How do you counsel patients on driving who have PNEA?

No law or rule here, so case by case and good old clinical judgment. Event severity, type, frequency, etc.

A couple of references:

Asadi-Pooya, et al., PMID 32913946

Benbadis et al., PMID 10897163

I advise them that if they are losing awareness for any reason, they should not be driving, just as if their cognition is impaired. Release to driving is complex, and every state's rules are different, however, I ask them to work with their therapist to determine when it's appropriate for them to re...

CA law is very strict on this. By law, we are required to report patients with "lapses of awareness" from any cause, and physicians are the target of lawsuits if an accident occurs as a result of a patient falling asleep at the wheel, having a seizure, aura, migraine, etc. There is a DHS form that w...

Case by case evaluation as stated by Dr. @Dr. First Last.

The longer the condition without a history of any kind of injuries especially at home the more liberal I am about driving.

The patient may understand when or if they may become incapacitated and to what degree. Depending on insight and predictability along with semiology, I make a decision and write up a form for them to sign indicating their comprehension and agreement and recognition of liability.
I have no idea what ...