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Behav. Sci. 2019, 9(2), 15; https://doi.org/10.3390/bs9020015

Cognitive Behavioral Therapy (CBT) in Psychogenic Non-Epileptic Seizures (PNES): A Case Report and Literature Review

1
Department of Psychiatry, Austin State Hospital, Austin, TX 78751, USA
2
Department of Psychiatry, Texas Tech University Health Science Center, Midland, TX 79701, USA
3
Department of Psychiatry, Griffin Memorial Hospital, Norman, OK 73071, USA
*
Author to whom correspondence should be addressed.
Received: 28 December 2018 / Revised: 21 January 2019 / Accepted: 24 January 2019 / Published: 29 January 2019
(This article belongs to the Special Issue From Basic to Clinical in Behavioral Disorders)
Full-Text   |   PDF [182 KB, uploaded 29 January 2019]

Abstract

Psychogenic non-epileptic seizures (PNES) are classified as a somatoform conversion disorder. We present a case of a 24-year-old male with a past psychiatric history of posttraumatic stress disorder (PTSD) and anxiety disorder, admitted to our inpatient psychiatric unit. The patient experienced multiple episodes of seizures during hospitalization. Work up was unremarkable, and PNES were suspected and later confirmed with video-electroencephalography (video-EEG). He underwent supervised withdrawal of antiepileptic medications with the initiation of cognitive behavioral therapy (CBT), which reduced the frequency of seizures. Diagnosis of PNES can present as a challenge and failure to diagnose its psychological nature can lead to a delay in the psychological intervention. CBT leads to a decrease in seizure frequency, and improvement in psychiatric symptoms, psychosocial functioning, and quality of life. It is important to consider PNES in the differential diagnosis of seizures presented by psychiatric patients, as CBT is necessary for better patient outcomes. View Full-Text
Keywords: PNES; psychogenic non-epileptic seizures; pseudoseizures; CBT; cognitive behavioral therapy; management; inpatient psychiatry; EEG PNES; psychogenic non-epileptic seizures; pseudoseizures; CBT; cognitive behavioral therapy; management; inpatient psychiatry; EEG
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Kamil, S.H.; Qureshi, M.; Patel, R.S. Cognitive Behavioral Therapy (CBT) in Psychogenic Non-Epileptic Seizures (PNES): A Case Report and Literature Review. Behav. Sci. 2019, 9, 15.

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