ABSTRACT: Postictal psychosis (PIP) is a serious outcome of epilepsy, which may be preventable. Once the symptoms are identified, rapid diagnosis and treatment will prevent further deterioration in the patient’s condition. The nurse plays a critical role in this process. The specific presentation of PIP, along with clarification of potential causes and strategies to prevent the occurrence of this complication, will be discussed. Through a case study format and emphasis on the role of the nurse, the specifics of case finding and rapid intervention will be described.