Psychological Non Epileptic Seizures
Northeast Regional Epilepsy Group

Prolonged exposure therapy for the treatment of patients diagnosed with psychogenic non-epileptic seizures (PNES) and post-traumatic stress disorder (PTSD)

We’d be hard pressed to find a clinician or researcher who doesn’t agree that the proper treatment for a confirmed diagnosis of psychogenic non-epileptic seizures (PNES) or non-epileptic attack disorder (NEAD-as it is called in the UK) is some form of psychotherapy.  Although, we’ve known this for decades, we’re still sorely uncertain as to which psychotherapeutic treatment modalities are not just most...

Hatred: the fuel in some psychogenic seizures?

Today’s blog is the result of a profound series of conversations I recently had with someone.  We were talking about a harmful emotion that can result from experiencing abuse: Hatred. Hatred is different than anger.  Anger is an emotion.  It is, like all other emotions; it’s neither right or wrong nor good or bad.  It simply is.  In fact, anger serves an important purpose. It signals that something is...

I have psychogenic non-epileptic seizures (PNES) but was never traumatized: Is this you?

In July 2013, we published an article in the Journal Epilepsy and Behavior looking at: Psychological trauma in patients with psychogenic nonepileptic seizures: Trauma characteristics and those who develop PTSD.  The full article can be found here: http://www.sciencedirect.com/science/article/pii/S1525505013001819). We found that 45 out of 61 (73.8%) patients reported experiencing at least one traumatic event in...

Are all patients diagnosed with psychogenic non-epileptic seizures (PNESs) the same? Patients with PNES and PTSD are looking different.

What unites patients with PNES into a single category? The fact that they have abnormal behaviors and changes in consciousness that resemble an epileptic seizure, but that are in fact non-epileptic as per EEG? However, right about there is where the similarity ends. To bunch all of PNES patients into one bag and hope to treat them without considering intra-group and individual differences makes about as much...

Psychiatry and Psychology are dropping the ball when it comes to psychogenic non epileptic seizures

Dr. Selim Benbadis published an excellent editorial article in the Neuropsychiatry Journal this year in which he called out both the American Psychological and American Psychiatric Association for the absence of information about Psychogenic non-epileptic seizures (conversion disorders) they have on their sites. He pointed out that both associations have a plethora of mental health topics and diagnoses for which...

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