PTSD

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

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

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

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

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

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

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

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Could Prolonged Exposure (PE) therapy be useful in treating psychogenic non-epileptic seizures?

Up to 90% of patients with psychogenic non-epileptic seizures (PNES) report histories of significant trauma (often childhood sexual and physical abuse).  If we compare with control groups and the general US population, we find that in fact, patients with psychogenic non epileptic seizures have suffered more abuse than these other groups.   As for post-traumatic stress

Could Prolonged Exposure (PE) therapy be useful in treating psychogenic non-epileptic seizures? Read More »

The connection between Psychological (Psychogenic) non epileptic seizures and a history of trauma

How many people with PNES have a history of trauma? An interesting article was published in the Journal Epilepsy and Behavior ( 2004) by Fiszman et.  al. It reviewed 17 PNES studies and found that traumatic events and PTSD in persons with PNES were very common.  Depending on the study: 44-100% of PNES patients had

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So you’ve been told you have PNES – What’s that?

You’ve certainly been dealt a real challenge.  Why? Because PNES is  a very complicated psychological condition that seems to defy logic.  There are however some promising treatments. We only need to figure out who they will serve best. In my opinion, the biggest problem lies in that we may be lumping different conditions into one single

So you’ve been told you have PNES – What’s that? Read More »

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