Since your MRI shows Mesial Temporal Sclerosis (MTS) and current medications aren?t working, you may have drug-resistant epilepsy. Please consult a Comprehensive Epilepsy Center to discuss these advanced options: Epilepsy Surgery: Procedures like a temporal lobectomy or MRI-guided laser ablation are highly effective for MTS and can potentially cure your seizures. Neuromodulation: Therapies like Vagus Nerve Stimulation (VNS) can help if surgery isn?t suitable. Targeted Medication Adjustments: Collaborating with a neuropsychiatrist to combine newer anti-seizure medications with safe antipsychotics to manage both seizures and psychotic symptoms. Request a pre-surgical evaluation from your neurologist as soon as possible.