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Psychogenic nonepileptic seizures (PNES) are common at epilepsy centers, where they represent 30%–40% of referrals.1 Thus, busy epilepsy centers deal with this almost on a daily basis. Unlike other psychogenic symptoms, with the advent of EEG–video monitoring, the diagnosis is generally not difficult.1 Treatment is another story and has been a vexing challenge. As a result, outcome and follow-up are notoriously poor.1,2 The typical scenario is that, once diagnosed, patients with PNES find themselves stuck between psychiatry and neurology. Most epilepsy centers, even those with an interest in PNES, do not have access to consistent mental health services that can provide treatment.
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- Response to Dr. Sethi
- Psychogenic non-epileptic seizures: Make the diagnosis unequivocally
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