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Unread September 8th, 2005, 04:19 PM
James Pretzer James Pretzer is offline
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Join Date: Jun 2004
Posts: 283
Default CBT and Non-epileptic Seizures

If we're talking about non-epilectic seizures or pseudoseizures, there has been some work done on applying CBT to the problem:

Goldstein, L. H.; Deale, A. C.; Mitchell-O'Malley, S. J.; Toone, B. K. & Mellers, J. D. C (20040. An Evaluation of Cognitive Behavioral Therapy as a Treatment for Dissociative Seizures: A Pilot Study. Cognitive & Behavioral Neurology, 17, 41-49.

Abstract: Evaluated in an open trial the effectiveness of cognitive behavioral therapy as a treatment of adults with dissociative seizures (i.e., "pseudoseizures"). Although suggestions have been made concerning the management of patients with dissociative seizures, no studies have previously evaluated the systematic use of cognitive behavioral therapy in the treatment of this disorder. Twenty patients diagnosed with dissociative seizures were offered treatment comprising 12 sessions of cognitive behavioral therapy. Principal outcome measures were dissociative seizure frequency and psychosocial functioning, including improvement in employment status and mood. Measures were administered before treatment, at the end of treatment, and at a 6-month follow-up. Treatment was completed by 16 patients (questionnaire measures were not available for 4 patients who discontinued treatment). Following treatment, there was a highly significant reduction in seizure frequency and an improvement in self-rated psychosocial functioning. These improvements were maintained at the 6-month follow-up. There was also a tendency for patients to have improved their employment status between the start of treatment and the 6-month follow-up period.
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