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Psychogenic Nonepileptic Seizures: Toward the Integration of Care 1st Edition

by Barbara A. Dworetzky (Editor), Gaston Baslet (Editor)
4.0 4.0 out of 5 stars 4 ratings
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Psychogenic nonepileptic seizures (PNES) are attacks that mimic epileptic seizures, but are not caused by abnormal electrical discharges in the brain. Instead, PNES are typically considered involuntary expressions of distress, making diagnosis and treatment a challenge. Historically, patients are referred to neurologists who, after completing a diagnostic work up, refer patients to mental health professionals, including psychiatrists, for treatment. For a number of reasons, this transition of care between specialists is often not successful, and this impacts patient treatment and outcomes.

Psychogenic Nonepileptic Seizures: Toward the Integration of Care offers new insights into the practical diagnostic and treatment challenges faced by clinicians who manage this condition. This book covers the different stages of care, from the initial evaluation to long-term outcomes, and highlights the need to work collaboratively to provide patients with comprehensive care and improved outcomes. It provides up-to-date evidence and shares clinical expertise for the management of this challenging diagnosis that requires the expertise of a multi-disciplinary team. The authors provide a new framework on how to conceptualize and manage this disorder to more effectively address the needs of patients.
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  1. ISBN-10
    0190265043
  2. ISBN-13
    978-0190265045
  3. Edition
    1st
  4. Publisher
    Oxford University Press
  5. Publication date
    May 15, 2017
  6. Language
    English
  7. Dimensions
    9.3 x 6.1 x 0.9 inches
  8. Print length
    336 pages
  9. See all details
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Editorial Reviews

Review

"Psychogenic nonepileptic seizures are the most common subtype of functional neurologic disorder and it is important for the medical community to know how to help these patients. Unfortunately, functional neurologic disorders have fallen into a black hole between neurologists and psychiatrists, and it has been difficult to find appropriate care. This excellent book points a way forward. Not only does it summarize the current literature on diagnosis, pathophysiology, and therapy, but it emphasizes the need for a multidisciplinary approach. The book gives guidance for how neurologists, psychiatrists and other healthcare professionals can work together."
--Mark Hallett, MD, National Institute of Health, Bethesda, MD

"Drs. Dworetzky and Blaset, together with their team of experts, have provided a concise and thorough review of psychogenic nonepileptic seizures. This book provides insight on diagnosis, mechanisms, and therapy and is a must read for all neurologists, psychiatrists, and psychologists involved in this underserved, large population."
--Orrin Devinsky, MD, Chief of Service, NYU Epilepsy Service, NYU School of Medicine, New York, NY

"Psychogenic non-epileptic seizures are the most common subtype of functional neurologic disorder, and, since these are not rare and the patients have significant disability, it is important for the medical community to know how to help these patients. Unfortunately, functional neurologic disorders have fallen into a black hole between neurologists and psychiatrists, and it has been difficult to find appropriate care. This excellent book points a way forward. Not only does it summarize the current literature on diagnosis, pathophysiology, and therapy, but it emphasizes the need for a multidisciplinary approach, an integrated model of care. The disorder is complex, and a single magic bullet is not going to make the patients better. The book gives guidance for how neurologists, psychiatrists and other healthcare professionals can work together." --Mark Hallett, MD, National Institute of Health, Bethesda, MD

"Drs Dworetzky and Blaset, together with their team of international experts, have provided a concise and thorough review of psychogenic non epileptic seizures. This book provides insightful pearls on diagnosis, mechanisms, and therapy and is a must read for all neurologists, psychiatrists, and psychologists involved in this underserved, large population." -Orrin Devinsky, MD, Chief of Service, NYU Epilepsy Service, Department of Neurology, NYU School of Medicine, New York, NY

Book Description

Offers new insights into the practical diagnostic and treatment challenges faced by clinicians who manage this condition.

Product details

  • Publisher ‏ : ‎ Oxford University Press; 1st edition (May 15, 2017)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 336 pages
  • ISBN-10 ‏ : ‎ 0190265043
  • ISBN-13 ‏ : ‎ 978-0190265045
  • Item Weight ‏ : ‎ 1.36 pounds
  • Dimensions ‏ : ‎ 9.3 x 6.1 x 0.9 inches
  • Customer Reviews:
    4.0 4.0 out of 5 stars 4 ratings

Customer reviews

4 out of 5 stars
4 out of 5
4 global ratings

Top review from the United States

D. James Bridges
1.0 out of 5 stars Far more to "Psychogenic" Sz. Many causes- meds, head injury.+ Watch what/who you believe.
Reviewed in the United States on March 14, 2021
More research is coming out re: so-called "Psychogenic Seizures." Patients can have, simultaneously, epilepsy AND non-epileptic seizures. Some MD's ignore epileptiform eeg activity and focus on non-seizures. Causes for non-epileptic seizures include side effects from epilepsy drugs, concussion/head injury, even certain autoimmune conditions. Autoimmune Epilepsy is a very real diagnosis.
Not everyone has had a "traumatic" or "PTSD" event in their lives. These are commonly used in labeling patients with "psychogenic" seizures. If a patient denies such a history, they are not believed. They are in denial, etc.
Diagnosis of PNES or Psychogenic Seizures in recent years has been headline-grabbing. An almost "fashionable" dx these days. Much easier for MD's with patients whose seizures don't respond to typical meds to throw their hands in the air & default to psychiatry. Psychiatrists don't really have specific treatments in their bag of tricks.
For anyone facing this diagnosis & it just doesn't doesn't feel right, don't give up. Look - and keep looking - for the newest research....including international studies. Check out a study in Iceland where hormones were found to be the culprit. Hormonal imbalance was treated and patients got better. Other studies further implicate hormones - in both genders. Check out the connection between "low Neuropeptide Y" and "psychogenic" seizures. In other words, seizures that are called "psychogenic" are real. They are seizures. They may not be epileptic. In fact, they may not be "psychogenic" at all.
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