Global clinical guidelines recommend that patients with epilepsy should be counseled on sudden unexpected death in epilepsy (SUDEP); however, standardized guidelines have not been fully adopted. In a recent systematic review, findings showed a gap between what patients with epilepsy and caregivers want regarding information about SUDEP and the information shared by neurologists. These findings suggested that supporting and training neurologists to become adept at initiating difficult discussions with patients with epilepsy and caregivers may help to build a trusting partnership that enhances epilepsy management and in turn, reduces the risks for SUDEP.1