“It was just a one-off faint — I can still drive, right?”

A "funny faint" with tonic-clonic movements lasting ~1 minute, LATERAL tongue-biting, urinary incontinence and prolonged post-ictal confusion is a GENERALISED TONIC-CLONIC SEIZURE, not a vasovagal faint (which is brief with quick full recovery and a trigger/prodrome). The non-negotiable examinable point is the DRIVING/DVLA duty: after a first seizure the patient MUST stop driving and notify the DVLA — usually 6 months seizure-free for a car (Group 1) licence after a first isolated unprovoked seizure (12 months if recurrence risk is higher) and far stricter, longer rules for Group 2/professional driving — so the patient cannot be "confirmed okay to drive", and even a provoked seizure generally still carries restrictions. Arrange the work-up (urgent referral to an epilepsy specialist/first-seizure clinic, seen within 2 weeks per NICE NG217, ECG to exclude a cardiac cause of collapse, bloods, imaging/EEG per pathway), identify provoking factors (sleep deprivation, alcohol use/withdrawal), and give interim safety advice (no swimming/baths alone, heights, machinery; 999 if a seizure >5 min). The hidden agenda is livelihood terror driving the minimisation; the skill is honesty AND compassion — be firm and clear about the driving duty while genuinely supporting the job/income blow (sick note, work options, the likely temporary nature) so honesty doesn’t feel like abandonment.