child been prescribed in the past year?” or “When did we last see an orthopedist?”)

    Thousands of rare disease caregivers use Citizen Health to keep records central & searchable on the go.

    Ask Citizen to summarize your child’s condition for a new provider, make an appointment prep checklist, or suggest what to ask a new specialist.

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    3. Education & Daily Support for Children with Childhood Absence Epilepsy

    Caring for a child with CAE involves more than doctor visits. Alongside medical care, your child may benefit from therapies, educational services, and practical support that address development, communication and daily functioning. These services often begin early and evolve as your child grows, moving from early intervention into school-based support and beyond. 

    The right therapies, educational plans, and adaptive tools can make a meaningful difference in your child's learning, independence, and quality of life; and yours.

    School services for children with Childhood Absence Epilepsy

    IEPs and 504 plans

    When your child turns 3, they move from early intervention to school-based services. An Individualized Education Program (IEP) is a legal document that describes the special instruction, therapies, and support your child needs to learn at school. 

    A 504 plan provides accommodations for students who don't need special instruction but need support because of a disability. Understanding your rights and these plans helps make sure your child gets the right services throughout their school years. 

    Communicating with your school

    Building a good relationship with your child's school team is important. You know your child better than anyone, and that knowledge is incredibly valuable. Come to meetings prepared with information about your child's needs, share your concerns and hopes openly, and never hesitate to ask questions if something isn't clear. 

    A collaborative relationship with your child’s school team is essential. You could share your child’s diagnosis, describe how seizures appear in class, and discuss what helps your child stay on track. If attention, processing speed, or memory questions arise, a neuropsychological evaluation could be helpful to guide accommodations and track progress over time. You’re a key member of the team; your insights at home and your child’s experiences at school together create a full picture that supports learning.

    Respite care

    Even when seizures are brief, the emotional load of monitoring and advocacy can be heavy. It’s okay to ask for help from friends, family, or respite services so you can rest and recharge. Supporting caregivers supports children.

    Building your support systems as a Childhood Absence Epilepsy caregiver

    Being a caregiver to a child with CAE is a heavy responsibility.  You can't do it alone, and you don’t have to. Building a network of support including family, friends, medical providers, therapists, other parents, and community resources, creates a safety net for hard days as well as people to celebrate victories with. 

    When asking for help, it helps to be specific: people want to support you but often don't know how. Whether it's meals, watching your other children, or just someone to listen, letting others help is good for everyone.

    Don’t forget about support for other family members!  If your child has siblings check out the Sibling Support Project.

    Citizen will instantly draft an IEP based on your child’s medical records.

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    4. Insurance Navigation & Financial Assistance for Children with Childhood Absence Epilepsy

    Navigating the financial aspects of your child's care can feel overwhelming, but understanding your options can help you access the resources your family needs. 

    As health care costs for Epilepsy-related disorders are often more than what insurance typically covers, it is essential to explore all assistance programs available. Your child may qualify for Medicaid through special pathways for children with disabilities, even if your family's income wouldn't normally make you eligible. Knowing and documenting what your insurance covers, from therapy visits to treatment, may help you navigate potential denials and appeals. Hospital staff called financial counselors can guide you through coverage questions.

    Medicaid and Social Security eligibility for Childhood Absence Epilepsy

    Even if your family income exceeds typical Medicaid limits, children with CAE may qualify for Medicaid through special pathways designed for those with disabilities or significant medical needs.

    A program called Katie Beckett or TEFRA waivers allows children with disabilities to qualify for Medicaid based on their own income rather than family income. Additionally, children with significant functional limitations may qualify for Supplemental Security Income (SSI), which provides monthly payments and often automatically qualifies them for Medicaid. These programs can provide crucial coverage for therapies, equipment, and services private insurance won't cover. 

    Learn more about Medicaid in your state through this interactive map from NORD.

    Understanding your insurance coverage for Childhood Absence Epilepsy

    What’s covered

    • Your insurance policy determines what services, therapies, equipment, and medications are covered for your child. Start by reading your plan documents to understand your benefits, deductibles, co-pays, and out-of-pocket maximums. Call your insurance company's customer service or case management department as many insurers assign case managers to children with complex medical needs who can help you understand your coverage. 
    • Don't assume something isn't covered until you've asked. Many families are surprised to learn what benefits are available when properly documented. 
    • Keep notes of every call you make, including the date, time, person you spoke with, and what they said. This documentation can be very helpful later.
    • Most children’s hospitals also have a financial counselor or patient navigator who may be able to help with insurance or financial coverage issues

    Therapy & rehabilitation

    • When considering insurance coverage for therapies and rehabilitation services, make sure to see if your plan has a cap for the number of therapy visits per year. Many children with complex needs will exceed that cap and appeals or additional insurance coverage plans may be needed.

    Denials & appeals

    • Insurance companies often deny coverage for therapies, equipment, or medications at first but denials can often be overturned with the right documentation. If coverage is denied, you have the right to appeal, and many families win their appeals. 
    • An effective appeal letter includes: your child's diagnosis and how it affects their daily life, specific medical reasons from doctors explaining why the service or item is necessary, references to your insurance policy language that supports coverage, research or medical guidelines supporting the treatment, and a clear request for reconsideration. Many patient organizations and hospital financial counselors can help you write strong appeals. You can even appeal multiple times, and many families win on their second or third attempt. You're advocating for your child, and persistence often pays off.

    Caregivers use Citizen Health to draft insurance appeals, saving hours while getting results.

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    5. Finding Your Childhood Absence Epilepsy Community

    You don't have to navigate your child's CAE journey alone.Other caregivers can offer practical advice and emotional understanding that comes from walking the same path. Patient advocacy groups can also help you stay informed, advance research, and feel part of something larger.

    Why connect with other Childhood Absence Epilepsy families?

    Finding and connecting with families who have walked in your CAE shoes can be life-changing. Other parents navigating the same diagnosis can offer practical advice, emotional support and hope based on their shared experience. They can understand the daily challenges and the victories, big and small, in ways that others can’t. Disease-specific communities often become a lifeline and a source of hope that remind you that you are not alone. 

    Local Childhood Absence Epilepsy support groups

    Your neurologist or other healthcare providers may be able to connect you with local families in your area. It is totally appropriate to ask your providers if they know of any local families who might be willing to connect with you for a phone call or even a play date.

    Patient advocacy groups (PAGs) specific to CAE

    Patient advocacy groups exist for many conditions and serve as a central hub for connections, reliable information, research updates and advocacy efforts. These organizations work to advance research, improve care standards, raise awareness, and support families. They often host conferences, maintain family directories or registries, fund research, provide educational resources, and fight for policies that benefit the community. 

    Connecting with organizations focused on epilepsy gives you access to experts, researchers, and a network of families while contributing to the larger mission of finding treatments and cures. For example, the Epilepsy Foundation has shone a light on epilepsy for the past 50 years by promoting awareness and understanding, advocating for laws that matter to people with epilepsy, and funding epilepsy research. 

    There are lots of resources online to help you find a patient advocacy group:

    Disease-specific conferences and events

    Many patient advocacy groups will help spread awareness through conferences and events. These can include in person events or online events and are great opportunities to connect with others and to stay on the cutting edge of new research opportunities. 

    ​​Attending a conference focused on your child's condition can be transformative. These gatherings bring together families, researchers, doctors, and advocates in one place. You'll hear about the latest research, learn from medical experts, meet families at different stages of the journey, and let your child connect with others like them. 

    Many families describe their first conference as the moment they felt less alone. While attending may require travel and expense, many organizations offer scholarships or financial assistance to help families participate. If you can go, it's often worth it.

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    Citizen Health partners with over 100 patient advocacy groups to build toward better answers and support research.

    Looking Ahead

    A CAE diagnosis introduces new responsibilities, decisions and systems that families are unsure of how to navigate. Although this page includes a lot of information, which can be overwhelming at times, we hope that you can return to it as a resource as you navigate this journey. 

    There's no fixed sequence for moving forward. Needs evolve. Priorities shift. Progress comes less from having all the answers and more from access to reliable information, coordinated care, and meaningful connections. With knowledge, organization, and support, you can make informed decisions, adapt as circumstances change, and move forward with confidence; even when the path is uncertain.

    Just by taking time to learn more about the diagnostic process and next steps, you are already taking steps to better care for your child.

    Key Takeaways

    Navigating a Childhood Absence Epilepsy diagnosis doesn't happen all at once; it's a journey that unfolds over time. Focus on five key areas: 

    1. Understanding your child's condition through reliable sources
    2. Coordinating medical care and staying organized with records
    3. Accessing therapies and educational services that support your child's development
    4. Navigating insurance and financial assistance
    5. Connecting with other families and patient advocacy groups (PAGs).

    Progress comes from taking one informed step at a time, building your support network, and advocating for your child with confidence—even when the path feels uncertain. Tools like Citizen Health's AI Advocate can help lighten the load by organizing medical records, preparing for appointments, and even drafting insurance appeals, giving you more time to focus on what matters most—your child.

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