Pediatric Psychogenic Non-Epileptic Seizures
Pediatric Psychogenic Non-Epileptic Seizures

Author: Rochelle Caplan

Publisher: Springer

Published: 2017-05-09

Total Pages: 202

ISBN-13: 3319551221

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This volume describes the basics for short- and long-term treatment of Psychogenic Non-Epileptic Seizures (PNES) in children. The text acknowledges that the disorder, though rare and highly morbid, is treatable when it is not misdiagnosed. Given the limited diagnostic and clinical training offered to clinicians, this book aims to equip professionals with the tools needed to improve the poor quality of life of youth with PNES. The text begins by introducing the main features of the disorder and the problems involved in diagnosing PNES in children. It then describes techniques to overcome these problems in order to make a reliable and valid diagnosis of PNES, as well as provide feedback on the diagnosis and treatment plan. The last section describes the indications for cognitive behavior therapy for youth with PNES and suggested treatment paradigms. Incorporation of do’s and don’ts and their relevant clinical examples in all sections of the proposed guide provide the reader with skills and techniques. The book also includes an appendix with resources for parents, children, and school nurses and teachers, relaxation techniques for the child and parents, templates of letters for the child’s school about the condition and behavior management plan, templates of supporting letters from epileptologists and primary care physicians, CBT treatment paradigm, and information on individual supervision, workshops and webinars. Written by the few experts in this area, Pediatric Psychogenic Non-Epileptic Seizures is the ultimate guide for psychiatrists, psychologists, nurses, primary care physicians, neurologists, epileptologists, social workers, nurses, school counselors, and all medical professionals working with children experiencing seizures.

Functional Somatic Symptoms in Children and Adolescents
Functional Somatic Symptoms in Children and Adolescents

Author: Kasia Kozlowska

Publisher: Springer Nature

Published: 2020-09-30

Total Pages: 397

ISBN-13: 303046184X

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This open access book sets out the stress-system model for functional somatic symptoms in children and adolescents. The book begins by exploring the initial encounter between the paediatrician, child, and family, moves through the assessment process, including the formulation and the treatment contract, and then describes the various forms of treatment that are designed to settle the child’s dysregulated stress system. This approach both provides a new understanding of how such symptoms emerge – typically, through a history of recurrent or chronic stress, either physical or psychological – and points the way to effective assessment, management, and treatment that put the child (and family) back on the road to health and well-being.

Psychogenic Nonepileptic Seizures
Psychogenic Nonepileptic Seizures

Author: Barbara A. Dworetzky

Publisher: Oxford University Press

Published: 2017-04-12

Total Pages: 337

ISBN-13: 0190265051

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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.

Gates and Rowan's Nonepileptic Seizures with DVD-ROM
Gates and Rowan's Nonepileptic Seizures with DVD-ROM

Author: Steven C. Schachter

Publisher: Cambridge University Press

Published: 2009-12-10

Total Pages: 372

ISBN-13: 9780521517638

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Patients with nonepileptic seizures present in neurology, psychiatry, psychology and emergency departments. Although the disorder has been well documented in the medical literature and much is known about the nature and signs of the condition, much less has been written about its treatment and management. Gates and Rowan's Nonepileptic Seizures, third edition, takes a multidisciplinary approach to this neuropsychiatric disorder, building and branching from the prior editions, with a strong focus on management, to aid all clinicians in the diagnosis and treatment of both child and adult patients. With a DVD containing video material to supplement the differential diagnosis, patient characteristics and treatment sections, and with contributions from the leading authorities from around the world, this will be essential reading for physicians and psychologists, at all levels of training and experience, encountering patients with this complex brain-behavior disorder.

Psychogenic Non-epileptic Seizures
Psychogenic Non-epileptic Seizures

Author: Lorna Myers

Publisher: Createspace Independent Publishing Platform

Published: 2014-01-25

Total Pages: 0

ISBN-13: 9781492881414

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This book is designed to fill the information gap and provide essential knowledge about PNES and the tools necessary to take charge of it.

In Our Words
In Our Words

Author: Markus Reuber

Publisher: Oxford University Press

Published: 2018

Total Pages: 297

ISBN-13: 0190622776

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Psychogenic Non-Epileptic Seizures (PNES) can cause blackouts, collapses, involuntary movements, loss of memory and have major impact on quality of life. Whereas epilepsy is caused by abnormal electrical activity in the brain, PNES are psychological-based responses to triggers inside or outside the body that are perceived as threatening by the person affected. PNES are poorly understood by the medical community. It is common for doctors to struggle to explain this diagnosis, which can leave their patients frustrated and confused. Often people are told that their PNES are caused by "stress" and sent away with no further support or advice. It is no wonder that those affected feel isolated, abandoned and hopeless about living with the condition. In Our Words: Personal Accounts of Living with Non-Epileptic Seizures shows those diagnosed with PNES that they are not alone, and how others have courageously managed to come to terms with their seizures. These heartfelt personal accounts will also allow family, friends, healthcare providers and researchers to gain more understanding of the condition and work to provide a better quality of life to those living with PNES.

Treating Nonepileptic Seizures
Treating Nonepileptic Seizures

Author: W. Curt LaFrance

Publisher: Oxford University Press, USA

Published: 2015

Total Pages: 193

ISBN-13: 0199307172

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The primary aim of Treating Nonepileptic Seizures: Therapist Guide is to equip physicians, psychologists, therapists, nurses, and other practitioners with a validated, step-by-step treatment for psychogenic nonepileptic seizures (NES) that can improve the lives of patients with this disabling disorder. Patients with NES frequently present in neurology, psychiatry, psychology, and emergency departments. The disorder has been documented in the medical literature for centuries, and much is known about the phenomenology, seizure characteristics, psychiatric comorbidities, neuropsychological testing, and psychosocial aspects in NES. However, until recently, much less was known about the effective treatments of patients with psychogenic NES. This intervention provides guidance for clinicians in treating patients with NES and is designed to be used in conjunction with the patient workbook, Taking Control of Your Seizures. Session by session, the Workbook facilitates communication between treatment providers and individual patients with seizures. The authors' clinical experience with epilepsy and NES and research in developing the treatment approach for seizures directly informed the treatment model described. Many patients treated with the intervention have demonstrated improvements in seizures, symptoms, and quality of life.

Pediatric Neurology
Pediatric Neurology

Author: Anne. Lortie

Publisher: Elsevier Inc. Chapters

Published: 2013-04-23

Total Pages: 16

ISBN-13: 0128078944

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Psychogenic nonepileptic seizures (PNES) are clinical events resembling epileptic seizures but lacking abnormal cortical electrical discharges. They are involuntary manifestations of a psychological distress. PNES are less frequent in the pediatric population than in adults, they represent from 3.5 to 9% of patients admitted for prolonged video-EEG (PV-EEG). Diagnosis is rarely made on history only and PV-EEG is mandatory to obtain a definitive diagnosis. Children as young as 5 years can present with PNES. They are more frequent in girls except in school age children where boys are identically or more represented than girls. PNES can either present with subtle signs, even unresponsiveness, or prominent motor activity. Major differential diagnosis is absences, day dreaming, and complex partial seizures including hyperkinetic frontal seizures. PNES are usually rapidly registered during PV-EEG and provocative methods have not been thoroughly studied in children. Major risk factors are psychological stressors, such as school or family problems. Psychiatric conditions are less frequent than in adults though they should be looked for. Prognosis is better than in adults, and most children become PNES-free. There are no guidelines for treatment, however stressors should be addressed. In general, it should be clearly explained that PNES are not epileptic seizures.

Non-Epileptic Seizures in Our Experience
Non-Epileptic Seizures in Our Experience

Author: Steven C. Schachter

Publisher: Oxford University Press, USA

Published: 2020

Total Pages: 369

ISBN-13: 0190927755

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To an outside observer, Psychogenic Non-Epileptic Seizures (PNES) look like epileptic seizures. The manifestations of PNES include collapses, impaired consciousness, and seizure-related injuries. However, unlike epileptic seizures, which are the result of abnormal electrical discharges in the brain, most PNES are an automatic psychological response to a trigger perceived as threatening. Not least because the changes in the brain that underpin PNES cannot be visualised easily with clinical tests (such as the EEG), there are many uncertainties and controversies surrounding the condition. Patients often provoke a mixture of emotions in healthcare professionals. In the authors' previous book, In Our Words: Personal Accounts of Living with Non-Epileptic Seizures, over 100 individuals with PNES and their family wrote about their experiences with the condition. While some had positive care experiences, many were left feeling confused, angry, and abandoned by the clinicians they had encountered. Non-Epileptic Seizures in Our Experience: Accounts of Health Care Professionals complements the authors' previous book by presenting the perspectives of over 90 members of different healthcare professions from around the world. The anonymous publication format has enabled many not only to share success stories but also to be open about difficulties and failures. This volume will be an invaluable resource for both highly experienced professionals as well as relative novice and those experiencing PNES. This book will challenge negative attitudes surrounding the condition, improve understanding between healthcare professionals and patients, and - ultimately - advance the quality of care provided for those with PNES.

The Comprehensive Evaluation and Treatment of Epilepsy
The Comprehensive Evaluation and Treatment of Epilepsy

Author: Steven C. Schachter

Publisher: Elsevier

Published: 1997-05-22

Total Pages: 287

ISBN-13: 0080529461

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Epilepsy is, after headache, the second most common neurological disorder. This book clarifies the many courses of action to take in treating patients with epilepsy. It presents current knowledge about seizures and epilepsy in a comprehensive, socially conscious, and clear manner. The editors have provided this information in a comprehensive, easy-to-use, and practical form. This short, simple pedagogical guide to the diagnosis and management of epilepsy is an important reference work for all medical schools, hospitals, clinics, and primary care centers. This book integrates the latest research into essential reviews on: Initial management of patients with seizures Neuroradiological evaluation of epilepsy Psychosocial aspects of epilepsy Neuropsychologic problems associated with epilepsy Psychiatric disorders Diagnosis and treatment of status epilepticus Nonepileptic seizures Ambulatory EEG monitoring Epilepsy surgery Endocrine aspects of partial seizures Epilepsy in the elderly